HIV Prevention for Stimulant Using Men Who Have Sex with Men
HIV and stimulant use are interconnected epidemics among men who have sex with men (MSM) in the USA. Among MSM, stimulant use and its behavioral sequelae are critical targets for interventions across the spectrum of HIV prevention, treatment, and care.
HIV Risk Among MSM in the USA
More than 54,000 Americans acquire HIV each year, and men who have sex with men (MSM) represent over half of these new diagnoses. Representing approximately 2.0–5.0 % of the male population in the USA, MSM comprised 68.0 % of adult and adolescent men living with HIV in 2013. In the same year, male-to-male sexual contact was attributable to 65.8 % of new HIV diagnoses in males (CDC 2015). Furthermore, new infections among MSM have remained steady over the past 5 years (2009 = 21,811; 2013 = 21,498; CDC 2015).
Stimulant Use and Sexual Risk-Taking Among MSM in the USA
In the past decade, stimulants, including cocaine/crack, crystal methamphetamine (meth), amphetamines, and...
KeywordsCognitive Behavioral Therapy Behavioral Activation Unprotected Anal Intercourse Contingency Management Stimulant Treatment
- Bourne A. Drug use among men who have sex with men: implications for harm reduction. In: Stoicescu C, editor. Global State of Harm Reduction 2012. London: Harm Reduction International; 2012. p. 147–55.Google Scholar
- Mimiaga MJ, Reisner SL, Pantalone DW, O’Cleirigh C, Mayer KH, Safren SA. A pilot trial of integrated behavioral activation and sexual risk reduction counseling for HIV-uninfected men who have sex with men abusing crystal methamphetamine. AIDS Patient Care STDS. 2012a;26:681–93.Google Scholar
- Mimiaga MJ, Closson EF, Pantalone DW, Taylor SW, Garber M, Safren SA, et al. An open phase pilot of behavioral activation to sustain and enhance the effect of contingency management for reducing stimulant use among HIV-infected patients. Poster presented at the 33rd Annual Meeting & Scientific Sessions of the Society of Behavioral Medicine, 11–14 Apr, New Orleans; 2012b.Google Scholar
- U.S. Centers for Disease Control and Prevention (CDC). Atlanta: HIV Surveillance Report, 2013; 2015 Feb 82 p. Report No.:25.Google Scholar