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. 2009 Dec;119(1-3):84-91.
doi: 10.1016/j.jad.2009.04.006. Epub 2009 May 5.

Negative mood and sexual behavior among non-monogamous men who have sex with men in the context of methamphetamine and HIV

C A Bousman  1 , M Cherner, C Ake, S Letendre, J H Atkinson, T L Patterson, I Grant, I P Everall; HNRC Group
Collaborators, Affiliations

Negative mood and sexual behavior among non-monogamous men who have sex with men in the context of methamphetamine and HIV

C A Bousman et al. J Affect Disord. 2009 Dec.

Abstract

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.

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Conflict of interest statement

Conflict of Interest:

The authors declare that, except for income received from their primary employer, no financial support or compensation has been received from any individual or corporate entity over the past three years for research or professional service and there are no personal financial holdings that could be perceived as constituting a potential conflict of interest for Mariana Cherner, Chad Bousman, Daniel Barron, Florin Vaida, Robert Heaton, Ian Everall, and Igor Grant. The authors declare that over the past three years, J. Hampton Atkinson has received compensation from Eli Lilly Pharmaceuticals; Scott Letendre is an advisor for Abbott Labs, GlaxoSmithKline, and Schering-Plough, has given CME accredited talks funded by Abbott Labs and GlaxoSmithKline, and has received research funding from GlaxoSmithKline, Schering-Plough, Merk, Tibotec, and Gilead Sciences.

Figures

Figure 1
Figure 1
Condom use for METH+ and METH− participants in the context of HIV− infection Note: METH groups differed for HIV+ (p = .005) but not HIV− (p = .737).
See this image and copyright information in PMC

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