Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Die Highlights vom Kongress des American College of Cardiology 2024

Im April diskutierten die Herz-Kreislauf-Spezialisten aus der ganzen Welt auf dem  Kongress des American College of Cardiology (ACC) u.a. neue Therapieansätze bei akutem Myokardinfarkt, koronarer Herzerkrankung, kardiogenem Schock oder Aortenklappenstenose. In unserem Kongress-Dossier haben wir für Sie Berichte über die „Late-Breaking Trials“ und andere wichtige Studien zusammengestellt. 
Erweiterte Suche
Anmelden
nach oben
AIDS and Behavior
Erschienen in: AIDS and Behavior 5/2015

01.05.2015 | Original Paper

Prescription Drug Misuse and Sexual Risk Behaviors Among Young Men Who have Sex with Men (YMSM) in Philadelphia

verfasst von: Aleksandar Kecojevic, Karol Silva, Randall L. Sell, Stephen E. Lankenau

Erschienen in: AIDS and Behavior | Ausgabe 5/2015

Einloggen, um Zugang zu erhalten

Abstract

This study examined the relationship between prescription drug misuse and sexual risk behaviors (i.e. unprotected sex, increased number of sex partners) in a sample of young men who have sex with men (YMSM) in Philadelphia. Data come from a cross-sectional study of 18–29 year old YMSM (N = 191) who misused prescription drugs in the past 6 months. Associations were investigated in two regression models: logistic models for unprotected anal intercourse (UAI) and zero-truncated Poisson regression model for number of sex partners. Of 177 participants engaging in anal intercourse in the past 6 months, 57.6 % engaged in UAI. After adjusting for socio-demographic variables and illicit drug use, misuse of prescription pain pills and muscle relaxants remained significantly associated with engaging in receptive UAI. No prescription drug class was associated with a high number of sex partners. This study provides additional evidence that some prescription drugs are associated with sexual risk behaviors among YMSM.
Literatur
1.
Compton WM, Volkow ND. Abuse of prescription drugs and the risk of addiction. Drug Alcohol Depend. 2006;83(Suppl 1):S4–7.CrossRefPubMed
2.
Boyd CJ, Teter CJ, West BT, Morales M, McCabe SE. Non-medical use of prescription analgesics: a three-year national longitudinal study. J Addict Dis. 2009;28:232–42.CrossRefPubMedCentralPubMed
3.
Substance Abuse and Mental Health Services Administration. Results from the 2009 National Survey on Drug Use and Health: Volume I. Summary of National Findings (Office of Applied Studies, NSDUH SeriesH-38A, Rockville: HHS Publication No. SMA10-4586 Findings) 2010. http://​oas.​samhsa.​gov/​NSDUH/​2k9NSDUH/​2k9ResultsP.​pdf. Accessed 15 Oct 2013.
4.
Substance Abuse and Mental Health Services Administration. Office of Applied Studies.DASIS Series S-43. Treatment Episode Data Set (TEDS): 1996–2006. National Admissions to Substance Abuse Treatment Services. Rockville: DHHS Publication No. SMA 08-4347; 2008
5.
Weiss RD, Potter JS, Provost SE. A multi-site, two-phase, prescription opioid addiction treatment study (POATS): rationale, design, and methodology. Contemp Clin Trials. 2010;31:189–99.CrossRefPubMedCentralPubMed
6.
7.
Paulozzi LJ, Kilbourne EM, Shah NG, et al. A history of being prescribed controlled substances and risk of drug overdose death. Pain Med. 2012;13(1):87–95.CrossRefPubMed
8.
Schepis TS, Hakes JK. Non-medical prescription use increases the risk for the onset and recurrence of psychopathology: results from the National Epidemiological Survey on Alcohol and Related Conditions. Addiction. 2011;106(12):2146–55.CrossRefPubMed
9.
Lankenau SE, Teti M, Silva K, Bloom JJ, Harocopos A, Treese M. Initiation into prescription opioid misuse amongst young injection drug users. Int J Drug Policy. 2012;23:37–44.CrossRefPubMedCentralPubMed
10.
Arria AM, Caldeira KM, O’Grady KE, Vincent KB, Johnson EP, Wish ED. Nonmedical use of prescription stimulants among college students: associations with attention-deficit-hyperactivity disorder and poly drug use. Pharmacotherapy. 2008;28(2):156–69.CrossRefPubMedCentralPubMed
11.
Kelly BC, Wells BE, Leclair A, Tracy D, Parsons JT, Golub SA. Prescription drug misuse among young adults: looking across youth cultures. Drug Alcohol Rev. 2013;32(3):288–94.CrossRefPubMedCentralPubMed
12.
McCabe SE, West BT, Wechsler H. Alcohol-use disorders and nonmedical use of prescription drugs among U.S.college students. J Stud Alcohol Drugs. 2007;68(4):543–7.CrossRefPubMedCentralPubMed
13.
Arria AM, Calderia KM, O’Grady KE, et al. Drug exposure opportunities and use patterns among college students: results from a longitudinal cohort study. Subst Abus. 2008;29:19–38.CrossRefPubMedCentralPubMed
14.
Rigg KK, Ford JA. The misuse of benzodiazepines among adolescents: psychosocial risk factors in a national sample. Drug Alcohol Depend. 2014;137:137–42.CrossRefPubMed
