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Factors Associated with Drug Use Among HIV-Infected Men Who Have Sex with Men in China

Abstract

Drug use is globally more prevalent in HIV-positive men who have sex with men (HIVMSM) than their heterosexual counterparts. Yet, few studies have investigated the factors associated with drug use among this population beyond Western societies. A cross-sectional survey was conducted to examine factors associated with drug use among 415 HIVMSM in Chengdu, China. The results show that 10.8% of the participants had used drugs in the past 30 days. Among participants who had anal intercourse in the past 30 days, 11.5% had used drugs during anal intercourse. After adjusting for background variables, logistic regression models show that life satisfaction was associated with past 30-day drug use [Adjusted Odds Ratio (ORa) = 0.90, p < 0.001], and with drug use during anal intercourse in the past 30 days (ORa = 0.89, p < 0.01). Participants with more nonregular partners were more likely to use drugs with or without sex in the past 30 days, whereas those with one regular partner were less likely to use drugs during anal intercourse compared to their counterparts with no regular partners. The findings of this study are informative for designing effective substance-use intervention programs targeting HIVMSM.

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Correspondence to Joseph T. F. Lau.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the Survey and Behavioral Research Ethics Committee, The Chinese University of Hong Kong, and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Chen, X., Mo, P.K.H., Li, J. et al. Factors Associated with Drug Use Among HIV-Infected Men Who Have Sex with Men in China. AIDS Behav (2019). https://doi.org/10.1007/s10461-019-02660-z

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Keywords

  • Drug use
  • HIV-positive
  • Men who have sex with men
  • China
  • Life satisfaction
  • Sex partner