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Associations between sociodemographic characteristics and substance use disorder severity among methamphetamine-using

Kaston D Anderson-Carpenter1,2, Jesse B Fletcher3, Dallas Swendeman1,4

  • 1a David Geffen School of Medicine , Semel Institute for Neuroscience and Human Behavior, University of California , Los Angeles , CA , USA.

Substance Use & Misuse
|May 12, 2019
PubMed

Insights

Sociodemographic factors significantly impact substance use and severity among men who have sex with men (MSM) using methamphetamine. Understanding these links is crucial for developing targeted interventions for this high-risk group.

Area of Science:

  • Public Health
  • Addiction Medicine
  • Sociology

Background:

  • Men who have sex with men (MSM) exhibit higher rates of substance use disorders (SUDs).
  • Sociodemographic variations within the MSM population correlate with increased risks of adverse health outcomes.
  • Limited understanding exists regarding the link between sociodemographics and substance use patterns in methamphetamine-using MSM.

Purpose of the Study:

  • To investigate the associations between sociodemographic characteristics and recent substance use among methamphetamine-using MSM.
  • To examine the relationship between sociodemographic factors and the severity of SUDs in this population.

Main Methods:

  • A cohort of 286 methamphetamine-using MSM completed baseline assessments using Audio Computer-Assisted Self-Interview (ACASI) and the SCID MINI.
  • Data were collected between March 2014 and January 2016.
  • Generalized structural equation modeling was utilized for multivariable analyses due to the non-continuous nature of the outcome variables.

Main Results:

  • Most sociodemographic characteristics were significantly associated with recent substance use (p ≤ 0.05), with gay self-identification being an exception.
  • Nearly all sociodemographic factors, excluding current homelessness, showed significant associations with diagnostic SUD severity (p ≤ 0.05).
  • Specific nuances in substance use and severity risks were identified based on individual sociodemographic profiles.

Conclusions:

  • Multiple contributing factors influence SUD severity risks in methamphetamine-using MSM.
  • Findings underscore the importance of tailored clinical and psychosocial interventions for this population.
  • The study provides valuable insights for public health strategies addressing SUDs in high-risk groups.
Keywords:
HIVSubstance use disordermen who have sex with menmethamphetamine

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