Negative mood and sexual behavior among non-monogamous men who have sex with men in the context of methamphetamine and HIV.
نویسندگان
چکیده
BACKGROUND Research comparing the independent and combined contextual effects of methamphetamine dependence (METH) and HIV-infection (HIV) on mood and sexual behavior among men who have sex with men (MSM) has been sparse and inconsistent. This study examined the contextual influence of METH, HIV-infection and their combination on mood states and sexual behavior. METHODS 175 non-monogamous MSM concordant or discordant for METH and HIV were included. Multivariate analysis was conducted to examine mood and sexual behavior differences between groups, as well as to elucidate the relationship between mood and sexual risk behavior and explore the potential moderator (i.e. contextual) effects of METH and/or HIV on this relationship. RESULTS METH+/HIV+ participants reported condom use less than 25% of the time whereas METH-/HIV+ participants reported condom use 51-75% of the time. METH+ and HIV+ status were associated with higher depression and confusion scores. Univariate regressions revealed negative relationships between mood states (depression, tension, anger, fatigue and confusion) and condom use. Neither METH nor HIV status moderated the relationships between negative mood and condom use. LIMITATIONS Results are derived from cross-sectional data, sample sizes for each of the four groups were relatively small, and condom use could not be linked to specific sexual practices and/or partner types. CONCLUSION METH dependence, HIV seropositivity, and negative moods are associated with reduced condom use among non-monogamous MSM. Independent effects of METH dependence and negative mood on condom use suggest that sexual risk reduction interventions for MSM should incorporate multi-faceted approaches, including substance abuse and mental health treatment.
منابع مشابه
Sexual Behavior and Age Differences in Methamphetamine Dependent and Non-Dependent Men Who Have Sex with Men (MSM)
Objective: Methamphetamine consumers use can have more efficient practices, be hyperactive, and take sexual risk-taking behaviors. These behaviors are particularly remarkable in homosexuals. Methods: The present study was conducted based on casual-comparative method in the field of descriptive studies. Since 1 March to 25 June 2015, a total of 62 MSM subjects were selected ...
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Indicators of use of methamphetamine and other substances among men who have sex with men, San Francisco, 2003-2006.
BACKGROUND Substance use has been associated with high-risk sexual behavior among men who have sex with men (MSM) both in the U.S. and around the world. Recent efforts by local organizations in San Francisco have specifically targeted methamphetamine use in this population. METHODS We tracked methamphetamine and other substance use among men who have sex with men (MSM) in San Francisco from 2...
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عنوان ژورنال:
- Journal of affective disorders
دوره 119 1-3 شماره
صفحات -
تاریخ انتشار 2009