Crystal Methamphetamine Use Predicts Incident STD Infection Among Men Who Have Sex With Men Recruited Online: A Nested Case-Control Study
2004

Crystal Meth Use Linked to STDs in Men Who Have Sex with Men

Sample size: 2643 publication 10 minutes Evidence: moderate

Author Information

Author(s): Sabina Hirshfield, Robert H Remien, Imelda Walavalkar, Mary Ann Chiasson, Gregory McFarlane

Primary Institution: Medical and Health Research Association of New York City, Inc.

Hypothesis

Does crystal methamphetamine use increase the risk of incident STDs among men who have sex with men?

Conclusion

Identifying and treating MSM who have STDs or are at increased risk is crucial for preventing the spread of disease.

Supporting Evidence

  • Men with an incident STD were more likely to report drug use.
  • Unprotected anal intercourse was a significant predictor of incident STDs.
  • 80% of respondents met sex partners online.

Takeaway

Using crystal meth can make it more likely for men who have sex with men to get STDs. It's important to help those at risk.

Methodology

A nested case-control study using data from a cross-sectional Internet survey of MSM.

Potential Biases

The sample may be biased towards white, educated MSM with internet access.

Limitations

The study was limited to one gay-oriented website and may not represent all MSM; self-reported STDs may be underreported.

Participant Demographics

85% white, 46% under age 30, 7% HIV-positive.

Statistical Information

P-Value

p<0.01

Confidence Interval

95% CI 1.1-3.8

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.2196/jmir.6.4.e41

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