The relationship between methamphetamine and popper use and risk of HIV seroconversion in the multicenter AIDS cohort

Michael W Plankey1, David G Ostrow, Ron Stall

  • 1Department of Medicine, Division of Infectious Diseases, Georgetown University Medical Center, Washington, DC 20007, USA. mwp23@georgetown.edu

Abstract

Insights

Methamphetamine and popper use significantly increase HIV seroconversion risk in men who have sex with men (MSM). Higher numbers of unprotected receptive anal sex partners also elevate risk, especially when combined with drug use.

Area of Science:

  • Epidemiology
  • Public Health
  • Infectious Disease Research

Background:

  • Investigating the link between methamphetamine use and HIV seroconversion in men who have sex with men (MSM).
  • Utilizing longitudinal data from the Multicenter AIDS Cohort Study (MACS).

Purpose of the Study:

  • To examine the association between methamphetamine use and HIV seroconversion among MSM.
  • To assess the impact of concurrent drug use and sexual behaviors on HIV risk.

Main Methods:

  • Analysis of longitudinal data from 4003 HIV-seronegative MSM enrolled between 1984-2003.
  • Assessing recent methamphetamine, popper, and other drug use, alongside sexual behaviors and depression symptoms.
  • Time to HIV seroconversion was the primary outcome, adjusted for multiple covariates.

Main Results:

  • Methamphetamine use was associated with a 1.46-fold increased hazard of HIV seroconversion.
  • Popper use showed a 2.10-fold increased hazard.
  • Increased unprotected receptive anal sexual partners significantly elevated HIV risk, with a joint hazard of 3.05 for combined methamphetamine and popper use.

Conclusions:

  • Synergistic effects of drug use and sexual risk behaviors heighten HIV seroconversion rates in MSM.
  • Further research into these mechanisms is crucial for developing targeted HIV prevention strategies.
  • Focus on non-monogamous, drug-using MSM populations for effective interventions.

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