Biomedical HIV Protection Among Gay and Bisexual Men Who Use Crystal Methamphetamine

被引:0
作者
Mohamed A. Hammoud
Fengyi Jin
Lisa Maher
Adam Bourne
Bridget Haire
Peter Saxton
Stefanie Vaccher
Toby Lea
Louisa Degenhardt
Garrett Prestage
机构
[1] UNSW Sydney,HIV Epidemiology and Prevention Program, Kirby Institute
[2] UNSW Sydney,Viral Hepatitis Epidemiology and Prevention Program, Kirby Institute
[3] La Trobe University,Australian Research Centre in Sex, Health and Society
[4] Melbourne,Public Health Interventions Research Group, Kirby Institute
[5] UNSW Sydney,Department of Social and Community Health, School of Population Health
[6] University of Auckland,German Institute for Addiction and Prevention Research
[7] Catholic University of Applied Sciences,Centre for Social Research in Health
[8] UNSW Sydney,National Drug and Alcohol Research Centre
[9] UNSW Sydney,undefined
来源
AIDS and Behavior | 2020年 / 24卷
关键词
Crystal methamphetamine; Gay and bisexual men (GBM); HIV prevention; Pre-exposure prophylaxis (PrEP); Undetectable viral load (UVL);
D O I
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中图分类号
学科分类号
摘要
Use of crystal methamphetamine (crystal) among gay and bisexual men (GBM) has been associated with condomless anal intercourse with casual partners (CLAIC) and HIV infection. Pre-exposure prophylaxis (PrEP) and undetectable viral load (UVL) are important biomedical HIV prevention strategies. We investigate the relationship between crystal use and HIV sexual risk behaviours in the context of PrEP and UVL. In 2018, 1367 GBM provided details about crystal use and HIV prevention strategies. Binary logistic regression was used to estimate associations between crystal use and behaviour. Recent crystal use was independently associated with greater social engagement with gay men and having more sexual partners. Crystal use was also independently associated with use of PrEP and UVL among GBM who engaged in CLAIC. Although GBM who used crystal were more likely to have engaged in CLAIC, they were also more likely to use biomedical HIV prevention which mitigates against the risks of HIV infection.
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页码:1400 / 1413
页数:13
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