15.
Lankenau SE, Schrager S, Jackson J, Silva K, Kecojevic A, Wong CF, Iverson E. Misuse of prescription and illicit drugs among high-risk young adults in Los Angeles and New York. J Public Health Res. 2012;1(1):22–30.CrossRefPubMedCentralPubMed
16.
Rhoades H, Winetrobe H, Rice E. Prescription drug misuse among homeless youth. Drug Alcohol Depend. 2014;138:229–33.CrossRefPubMed
17.
Cochran SD, Ackerman D, Mays VM, Ross MW. Prevalence of non-medical drug use and dependence among homosexually active men and women in the U.S. Population. Addiction. 2004;99(8):989–98.CrossRefPubMedCentralPubMed
18.
Kelly BC, Parsons JT. Prevalence and predictors of non-medical prescription drug use among men who have sex with men. Addict Behav. 2010;35:312–7.CrossRefPubMed
19.
Benotsch EG, Martin AM, Koester S, Cejka A, Luckman D. Nonmedical use of prescription drugs and HIV risk behavior in gay and bisexual men. Sex Transm Dis. 2011;38(2):105–10.CrossRefPubMed
20.
Buttram ME, Kurtz SP, Surratt HL, Levi-Minzi MA. Health and social problems associated with prescription opioid misuse among a diverse sample of substance-using MSM. Subst Use Misuse. 2014;49(3):277–84.CrossRefPubMedCentralPubMed
21.
Thiede H, Valleroy LA, MacKellar DA, et al. Regional patterns and correlates of substance use among young men who have sex with men in 7 US urban areas. Am J Public Health. 2003;93(11):1915–21.CrossRefPubMedCentralPubMed
22.
Stall R, Paul J, Greenwood G, Pollack L, Bein E, Crosby G. Alcohol use, drug use, and alcohol related problems among men who have sex with men: the UrbanMen’s Health Study. Addiction. 2001;96:1589–601.CrossRef
23.
Greenwood GL, White EW, Page-Shafer K, et al. Correlates of heavy substance use among young gay and bisexual men: the San Francisco young men’s health study. Drug Alcohol Depend. 2001;61:105–12.CrossRefPubMed
24.
25.
Celentano DD, Valleroy LA, Sifakis F, et al. Associations between substance use and sexual risk among very young men who have sex with men. Sex Transm Dis. 2006;33:265–71.PubMed
26.
Garofalo R, Mustanski BS, McKiman DJ, Herrick A, Donenberg GR. Methamphetamine and young men who have sex with men: understanding patterns and correlates of use and the association with HIV-related sexual risk. Arch Pediatr Adolesc Med. 2007;161(6):591–6.CrossRefPubMedCentralPubMed
27.
Grov C, Bux D Jr, Parsons JT, Morgenstern J. Recruiting hard-to-reach drug-using men who have sex with men into an intervention study: lessons learned and implications for applied research. Subst Use Misuse. 2009;44(13):1855–71.CrossRefPubMedCentralPubMed
28.
Santelli JS, Brener ND, Lowry R, Bhatt A, Zabin LS. Multiple sexual partners among U.S. adolescents and young adults. Fam Plann Perspect. 1998;30:271–5.CrossRefPubMed
29.
Centers for Disease Control and Prevention (CDC). 2011 Youth risk behavior survey. MMWR. 2012;61(4):1–47.
30.
Centers for Disease Control and Prevention (CDC). Prevalence and awareness of HIV infection among men who have sex with men—21 cities, United States, 2008. MMWR. 2010;59(37):1201–7.
31.
32.
33.
Salomon EA, Mimiaga MJ, Husnik MJ, et al. Depressive symptoms, utilization of mental health care, substance use and sexual risk among young men who have sex with men in EXPLORE: implications for age-specific interventions. AIDS Behav. 2009;13(4):811–21.CrossRefPubMedCentralPubMed
34.
Halkitis PN, Parsons JT, Wilton L. Barebacking among gay and bisexual men in NewYork City: explanations for the emergence of intentional unsafe behavior. Arch Sex Behav. 2003;32:351–7.CrossRefPubMed
35.
Weber AE, Chan K, George C, et al. Risk factors associated with HIV infection among young gay and bisexual men in Canada. J AIDS. 2001;28(1):81–8.
36.
Johnson KM, Fibbi M, Langer D, Silva K, Lankenau SE. Prescription drug misuse and risk behaviors among young injection drug users. J Psychoactive Drugs. 2013;45(2):112–21.CrossRefPubMedCentralPubMed
37.
Kelly BC, Parsons JT. Prescription drug misuse and sexual risk taking among hiv-negative MSM. AIDS Behav. 2013;17(3):926–30.CrossRefPubMed
38.
39.
40.
41.
Silva K, Kecojevic A, Lankenau SE. Perceived drug use functions and risk reduction practices among high-risk nonmedical users of prescription drugs. J Drug Issues. 2013;43(4):483–96.CrossRefPubMedCentralPubMed
42.
Royce RA, Sena A, Cates W Jr, Cohen MS. Sexual transmission of HIV. N Engl J Med. 1997;336(15):1072–8.CrossRefPubMed
43.
CDC. HIV/AIDS and young men who have sex with men, US Department of Health and Human Services (USDHHS). Atlanta: CDC; 2009
44.
Hernandez SH, Nelson LS. Prescription drug abuse: insight into epidemic. Clin Pharmacol Ther. 2010;88(3):307–17.CrossRefPubMed
45.
