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Event-level patterns of methamphetamine and poly-drug use among millennial sexual minority men: The P18 Cohort Study

Richard J Martino1, Stephanie Shiau2, Kristen D Krause3

  • 1Center for Health, Identity, Behavior, and Prevention Studies (CHIBPS), Rutgers School of Public Health, Rutgers University, Newark, NJ, United States.

Addictive Behaviors
|February 15, 2021
PubMed
Abstract

Insights

Methamphetamine use among young sexual minority men (SMM) shows racial/ethnic disparities and occurs frequently on weekends, often with other drugs like cannabis. Interventions must address polysubstance use and social factors.

Area of Science:

  • Public Health
  • Sociology
  • Addiction Medicine

Background:

  • Limited knowledge exists on methamphetamine use patterns among emerging adult sexual minority men (SMM).
  • Understanding methamphetamine use is crucial for developing targeted public health interventions for this demographic.
  • Millennial SMM represent a key population for studying evolving substance use trends.

Purpose of the Study:

  • To describe event-level patterns of methamphetamine use among Millennial SMM.
  • To characterize methamphetamine users across time within this population.
  • To identify factors associated with methamphetamine use in young SMM.

Main Methods:

  • A prospective cohort study was conducted in two waves (2009-2014 and 2014-2019) in the NYC metropolitan area.
  • 600 Millennial SMM (ages 18-19) were recruited for Wave I, with 665 SMM (ages 22-23) recruited for Wave II.
  • Timeline Followback assessments every six months recorded event-level drug use in the prior 30 days.

Main Results:

  • 5.4% of participants reported methamphetamine use between ages 18-27.
  • Methamphetamine use was significantly higher on weekend days and more frequent among racial/ethnic minority men in Wave II.
  • Concurrent use of methamphetamine with cannabis and gamma-hydroxybutyrate was common, particularly on the same day.

Conclusions:

  • Methamphetamine use among young SMM exhibits significant racial/ethnic and temporal (weekend) variations.
  • Polysubstance use, especially with cannabis and gamma-hydroxybutyrate, is a common co-occurring behavior.
  • Interventions for methamphetamine use among SMM should integrate strategies addressing polysubstance use and social contexts.
Keywords:
Calendar-based methodsMethamphetaminePoly-drug useRace/ethnic minoritySMMSexual minority

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