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Objectives To examine methamphetamine use and its association with sexual behavior among young men who have sex with men. Main Outcome Measures Reported methamphetamine use in the past 90 days and reported sexual risk behavior compared with individuals reporting no hard drug use and individuals reporting hard drug use in the past 90 days. Results Among adolescent boys and young men, 64 reported recent methamphetamine use, and reported no recent hard drug use 87 reported use of hard drugs other than methamphetamine. Recent methamphetamine use was associated with a history of sexually transmitted diseases Recent users of methamphetamine were more likely to have a history of homelessness Conclusions Adolescent boys and young men who have sex with men and use methamphetamine seem to be at high risk for human immunodeficiency virus. Prevention programs among this age group should address issues like housing, polydrug use, and educational needs. Although these data are informative, more geographically diverse data about methamphetamine use and HIV risk among YMSM are necessary to inform HIV prevention policies focused on this population. The present study addresses this need by examining methamphetamine use and its association with high-risk sexual behavior of adolescent boys and YMSM aged years recruited through venue-based sampling in 8 US cities. Data for this study were collected as part of a baseline survey conducted at high-risk venues within the ATN cities. Based on this brief interview, the list of potential recruitment venues was narrowed to 2 to 3 venues per city where 20 to 30 participants per venue could be recruited to complete the study survey. The final set of recruitment venues included public places, such as bars, clubs, parks, street corners, and community-based organizations. Each site had 3 months to conduct the study surveys, with the first site beginning interviews on January 3, , and the last site completing interviews on August 21, Staff used a convenience sampling approach within high-traffic areas of each selected venue to recruit participants who seemed to be within the desired age range. Depending on the venue, the participant was taken to another location on-site or nearby ie, private room or mobile unit for the actual study survey to maintain anonymity and to guard the safety of the participants. The YMSM were eligible if they reported their birth sex as male, were between the age of 12 and 24 years, and had engaged in voluntary anal or oral sex with a male partner within the past 12 months. Staff obtained verbal informed consent from all participants before conducting the survey. The surveys were administered using an anonymous audio computer-assisted self-administered interview. All participating institutions' institutional review boards approved the protocol. Incentives for participation included gift certificates, music CDs, or other similar goods, commensurate with local standards. Participants were divided into the following 3 categories depending on their history of drug use: 1 those who reported methamphetamine use in the past 90 days; 2 those who reported no hard drug use in the past 90 days, including those with no history of drug use and those who may have used hard drugs but not in the past 90 days; and 3 those who reported the use of other hard drugs excluding methamphetamine in the past 90 days. To assess the association of methamphetamine use with HIV sexual risk behavior, regression models were fit to the data using generalized estimating equations to control for possible correlation in the data among participants enrolled at the same venues. Among YMSM, Of participants who reported ever using hard drugs, In preliminary analyses, participants who reported no hard drugs were compared with 36 participants who reported using hard drugs but not in the past 90 days. Sixty-four of participants Ten of 64 methamphetamine users Derivation of drug use comparison groups. YMSM indicates young men who have sex with men. Among the methamphetamine users, all were older than 18 years except 1. Among participants who used methamphetamine, a smaller proportion was attending school In addition, a significant difference was noted in the type of venue where YMSM who used methamphetamine were recruited compared with participants who used no hard drugs; the most notable difference was that more methamphetamine users were recruited from community-based organizations Furthermore, participants who used hard drugs other than methamphetamine were more likely than participants who used no hard drugs to be homeless More participants who used methamphetamine had 2 or more sex partners in the past 90 days compared with participants who used no hard drugs Significantly fewer participants who used methamphetamine reported that they used a condom every time they had sex with their partners compared with participants who used no hard drugs Similarly, fewer participants who used hard drugs other than methamphetamine always used condoms compared with participants who used no hard drugs Significant differences were also observed between participants who used methamphetamine and those who used no hard drugs in the characteristics of ever having sex with someone with HIV Similarly, participants who used no hard drugs were less likely than those who used hard drugs other than methamphetamine to have sex with someone with HIV The reported prevalence of sexual risk behavior in this study among YMSM is consistent with the current body of research. Methamphetamine users were more likely to report lower rates of condom use and higher rates of sexually transmitted diseases, sex with IDUs, use of other hard drugs, and multiple sex partners in the past 90 days. The reported high rates of sex with IDUs in this sample of YMSM suggest that more research is needed to distinguish the extent of risk associated with sexual behavior vs risk that may be a result of sharing injection drug paraphernalia. This study has several limitations that are in line with most other studies of MSM and drug use. We focused on YMSM venues that may have been representative of higher-risk men, and our study population was limited to venues in the 8 ATN cities. Second, participants who may not have chosen to disclose sexual behavior were not represented in this study. Third, methamphetamine use was classified on the basis of self-report and may have been underreported, creating a classification bias. Fourth, we only included YMSM who had engaged in anal or oral sex in the past year. Nevertheless, the findings of our study suggest that there is a need to develop substance abuse prevention and treatment programs as part of HIV prevention for YMSM. To be most effective among YMSM who use methamphetamine, prevention programs should address issues, such as housing, polydrug use, and educational needs. Although we cannot conclude from this study that YMSM who use methamphetamine are more likely to disengage from educational programs than to complete their programs successfully, our preliminary analyses indicate a need to further investigate the correlation between methamphetamine use and diminishing school enrollment in this population. Prevention efforts targeting YMSM who use methamphetamine should also ensure that partner selection is addressed, as they showed higher rates of having sex with IDUs and individuals with HIV. Correspondence: Jonathan M. Analysis and interpretation of data : Harris and Ellen. Critical revision of the manuscript for important intellectual content : Walker, Harris, Garofalo, Willard, and Ellen. Statistical analysis : Harris. Obtained funding : Ellen. Administrative, technical, and material support : Willard and Ellen. Study supervision : Garofalo, Willard, and Ellen. Kim, MPH. Walker, MPH. We acknowledge the contributions of the youth who participate in our national and local youth community advisory boards for their thoughtful contributions to the work of Connect to Protect and the staff at the local public health departments, police departments, state agencies, and other sources who provided the data used in this project. Arch Pediatr Adolesc Med. Save Preferences. Privacy Policy Terms of Use. X Facebook LinkedIn. This Issue. Citations View Metrics. Walker, MPH ; D. Study design. Statistical analysis. View Large Download. Table 1. Demographic characteristics. Table 2. Drug use and hiv sexual risk behavior. Table 3. Back to top Article Information. Financial Disclosure: None reported. J Acquir Immune Defic Syndr. Prediction of HIV acquisition among men who have sex with men. Sex Transm Dis. J Urban Health. Drug use, high-risk sex behaviors, and increased risk for recent HIV infection among men who have sex with men in Chicago and Los Angeles. AIDS Behav. Prevalence of HIV infection and predictors of high-transmission sexual risk behaviors among men who have sex with men. Am J Public Health. Polydrug use among club-going young adults recruited through time-space sampling. Subst Use Misuse. McNall M, Remafedi G. Relationship of amphetamine and other substance use to unprotected intercourse among young men who have sex with men. Methamphetamine and young men who have sex with men: understanding patterns and correlates of use and the association with HIV-related sexual risk. Identification of HIV-infected to year-old men and women in 15 US cities through venue-based testing. Use of geographic information systems for planning HIV prevention interventions for high-risk youths. Examining differences in types and location of recruitment venues for young males and females from urban neighborhoods: findings from a multi-site HIV prevention study. Access your subscriptions. Access through your institution. Add or change institution. Free access to newly published articles. Purchase access. Rent article Rent this article from DeepDyve. Sign in to access free PDF. Save your search. Customize your interests. Create a personal account or sign in to:. Privacy Policy. Make a comment.

