Sexualised drug use among sexual minority young adults in the United States: The P18 cohort study

doi:10.1016/j.drugpo.2018.03.014

. 2018 May:55:207-214.

doi: 10.1016/j.drugpo.2018.03.014. Epub 2018 Mar 31.

Sexualised drug use among sexual minority young adults in the United States: The P18 cohort study

Annie Ristuccia¹, Caleb LoSchiavo², Perry N Halkitis³, Farzana Kapadia⁴

Affiliations

¹ Center for Health, Identity, Behavior and Prevention Studies, 665 Broadway #800, New York, NY 10012, USA. Electronic address: annie.ristuccia@nyu.edu.
² Center for Health, Identity, Behavior and Prevention Studies, 665 Broadway #800, New York, NY 10012, USA; Department of Biostatistics and Social and Behavioral Sciences, School of Public Health, Rutgers University, 684 Hoes Lane West, Piscataway, NJ 08854, USA. Electronic address: closchiavo@nyu.edu.
³ Center for Health, Identity, Behavior and Prevention Studies, 665 Broadway #800, New York, NY 10012, USA; Department of Biostatistics and Social and Behavioral Sciences, School of Public Health, Rutgers University, 684 Hoes Lane West, Piscataway, NJ 08854, USA; Graduate School of Applied and Professional Psychology, Rutgers University, 152 Frelinghuysen Rd, Piscataway Township, NJ 08854, USA; Robert Wood Johnson School of Medicine, Rutgers University, 675 Hoes Lane West, Piscataway Township, NJ 08854, USA; School of Public Affairs and Administration, Rutgers University, 111 Washington Street, Newark, NJ 07102, USA. Electronic address: perry.halkitis@rutgers.edu.
⁴ Center for Health, Identity, Behavior and Prevention Studies, 665 Broadway #800, New York, NY 10012, USA; Department of Epidemiology, College of Global Public Health, New York University, 715 Broadway, New York, NY 10003, USA; Department of Population Health, School of Medicine, New York University, 227 East 30th Street, New York, NY 10016, USA. Electronic address: farzana.kapadia@nyu.edu.

PMID: 29610012
PMCID: PMC5970984
DOI: 10.1016/j.drugpo.2018.03.014

Sexualised drug use among sexual minority young adults in the United States: The P18 cohort study

Annie Ristuccia et al. Int J Drug Policy. 2018 May.

. 2018 May:55:207-214.

doi: 10.1016/j.drugpo.2018.03.014. Epub 2018 Mar 31.

Authors

Annie Ristuccia¹, Caleb LoSchiavo², Perry N Halkitis³, Farzana Kapadia⁴

Affiliations

¹ Center for Health, Identity, Behavior and Prevention Studies, 665 Broadway #800, New York, NY 10012, USA. Electronic address: annie.ristuccia@nyu.edu.
² Center for Health, Identity, Behavior and Prevention Studies, 665 Broadway #800, New York, NY 10012, USA; Department of Biostatistics and Social and Behavioral Sciences, School of Public Health, Rutgers University, 684 Hoes Lane West, Piscataway, NJ 08854, USA. Electronic address: closchiavo@nyu.edu.
³ Center for Health, Identity, Behavior and Prevention Studies, 665 Broadway #800, New York, NY 10012, USA; Department of Biostatistics and Social and Behavioral Sciences, School of Public Health, Rutgers University, 684 Hoes Lane West, Piscataway, NJ 08854, USA; Graduate School of Applied and Professional Psychology, Rutgers University, 152 Frelinghuysen Rd, Piscataway Township, NJ 08854, USA; Robert Wood Johnson School of Medicine, Rutgers University, 675 Hoes Lane West, Piscataway Township, NJ 08854, USA; School of Public Affairs and Administration, Rutgers University, 111 Washington Street, Newark, NJ 07102, USA. Electronic address: perry.halkitis@rutgers.edu.
⁴ Center for Health, Identity, Behavior and Prevention Studies, 665 Broadway #800, New York, NY 10012, USA; Department of Epidemiology, College of Global Public Health, New York University, 715 Broadway, New York, NY 10003, USA; Department of Population Health, School of Medicine, New York University, 227 East 30th Street, New York, NY 10016, USA. Electronic address: farzana.kapadia@nyu.edu.

PMID: 29610012
PMCID: PMC5970984
DOI: 10.1016/j.drugpo.2018.03.014

Abstract

Background: Substance use and condomless sexual behaviours are both well studied in sexual minority men, but few researchers have used event-level data collection to examine sexualised drug use in sexual and gender minority young adults. The aim of this study is to describe the co-occurrence of sex under the influence of substances and condomless sexual behaviours, using nuanced event-level data, in a racially/ethnically and socioeconomically diverse sample in New York City.

Methods: Data from one wave of a cohort of sexual and gender minority young adults who were assigned male at birth (n = 500) were used to characterise co-occurrence of sex under the influence of drugs and condomless sexual behaviours (oral receptive, anal insertive, and anal receptive sex), in the last 30 days. Logistic regression models were constructed to assess associations between sex while high and condomless sexual behaviours, controlling for sociodemographic factors.

Results: Preliminary analyses indicated significant associations between engaging in sex while high and condomless sexual behaviours. In unadjusted regression models, sexualised and non-sexualised drug use were both significantly associated with increased odds of condomless sexual behaviours. In adjusted models, sexualised drug use remained significantly associated with condomless anal insertive sex (AOR = 3.57) and condomless anal receptive sex (AOR = 4.98). Having multiple sexual partners was also significantly associated with greater odds of condomless sexual activity in all three adjusted models.

