Advertisement

AIDS and Behavior

, Volume 20, Issue 3, pp 646–654 | Cite as

Nested Event-Level Case–Control Study of Drug Use and Sexual Outcomes in Multipartner Encounters Reported by Men Who Have Sex with Men

  • G. J. Melendez-TorresEmail author
  • Ford Hickson
  • David Reid
  • Peter Weatherburn
  • Chris Bonell
Original Paper

Abstract

Previous event-level analyses have often, but not always, found significant associations between drug use and sexual risk behaviour in men who have sex with men (MSM), but these analyses have rarely considered either multipartner encounters specifically, or other sexual outcomes such as pleasure and control. Using data from an internet-based longitudinal survey of MSM, we tested the association between drug use by respondent and by partners and unprotected anal intercourse (UAI), pleasure and control over sexual activity. Overall respondent substance use was significantly associated with increased odds of UAI, though not with pleasure or control. Respondent use of crystal methamphetamine was significantly associated with both increased odds of UAI and decreased odds of control over sexual activity. This analysis agrees with previous studies of dyadic encounters, and specifically suggests that the association between crystal methamphetamine and sexual risk behaviour may be mediated by loss of control.

Keywords

Sexual risk behaviour Observational epidemiology Multipartner encounters Drug use Men who have sex with men 

Notes

Acknowledgments

We thank Bobby Pickering (Demographix), David Novak (Online Buddies Inc.) and all the men who took part in the Sigma Panel 2011. This work was supported by the Department of Health for England through the CHAPS programme. The survey was conducted with the approval of the London School of Hygiene and Tropical Medicine Ethics Committee (approval number 5834). Approval for this specific analysis was granted by the Department of Social Policy and Intervention Research Ethics Committee at the University of Oxford.

Supplementary material

10461_2015_1127_MOESM1_ESM.docx (88 kb)
Supplementary material 1 (DOCX 87 kb)