Biernacki P, Waldorf D. Snowball sampling: problems and techniques of chain referral sampling. Soc Methods Res. 1981;10:141–63.
46.
Watters J, Biernacki P. Targeted sampling:options for the study of hidden populations. Soc Probl. 1989;36:416–30.CrossRef
47.
Benjamini Y, Hochberg Y. Controlling the false discovery rate: a practical and powerful approach to multiple testing. J R Stat Soc Series B. 1995;57:289–300.
48.
Kraemer HC, Blasey CM. Centring in regression analyses: a strategy to prevent errors in statistical inference. Int J Methods in Psychiatr Res. 2004;13:141–51.CrossRef
49.
Cameron AC, Trivedi PK. Microeconometrics using stata. College Station: Stata Press; 2009.
50.
Tabachnick BG, Fidell LS. Using multivariate statistics. 5th ed. Needham Heights: Allyn and Bacon; 2006.
51.
Nagelkereke NJD. A note on a general definition of the coefficient of determination. Biometrika. 1991;78:691–2.CrossRef
52.
Stueve A, O’Donnell L, Duran R, et al. Being high and taking sexual risks: findings from a multisite survey of urban young men who have sex with men. AIDS Educ Prev. 2002;14(6):482–95.CrossRefPubMed
53.
54.
Peters RJ Jr, Amos C Jr, Meshack A, et al. Codeine cough syrup use among sexually active, African-American high school youths: why Southern males are down to have sex. Am J Addict. 2007;16(2):144–5.CrossRefPubMed
55.
Dudley MG, Rostosky SS, Korfhage BA, Zimmerman RS. Correlates of high-risk sexual behavior among young men who have sex with men. AIDS Educ Prev. 2004;16:328–40.CrossRefPubMed
56.
Mustanski BS, Newcomb ME, Du Bois SN, Garcia SC, Grov C. HIV in young men who have sex with men: a review of epidemiology, risk, and protector factors, and interventions. J Sex Res. 2011;48(2–3):218–53.CrossRefPubMedCentralPubMed
57.
Mustanski B, Garofalo R, Herrick A, Donenberg G. Psychosocial health problems increase risk for HIV among urban young men who have sex with men: preliminary evidence of a syndemic in need of attention. Ann Behav Med. 2007;34(1):37–45.CrossRefPubMedCentralPubMed
58.
Berry M, Raymond HF, McFarland W. Same race and older partner selection may explain higher HIV prevalence among black men who have sex with men. AIDS. 2007;21:2349–50.CrossRefPubMed
59.
Clatts MC, Goldsamt LA, Yi H. Club drug use among young men who have sex with men in NYC: a preliminary epidemiological profile. Subst Use Misuse. 2005;40(9–10):1317–30.CrossRefPubMedCentralPubMed
60.
Halkitis PN, Mukherjee PP, Palamar JJ. Longitudinal modeling of methamphetamine use and sexual risk behaviors in gay and bisexual men. AIDS Behav. 2009;13(4):783–91.CrossRefPubMed
61.
Stokes JP, Vanable PA, McKirnan DJ. Ethnic differences in sexual behavior, condom use, and psychological variables among Black and White men who have sex with men. J Sex Res. 1996;29:1–14.
62.
Grov C, Kelly BC, Parsons JT. Polydrug use among club-going young adults recruited through time-space sampling. Subst Use Misuse. 2009;44(6):848–64.CrossRefPubMedCentralPubMed
63.
Traube DE, Schrager SM, Holloway IW, Weiss G, Kipke MD. Environmental risk, social cognition, and drug use among young men who have sex with men: longitudinal effects of minority status on health processes and outcomes. Drug Alcohol Depend. 2013;127(1–3):1–7.CrossRefPubMedCentralPubMed
64.
Wong CF, Weiss G, Ayala G, Kipke MD. Harassment, discrimination, violence, and illicit drug use among young men who have sex with men. AIDS Educ Prev. 2010;22(4):286–98.CrossRefPubMedCentralPubMed
65.
Lankenau SE, Clatts MC, Welle D, Goldsamt LA, Gwadz MV. Street careers: homelessness, druguse, and sex work among young men who have sex with men(YMSM). Int J Drug Policy. 2005;16(1):10–8.CrossRef
66.
67.
CDC. HIV testing and risk behaviors among gay, bisexual, and other men who have sex with men—United States. MMWR. 2013;62(47):958–62.
68.
Das M, Santos D, Matheson T, et al. Feasibility and acceptability of a phase II randomized pharmacologic intervention for methamphetamine dependence in high-risk men who have sex with men. AIDS. 2010;24(7):991–1000.CrossRefPubMedCentralPubMed
69.
Kegeles SM, Hays RB, Pollack LM, Coates TJ. Mobilizing young gay and bisexual men for HIV prevention: a two-community study. AIDS. 1999;13(13):1753–62.CrossRefPubMed
70.
Corliss HL, Rosario M, Wypij D, Wylie SA, Frazier AL, Austin SB. Sexual orientation and drug use in a longitudinal cohort study of U.S. adolescents. Addict Behav. 2010;35(5):517–21.CrossRefPubMedCentralPubMed
Metadaten
Titel
Prescription Drug Misuse and Sexual Risk Behaviors Among Young Men Who have Sex with Men (YMSM) in Philadelphia
verfasst von
Aleksandar Kecojevic
Karol Silva
Randall L. Sell
Stephen E. Lankenau
Publikationsdatum
01.05.2015
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 5/2015
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-014-0898-5

