Polysubstance use and HIV/STD risk behavior among Massachusetts men who have sex with men accessing Department of Public Health mobile van services: Implications for intervention development

Matthew J. Mimiaga, Sari L. Reisner, Rodney Vanderwarker, Michael J. Gaucher, Catherine A. O'Connor, M. Susana Medeiros, Steven Safren

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Polysubstance use has been posited to be a significant contributor to excess burden of HIV disease among men who have sex with men (MSM). The current study investigated polysubstance use and sexual risk among men who utilize Massachusetts Department of Public Health (MDPH) van services (such as HIV, chlamydia, gonorrhea, or syphilis testing; Hepatitis A and B vaccinations) at venues targeting MSM. Participants (n = 214) completed a one-time, cross-sectional survey via an audio computer-assisted self-interview (ACASI) in English or Spanish between June 2007 and September 2007. Fifteen percent of the overall sample did not know their HIV status; 11% reported polysubstance use (concurrent use of three or more: poppers, ecstasy, GHB, cocaine, crystal methamphetamine, Viagra) during sex in the 12 months prior to study enrollment. Polysubstance users were more likely to be HIV infected (odds ratio [OR] = 4.62; p = 0.03) and to have a history of one or more sexually transmitted diseases (STDs; OR = 4.74; p = 0.03) relative to participants who did not report polysubstance use during sex. After controlling for covariates of age, race/ethnicity, education level, insurance status, sexual orientation, STD history, HIV status, and depression, multivariable logistic regression analyses revealed that polysubstance users were 9 times more likely to have reported unprotected anal (insertive or receptive) sex in the 12 months prior to study enrollment (adjusted OR = 9.53; p = 0.007) compared to nonpolysubstance-using MSM. Polysubstance users lacked access to care (21% were uninsured) and the overwhelming majority (96%) were first time users of mobile health van services. Accessible outreach services for MSM such as mobile van services need to include drug screening and interventions that triage men into treatment programs; year-round availability of van services is warranted.

Original languageEnglish (US)
Pages (from-to)745-751
Number of pages7
JournalAIDS Patient Care and STDs
Volume22
Issue number9
DOIs
StatePublished - Sep 1 2008
Externally publishedYes

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Sexually Transmitted Diseases
Risk-Taking
Public Health
HIV
Odds Ratio
Mobile Health Units
Preclinical Drug Evaluations
Insurance Coverage
United States Public Health Service
Hepatitis A
Methamphetamine
Chlamydia
Gonorrhea
Triage
Syphilis
Hepatitis B
Cocaine
Sexual Behavior
Health Services
Vaccination

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Leadership and Management
  • Nursing(all)

Cite this

Polysubstance use and HIV/STD risk behavior among Massachusetts men who have sex with men accessing Department of Public Health mobile van services : Implications for intervention development. / Mimiaga, Matthew J.; Reisner, Sari L.; Vanderwarker, Rodney; Gaucher, Michael J.; O'Connor, Catherine A.; Medeiros, M. Susana; Safren, Steven.

In: AIDS Patient Care and STDs, Vol. 22, No. 9, 01.09.2008, p. 745-751.

Research output: Contribution to journalArticle

Mimiaga, Matthew J. ; Reisner, Sari L. ; Vanderwarker, Rodney ; Gaucher, Michael J. ; O'Connor, Catherine A. ; Medeiros, M. Susana ; Safren, Steven. / Polysubstance use and HIV/STD risk behavior among Massachusetts men who have sex with men accessing Department of Public Health mobile van services : Implications for intervention development. In: AIDS Patient Care and STDs. 2008 ; Vol. 22, No. 9. pp. 745-751.
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