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Title: Patterns and levels of illicit drug use among men who have sex with men in Asia
Authors: Chongyi Wei
Thomas E. Guadamuz
Sin How Lim
Yongxu Huang
Stuart Koe
University of Pittsburgh Graduate School of Public Health
Mahidol University
National University of Singapore
Asia Pacific Coalition on Male Sexual Health (APCOM)
Keywords: Medicine;Pharmacology, Toxicology and Pharmaceutics
Issue Date: 1-Jan-2012
Citation: Drug and Alcohol Dependence. Vol.120, No.1-3 (2012), 246-249
Abstract: Background: The emergence of gay communities in Asia may predispose men who have sex with men (MSM) to drug use. We describe patterns and levels of illicit drug use, and characteristics of stimulant drug users among MSM in Asia. Methods: A cross-sectional Internet-based survey was conducted among 10,861 participants recruited through online methods. Pearson's chi-square tests were used to compare patterns of drug use by participants' HIV status. Multivariable logistic regression analysis was conducted to identify significant correlates of stimulant drug use. Results: Overall, 16.7% of participants reported recreational drug use in the past 6 months. Ecstasy (8.1%) and Viagra (7.9%) were the most prevalent drugs being used. HIV-positive MSM reported significantly higher levels of individual drug use and polydrug use compared to HIV-negative/unknown MSM. Being gay (AOR = 1.62, 95% CI: 1.28, 2.05), having casual male partners only or having both casual and regular partners (AOR = 2.05, 95% CI: 1.66, 2.53; AOR = 2.97, 95% CI: 2.39, 3.69), HIV-positive status (AOR = 4.54, 95% CI: 3.63, 5.69), sex work (AOR = 1.52, 95% CI: 1.19, 1.93), and having more gay friends (" Some" vs. "A few/None" AOR = 1.98, 95% CI: 1.62, 2.43; "Most/All" vs. "A few/None" AOR = 4.59, 95% CI: 3.77, 5.59) were independently associated with stimulant drug use. Conclusions: Our findings point to the urgency of incorporating substance use prevention and treatment into current HIV prevention activities in Asia, which must use a harm reduction approach and galvanize dignity. © 2011 Elsevier Ireland Ltd.
ISSN: 18790046
Appears in Collections:Scopus 2011-2015

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