References

  1. 1.
    Vosburgh HW, Mansergh G, Sullivan PS, Purcell DW. A review of the literature on event-level substance use and sexual risk behavior among men who have sex with men. AIDS Behav. United States 2012;16(6):1394–410.Google Scholar
  2. 2.
    Boone MR, Cook SH, Wilson P. Substance use and sexual risk behavior in HIV-positive men who have sex with men: an episode-level analysis. AIDS Behav. United States 2013;17(5):1883–7.Google Scholar
  3. 3.
    Colfax GN, Vittinghoff E, Husnik MJ, McKirnan D, Buchbinder S, Koblin B, et al. Substance use and sexual risk: a participant- and episode-level analysis among a cohort of men who have sex with men. Am J Epidemiol. 2004;159(10):1002–12.CrossRefPubMedGoogle Scholar
  4. 4.
    Koblin BA, Murrill C, Camacho M, Xu G, Liu K-L, Raj-Singh S, et al. Amphetamine use and sexual risk among men who have sex with men: results from the National HIV Behavioral Surveillance study—New York City. Subst Use Misuse. 2007;42(10):1613–28.CrossRefPubMedGoogle Scholar
  5. 5.
    Wilson PA, Cook S, McGaskey J, Rowe M, Dennis N. Situational predictors of sexual risk episodes among men with HIV who have sex with men. Sex Transm Infect. 2008;84(6):506–8.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Horvath KJ. The use of a daily web diary to examine the relation between online sex seeking and HIV risk among internet-using men who have sex with men. ProQuest Dissertations and Theses. [Ann Arbor]: University of Wyoming; 2005.Google Scholar
  7. 7.
    Prestage G, Van de Ven P, Grulich A, Kaldor J, Kippax S, Mao L. Contexts for last occasions of unprotected anal intercourse among HIV-negative gay men in Sydney: the health in men cohort. AIDS Care. 2005;17(1):23–32.CrossRefPubMedGoogle Scholar
  8. 8.
    Prestage G, Grierson J, Bradley J, Hurley M, Hudson J. The role of drugs during group sex among gay men in Australia. Sex Health. 2009;6:310–7.Google Scholar
  9. 9.
    Grov C, Rendina HJ, Ventuneac A, Parsons JT. HIV risk in group sexual encounters: an event-level analysis from a national online survey of MSM in the U. S. J Sex Med. 2013;10(9):2285–94.CrossRefPubMedGoogle Scholar
  10. 10.
    Bourne A, Reid D, Hickson F, Torres Rueda S, Weatherburn P. The Chemsex Study: drug use in sexual settings among gay & bisexual men in Lambeth, Southwark, & Lewisham. London: Sigma Research, London School of Hygiene and Tropical Medicine; 2014.Google Scholar
  11. 11.
    Hurley M, Prestage G. Intensive sex partying amongst gay men in Sydney. Cult Health Sex. 2009;11(6):597–610.CrossRefPubMedGoogle Scholar
  12. 12.
    Solomon TM, Halkitis PN, Moeller RM, Siconolfi DE, Kiang M V, Barton SC. Sex parties among young gay, bisexual, and other men who have sex with men in New York City: attendance and behavior. J Urban Health. 2011;1063–75.Google Scholar
  13. 13.
    Wohlfeiler D, Potterat JJ. Using gay men’s sexual networks to reduce sexually transmitted disease (STD)/human immunodeficiency virus (HIV) transmission. Sex Transm Dis. 2005;32(10 Suppl):S48–52.CrossRefPubMedGoogle Scholar
  14. 14.
    Slavin S. Drugs, space, and sociality in a gay nightclub in Sydney. J Contemp Ethnogr. 2004;33(3):265–95.CrossRefGoogle Scholar
  15. 15.
    Green AI, Halkitis PN. Crystal methamphetamine and sexual sociality in an urban gay subculture: an elective affinity. Cult Health Sex. 2006;8(4):317–33.CrossRefPubMedGoogle Scholar
  16. 16.
    O’Byrne P, Holmes D. Desire, drug use and unsafe sex: a qualitative examination of gay men who attend gay circuit parties. Cult Health Sex. 2011;13(1):1–13.CrossRefPubMedGoogle Scholar
  17. 17.
    Leigh BC, Stall R. Substance use and risky sexual behavior for exposure to HIV: issues in methodology, interpretation, and prevention. Am Psychol. 1993;48(10):1035–45.CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    Hickson F, Tomlin K, Hargreaves J, Bonell C, Reid D, Weatherburn P. Internet-based cohort study of HIV testing over 1 year among men who have sex with men living in England and exposed to a social marketing intervention promoting testing. Sex Transm Infect. 2014;1–7.Google Scholar
  19. 19.
    Pan W. Akaike’s information criterion in generalized estimating equations. Biometrics. 2001;57(1):120–5.CrossRefPubMedGoogle Scholar
  20. 20.
    Prestage G, Jin F, Kippax S, Zablotska I, Imrie J, Grulich A. Use of illicit drugs and erectile dysfunction medications and subsequent HIV infection among gay men in Sydney, Australia. J Sex Med. 2009;2311–20.Google Scholar
  21. 21.
    Ostrow DG, Plankey MW, Cox C, Li X, Shoptaw S, Jacobson LP, et al. Specific sex drug combinations contribute to the majority of recent HIV seroconversions among MSM in the MACS. J Acquir Immune Defic Syndr. 2009;51(3):349–55.CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Bourne A, Hickson F, Keogh P, Reid D, Weatherburn P. Problems with sex among gay and bisexual men with diagnosed HIV in the United Kingdom. BMC Pub Health. 2012;12(916).Google Scholar
  23. 23.
    Mustanski BS, Newcomb ME, Clerkin E. Relationship characteristics and sexual risk-taking in young men who have sex with men. Heal Psychol. 2011;30(5):597–605.CrossRefGoogle Scholar
  24. 24.
    Dodds JP, Mercer CH, Mercey DE, Copas AJ, Johnson AM. Men who have sex with men: a comparison of a probability sample survey and a community based study. Sex Transm Infect. 2006;82(1):86–7.CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    Grov C, Parsons JT, Bimbi DS. Sexual risk behavior and venues for meeting sex partners: an intercept survey of gay and bisexual men in LA and NYC. AIDS Behav. 2007;11(6):915–26.CrossRefPubMedGoogle Scholar
  26. 26.
    Parsons JT, Lelutiu-Weinberger C, Botsko M, Golub SA. Predictors of day-level sexual risk for young gay and bisexual men. AIDS Behav. 2012;17(4):1465–77.CrossRefGoogle Scholar
  27. 27.
    Wilson PA, Díaz RM, Yoshikawa H, Shrout PEY, Diaz RM. Drug use, interpersonal attraction, and communication: situational factors as predictors of episodes of unprotected anal intercourse among Latino gay men. AIDS Behav. 2009;13(4):691–9.CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Wilson PA. Sexual risk-taking and drug use among Latino men: Examining episodes of high-risk and low-risk sexual behavior. ProQuest Dissertations and Theses. [United States—New York]: ProQuest Information & Learning; 2004.Google Scholar
  29. 29.
    Reisen CA, Iracheta MA, Zea MC, Bianchi FT, Poppen PJ. Sex in public and private settings among Latino MSM. AIDS Care. 2010;22(6):697–704.CrossRefPubMedPubMedCentralGoogle Scholar
  30. 30.
    Smith AMA, Grierson J, Pitts M, Pattison P. Individual characteristics are less important than event characteristics in predicting protected and unprotected anal intercourse among homosexual and bisexual men in Melbourne, Australia. Sex Transm Infect. 2006;82(6):474–7.CrossRefPubMedPubMedCentralGoogle Scholar
  31. 31.
    Zea MC, Reisen CA, Poppen PJ, Bianchi FT. Unprotected anal intercourse among immigrant Latino MSM: the role of characteristics of the person and the sexual encounter. AIDS Behav. 2009;13(4):700–15.CrossRefPubMedPubMedCentralGoogle Scholar
  32. 32.
    O’Byrne P, Holmes D. Drug use as boundary play: a qualitative exploration of gay circuit parties. Subst Use Misuse. 2011;46(12):1510–22.CrossRefPubMedPubMedCentralGoogle Scholar
  33. 33.
    Greenspan NR, Aguinaldo JP, Husbands W, Murray J, Ho P, Sutdhibhasilp N, et al. “It’s not rocket science, what I do”: self-directed harm reduction strategies among drug using ethno-racially diverse gay and bisexual men. Int J Drug Policy. 2011;22(1):56–62.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • G. J. Melendez-Torres
    • 1
    Email author
  • Ford Hickson
    • 2
  • David Reid
    • 2
  • Peter Weatherburn
    • 2
  • Chris Bonell
    • 3
  1. 1.Department of Social Policy and InterventionUniversity of OxfordOxfordUK
  2. 2.Sigma Research, London School of Hygiene and Tropical MedicineUniversity of LondonLondonUK
  3. 3.Social Science Research UnitUCL Institute of Education, University College LondonLondonUK

Personalised recommendations