Weitere Artikel der Ausgabe 5/2015

AIDS and Behavior 5/2015 Zur Ausgabe

Original Paper

Factors Associated with Adherence and Concordance Between Measurement Strategies in an HIV Daily Oral Tenofovir/Emtricitibine as Pre-exposure Prophylaxis (Prep) Clinical Trial, Botswana, 2007–2010

Original Paper

Profiles of Risk Among HIV-Infected Youth in Clinic Settings

Original Paper

Understanding Adherence to Daily and Intermittent Regimens of Oral HIV Pre-exposure Prophylaxis Among Men Who Have Sex with Men in Kenya

Original Paper

Individual-Level and Partner-Level Predictors of Newly Diagnosed HIV Infection Among Black and White Men Who Have Sex with Men in Baltimore, MD

Original Paper

Relative Risk for HIV Infection Among Men Who Have Sex with Men Engaging in Different Roles in Anal Sex: A Systematic Review and Meta-analysis on Global Data

Original Paper

Male Partner Influence on Women’s HIV Prevention Trial Participation and Use of Pre-exposure Prophylaxis: the Importance of “Understanding”

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

„Jeder Fall von plötzlichem Tod muss obduziert werden!“

17.05.2024 Plötzlicher Herztod Nachrichten

Ein signifikanter Anteil der Fälle von plötzlichem Herztod ist genetisch bedingt. Um ihre Verwandten vor diesem Schicksal zu bewahren, sollten jüngere Personen, die plötzlich unerwartet versterben, ausnahmslos einer Autopsie unterzogen werden.

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

17.05.2024 Direkte orale Antikoagulanzien Nachrichten

Kommt es zu einer nichttraumatischen Hirnblutung, spielt es keine große Rolle, ob die Betroffenen zuvor direkt wirksame orale Antikoagulanzien oder Marcumar bekommen haben: Die Prognose ist ähnlich schlecht.

Schlechtere Vorhofflimmern-Prognose bei kleinem linken Ventrikel

17.05.2024 Vorhofflimmern Nachrichten

Nicht nur ein vergrößerter, sondern auch ein kleiner linker Ventrikel ist bei Vorhofflimmern mit einer erhöhten Komplikationsrate assoziiert. Der Zusammenhang besteht nach Daten aus China unabhängig von anderen Risikofaktoren.

Semaglutid bei Herzinsuffizienz: Wie erklärt sich die Wirksamkeit?

17.05.2024 Herzinsuffizienz Nachrichten

Bei adipösen Patienten mit Herzinsuffizienz des HFpEF-Phänotyps ist Semaglutid von symptomatischem Nutzen. Resultiert dieser Benefit allein aus der Gewichtsreduktion oder auch aus spezifischen Effekten auf die Herzinsuffizienz-Pathogenese? Eine neue Analyse gibt Aufschluss.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise