Sexual Risk Behavior of HIV-Positive Methamphetamine-Using Men Who Have Sex with Men: The Role of Partner Serostatus and Partner Type
- 166 Downloads
This study examined the role of partner serostatus and partner type in relation to the sexual risk behaviors and disclosure practices of HIV-positive methamphetamine (meth)-using men who have sex with men (MSM). The sample consisted of 132 HIV-positive meth-using MSM who reported having both serodiscordant (i.e., HIV-negative and unknown serostatus) and seroconcordant (i.e., HIV-positive) partners. HIV-positive meth-using MSM engaged in significantly fewer acts of anal sex with serodiscordant partners as compared to seroconcordant partners. However, mean levels of unprotected anal and oral sex were high, and mean levels of protected sex were low for both seroconcordant and serodiscordant partners. Oral sex was practiced twice as often as anal sex; however, both types of sex were primarily unprotected. This pattern of risky sexual behavior was reported for steady, casual, and anonymous partners, regardless of partner serostatus. Despite high rates of unprotected sex, rates of HIV serostatus disclosure were consistently high for HIV-positive and HIV-negative steady, casual, and anonymous partners. However, rates of disclosure to unknown serostatus partners were low, particularly in relation to anonymous partners. Future research should address the reasons why HIV-positive meth-using MSM engage in risky sexual activity with serodiscordant partners, and HIV prevention programs for this population should emphasize the risks associated with unprotected sex with seroconcordant partners.
KeywordsMen Homosexuality Methamphetamine Sexual behavior Risk
Support for this work was provided, in part, by the National Institute of Drug Abuse (NIDA) R01 DA12116 (Promoting Safer Sex in HIV+ MSM Methamphetamine Users), The National Institute of Mental Health (NIMH) grant 1 R01 MH61146-01A2 (HIV/STD Risk and Maintenance in “At Risk” People), NIMH Center grant 2 P50 MH45294 (HIV Neurobehavioral Research Center), the Department of Veterans Affairs, and the State of California's University-wide AIDS Research Program (IS02-SD-701).
- Bucholz, K. K., Cadoret, R., Cloninger, R. D., Dinwiddie, S. H., Hesselbrock, V. M., Nurnberger, J. I., et al. (1994). A new semi-structured psychiatric interview for use in genetic linkage studies. A report on the reliability of the SSAGA. Journal of Studies on Alcohol, 55, 149–158.Google Scholar
- Gorman, E. M., Morgan, P., & Lambert, E. Y. (1995). Qualitative research considerations and other issues in the study of methamphetamine use among men who have sex with men. In E. Lambert, R. Ashery, & R. Needle (Eds.), Qualitative methods in drug abuse and HIV research (pp. 156–181). Rockville, MD: NIDA.Google Scholar
- Reback, C. J. (1997). The social construction of a gay drug: Methamphetamine use among gay and bisexual males in Los Angeles (Report #93427). City of Los Angeles AIDS Coordinator.Google Scholar
- Shoptaw, S., Peck, J., Reback, C. J., & Rotheram-Fuller, E. (2003). Psychiatric and substance dependence comorbidities, sexually transmitted diseases, and risk behaviors among methamphetamine-dependent gay and bisexual men seeking outpatient drug abuse treatment. Journal of Psychoactive Drugs, SARC Suppl., 1, 161–168.Google Scholar
- Suarez, T. P., Kelly, K. A., Pinkerton, S. D., Stevenson, Y. L., Hayat, M., Smith, M. D., et al. (2001). Influence of a partner's HIV serostatus, use of highly active antiretroviral therapy, and viral load on perceptions of sexual risk behavior in a community sample of men who have sex with men. Journal of Acquired Immune Deficiency Syndromes, 28, 471–477.PubMedGoogle Scholar
- Zians, J., Houke, C., & D'Hont, M. (2004). Project SMART: Results of a social marketing campaign that used harm reduction principles to address methamphetamine abuse among gay and bisexual men in San Diego County. San Diego, CA: Stepping Stone, Inc.Google Scholar