Abstract
To examine patterns, consequences, and correlates of methamphetamine use among adolescent and young adult men who have sex with men (YMSM). Descriptive, bivariate, and hierarchical regression analyses of cross-sectional data. Howard Brown Health Center, a community-based facility in Chicago, Ill, from August 2004 to September 2005. Three hundred ten YMSM who completed an anonymous, computer-assisted survey. Methamphetamine use in the past year. Participants ranged in age from 16 to 24 years (mean age, 20.3 years); 30% were white and 70% were of other race/ethnicity (African American, 33%; Hispanic, 26%; Asian or Pacific Islander, 3%; and other, 8%). Participants reported many high-risk sexual and substance use behaviors. Thirteen percent used methamphetamine in the past year. Methamphetamine use was more common among human immunodeficiency virus-infected participants (odds ratio, 2.8; 95% confidence interval, 1.3-5.3) and varied by age and race/ethnicity; substantially higher prevalence was reported by older and non-African American YMSM (P<.001). compared with other illicit substance users, methamphetamine users reported more memory difficulties, impairments in daily activities, and unintended risky sex resulting from substance use (all p><.01). hierarchical regression identified sexual risk (unprotected intercourse and multiple partners), sexualized social context (eg, internet sex, sex in a bathhouse or sex club, sex with older partners, and commercial sex), lower self-esteem, and psychological distress as correlated with methamphetamine use among participants (p><.05). a substantial percentage of ymsm in this sample used methamphetamine. methamphetamine use is a public health problem with significant implications for the health and well-being of ymsm. methamphetamine use was associated with human immunodeficiency virus-related risk, and patterns of use were predicted by demographic data, sexualized social contexts, and psychological variables.>
