Psychological processes and stimulant use among men who have sex with men

Adam Carrico, Lance M. Pollack, Ronald D. Stall, Starley B. Shade, Torsten B. Neilands, Thomas M. Rice, William J. Woods, Judith T. Moskowitz

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background: Prior research established that psychological factors are associated with the frequency of stimulant (i.e., cocaine, crack, and methamphetamine) use among substance-using men who have sex with men (MSM). The present investigation examined whether and how psychological factors are associated with engagement in any stimulant use in the broader population of MSM. Methods: A probability sample of 879 MSM residing in San Francisco was obtained using random digit dialing from May of 2002 through January of 2003. Of these, 711 participants (81%) completed a mail-in questionnaire that assessed psychological factors and substance use. After accounting for demographic factors, a multiple logistic regression analysis examined correlates of any self-reported stimulant use during the past 6 months. Path analyses examined if the use of alcohol or other substances to avoid negative mood states (i.e., substance use coping) mediated the associations of sexual compulsivity and depressed mood with stimulant use. Results: Younger age (adjusted OR [AOR]=0.58; 95% CI=0.47-0.70), HIV-positive serostatus (AOR=2.55; 95% CI=1.61-4.04), greater depressed mood (AOR=1.26; 95% CI=1.05-1.52) and higher sexual compulsivity (AOR=1.46; 95% CI=1.18-1.80) were independently associated with increased odds of stimulant use. Substance use coping partially mediated the associations of sexual compulsivity (βindirect=0.11, p<.001) and depressed mood (βindirect=0.13, p<.001) with stimulant use. Conclusions: Clinical research is needed to examine if interventions targeting sexual compulsivity and emotion regulation reduce stimulant use among MSM.

Original languageEnglish (US)
Pages (from-to)79-83
Number of pages5
JournalDrug and Alcohol Dependence
Volume123
Issue number1-3
DOIs
StatePublished - Jun 1 2012
Externally publishedYes

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Crack Cocaine
Psychology
Methamphetamine
Regression analysis
Logistics
Alcohols
Sampling Studies
San Francisco
Postal Service
Research
Emotions
Logistic Models
Regression Analysis
Demography
HIV
Population
Surveys and Questionnaires

Keywords

  • Cocaine
  • Crack
  • Depression
  • Men who have sex with men
  • Methamphetamine
  • Sexual compulsivity

ASJC Scopus subject areas

  • Toxicology
  • Pharmacology
  • Psychiatry and Mental health
  • Pharmacology (medical)

Cite this

Carrico, A., Pollack, L. M., Stall, R. D., Shade, S. B., Neilands, T. B., Rice, T. M., ... Moskowitz, J. T. (2012). Psychological processes and stimulant use among men who have sex with men. Drug and Alcohol Dependence, 123(1-3), 79-83. https://doi.org/10.1016/j.drugalcdep.2011.10.020

Psychological processes and stimulant use among men who have sex with men. / Carrico, Adam; Pollack, Lance M.; Stall, Ronald D.; Shade, Starley B.; Neilands, Torsten B.; Rice, Thomas M.; Woods, William J.; Moskowitz, Judith T.

In: Drug and Alcohol Dependence, Vol. 123, No. 1-3, 01.06.2012, p. 79-83.

Research output: Contribution to journalArticle

Carrico, A, Pollack, LM, Stall, RD, Shade, SB, Neilands, TB, Rice, TM, Woods, WJ & Moskowitz, JT 2012, 'Psychological processes and stimulant use among men who have sex with men', Drug and Alcohol Dependence, vol. 123, no. 1-3, pp. 79-83. https://doi.org/10.1016/j.drugalcdep.2011.10.020
Carrico, Adam ; Pollack, Lance M. ; Stall, Ronald D. ; Shade, Starley B. ; Neilands, Torsten B. ; Rice, Thomas M. ; Woods, William J. ; Moskowitz, Judith T. / Psychological processes and stimulant use among men who have sex with men. In: Drug and Alcohol Dependence. 2012 ; Vol. 123, No. 1-3. pp. 79-83.
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