Methamphetamine Use and Risk for HIV Among Young Men Who Have Sex With Men in 8 US Cities

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Project Summary: In this age of accelerated technological advances, increasing career specialization and extremely competitive job opportunities, society has a vested interest in promoting graduate and professional education as never before. The need for specialized knowledge and the acquisition of professional credentials place increasingly high demands on all college graduates, yet documented evidence shows that there exists a disparity in the opportunities for certain populations to gain access to programs conferring advanced degrees in science, mathematics and engineering SME. The CNY-PR alliance is based on mutual commitment to research experiences for undergraduate and graduate students, faculty development programs in an environment where recruitment, retention and mentoring are essential. The CNY-PR alliance brings valuable experience and resources for the enhancement of minority graduate education that will contribute to the diversification of the professoriate. The CNY-PR alliance proposes the following objectives to achieve its goals: 0 Provide inter-institutional engaging research experiences for undergraduate and graduate students 0 Review and recommend innovative measures and guidelines for graduate admission criteria 0 Aggressively recruit and retain excellent minority students to ' the alliance institutions Provide multi-year funding package for accepted minority graduate students Expand professoriate and mentor training programs to alliance institutions Develop and implement continuous assessment tools to evaluate the alliance's objectives Each component of the program builds on the previous, creating a corridor the student moves through that motivates, guides, and supports from K to Ph. The alliance institutions are excited about this program, and have begun laying the groundwork. External funding from industry is already being sought to ensure the continuous. Some full text articles may not yet be available without a charge during the embargo administrative interval. Some links on this page may take you to non-federal websites. Their policies may differ from this site. Please report errors in award information by writing to: awardsearch nsf. Award Abstract Bohr, E. Wang, X. Cal, R. Brzek, B. Seo, J. Anderson, C. AFMC , , p. Martin, T, Guitton, A. Gillett-Kunnath, M. Andino, M. Mihaly, J. Ikotun, O. Tinney, C. Medina, F. Hakey, P. Sharon A. Rivera and Bruce S. Hudson 'Rapid exchange luminescence: Nitroxide quenching and implications for sensor applications' J. Nina Verdal, Sharon A. Rivera, and Bruce S. A test of ab initio methods' Chem. Ikotun, Oluwatayo F. Gillett-Kunnath, W. Teng, W. Vargas and K. Wallace, M. Andino, R. Schmit, R. Camphouse, J. Myatt, and M. AIAA , O View record at Web of Science Hawkins and R. Hawkins, E. Lipson and, M. Part 2. Tejada-Martinez, C. Grosch and T. Gatski 'Temporal large-eddy simulation of unstratified and stratrified turbulant channel flows' International Journal of Hear and Fluid Flow , v. Harris, T. EES Div. Gina Lee-Glauser Principal Investigator leeglaug syr. Recipient Sponsored Research Office:. Primary Place of Performance Congressional District:.

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