Conclusion: Multivariable analyses indicated that engaging in sex while high on any drug was associated with increased condomless sexual behaviour, but that sexualised drug use was associated with particularly elevated condomless anal sex. These findings provide insight for understanding the co-occurrence of substance use and condomless sex, and suggest a need for HIV/STI risk reduction strategies that address the role of sexualised drug use.

Keywords: Condomless sexual behaviour; Sex under the influence of drugs; Sexual minority; Sexualised drug use; YMSM; Young adults.

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References

1. Attia S, Egger M, Müller M, Zwahlen M, Low N. Sexual transmission of HIV according to viral load and antiretroviral therapy: systematic review and meta-analysis. AIDS. 2009;23(11):1397–1404. doi: 10.1097/QAD.0b013e32832b7dca. - DOI - PubMed
1. Bolding G, Hart G, Sherr L, Elford J. Use of crystal methamphetamine among gay men in London. Addiction. 2006;101(11):1622–1630. doi: 10.1111/j.1360-0443.2006.01571.x. - DOI - PubMed
1. Bourne A, Reid D, Hickson F, Torres Rueda S, Weatherburn P. The Chemsex Study: Drug use in sexual settings among gay and bisexual men in Lambeth, Southwark & Lewisham. 2014 Mar; Retrieved from http://sigmaresearch.org.uk/files/report2014a.pdf.
1. Bourne A, Reid D, Hickson F, Torres-Rueda S, Weatherburn P. Illicit drug use in sexual settings (‘chemsex’) and HIV/STI transmission risk behaviour among gay men in South London: Findings from a qualitative study. Sexually Transmitted Infections. 2015;91(8):564–568. doi: 10.1136/sextrans-2015-052052. - DOI - PubMed
1. Bracchi M, Stuart D, Castles R, Khoo S, Back D, Boffito M. Increasing use of ‘partydrugs’ in people living with HIV on antiretrovirals: A concern for patient safety. AIDS. 2015;29(13):1585–1592. doi: 10.1097/QAD.0000000000000786. - DOI - PubMed

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[1] Attia S, Egger M, Müller M, Zwahlen M, Low N. Sexual transmission of HIV according to viral load and antiretroviral therapy: systematic review and meta-analysis. AIDS. 2009;23(11):1397–1404. doi: 10.1097/QAD.0b013e32832b7dca. - DOI - PubMed

[2] Attia S, Egger M, Müller M, Zwahlen M, Low N. Sexual transmission of HIV according to viral load and antiretroviral therapy: systematic review and meta-analysis. AIDS. 2009;23(11):1397–1404. doi: 10.1097/QAD.0b013e32832b7dca. - DOI - PubMed

[3] Bolding G, Hart G, Sherr L, Elford J. Use of crystal methamphetamine among gay men in London. Addiction. 2006;101(11):1622–1630. doi: 10.1111/j.1360-0443.2006.01571.x. - DOI - PubMed

[4] Bolding G, Hart G, Sherr L, Elford J. Use of crystal methamphetamine among gay men in London. Addiction. 2006;101(11):1622–1630. doi: 10.1111/j.1360-0443.2006.01571.x. - DOI - PubMed

[5] Bourne A, Reid D, Hickson F, Torres Rueda S, Weatherburn P. The Chemsex Study: Drug use in sexual settings among gay and bisexual men in Lambeth, Southwark & Lewisham. 2014 Mar; Retrieved from http://sigmaresearch.org.uk/files/report2014a.pdf.

[6] Bourne A, Reid D, Hickson F, Torres Rueda S, Weatherburn P. The Chemsex Study: Drug use in sexual settings among gay and bisexual men in Lambeth, Southwark & Lewisham. 2014 Mar; Retrieved from http://sigmaresearch.org.uk/files/report2014a.pdf.

[7] Bourne A, Reid D, Hickson F, Torres-Rueda S, Weatherburn P. Illicit drug use in sexual settings (‘chemsex’) and HIV/STI transmission risk behaviour among gay men in South London: Findings from a qualitative study. Sexually Transmitted Infections. 2015;91(8):564–568. doi: 10.1136/sextrans-2015-052052. - DOI - PubMed

[8] Bourne A, Reid D, Hickson F, Torres-Rueda S, Weatherburn P. Illicit drug use in sexual settings (‘chemsex’) and HIV/STI transmission risk behaviour among gay men in South London: Findings from a qualitative study. Sexually Transmitted Infections. 2015;91(8):564–568. doi: 10.1136/sextrans-2015-052052. - DOI - PubMed

[9] Bracchi M, Stuart D, Castles R, Khoo S, Back D, Boffito M. Increasing use of ‘partydrugs’ in people living with HIV on antiretrovirals: A concern for patient safety. AIDS. 2015;29(13):1585–1592. doi: 10.1097/QAD.0000000000000786. - DOI - PubMed

[10] Bracchi M, Stuart D, Castles R, Khoo S, Back D, Boffito M. Increasing use of ‘partydrugs’ in people living with HIV on antiretrovirals: A concern for patient safety. AIDS. 2015;29(13):1585–1592. doi: 10.1097/QAD.0000000000000786. - DOI - PubMed

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Sexualised drug use among sexual minority young adults in the United States: The P18 cohort study

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Sexualised drug use among sexual minority young adults in the United States: The P18 cohort study

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