Prevalence of HIV-risk related drug use and sexual activity among men who have sex with men attending a specialist UK club drug clinic

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Title: Prevalence of HIV-risk related drug use and sexual activity among men who have sex with men attending a specialist UK club drug clinic
Author(s): Bowden-Jones, 0
Whitelock, C
Abdulrahim, D
Hemmings, S
Margetts, A
Crawford, MJ
Item Type: Journal Article
Abstract: Aims: To examine patterns of drug use amongst a cohort of drug treatment-seeking drug-using gay men and other men who have sex with men (MSM), and whether these behaviours differ between, or predict, HIV status. Design: Cross-sectional study. Setting: Specialist club drug clinic in London. Participants: 407 consecutive attendees who identified as MSM. Measurements: Substance use, including injecting drug use (IDU), associated sexual activity, and self-reported HIV status were measured by clinical interview and National Drug Treatment Monitoring System data tool. Findings: Over a 45 month period, 407 MSM attended the clinic. 62.1% were HIV positive, 48.9% had injected drugs, 14.9% reported needle sharing and 73.3% used drugs to facilitate sex. The most commonly reported problem drugs were GHB/GBL (54.3%), methamphetamine (47.7%) and mephedrone (37.8%). HIV status was associated with methamphetamine, mephedrone, IDU, sharing equipment, using drugs to facilitate sex, older age and older age of drug initiation, as well as Hepatitis C (HCV) status. Use of methamphetamine, HCV infection, older age and IDU predicted HIV positive status in a logistic regression model. Conclusions: The findings describe a constellation of risk factors including high levels of IDU, sharing of equipment and high-risk sexual activity in a population with high rates of HIV positive serology. They also provide further evidence for a link between HIV infection and use of methamphetamine. We suggest a need for greater awareness of HIV-related risk behaviours and promotion of HIV prevention strategies for MSM by both sexual health and drug treatment services.
Publication Date: 6-Mar-2017
Date of Acceptance: 9-Jan-2017
URI: http://hdl.handle.net/10044/1/43836
DOI: https://dx.doi.org/10.1108/DAT-01-2017-0001
ISSN: 1745-9265
Publisher: Emerald
Start Page: 50
End Page: 59
Journal / Book Title: Drugs and Alcohol Today
Volume: 17
Issue: 1
Copyright Statement: © Emerald Publishing Limited 2017 Published by Emerald Publishing Limited Licensed re-use rights only. Owen Bowden-Jones, Claire Whitelock, Dima Abdulrahim, Stacey Hemmings, Alexander Margetts, Michael Crawford, (2017) "Prevalence of HIV risk-related drug use and sexual activity among men who have sex with men attending a specialist UK club drug clinic", Drugs and Alcohol Today, Vol. 17 Issue: 1, pp.50-59, https://doi.org/10.1108/DAT-01-2017-0001
Keywords: Science & Technology
Life Sciences & Biomedicine
Substance Abuse
Mephedrone
GHB/GBL
HIV and sexual health
Injecting
Men who have sex with men (MSM)
Methamphetamine
GAY MEN
LONDON
METHAMPHETAMINE
INFECTION
BEHAVIOR
CHEMSEX
Publication Status: Published
Appears in Collections:Department of Medicine
Faculty of Medicine



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