Life Chaos and Perceived Social Support Among Methamphetamine-Using Men Who Have Sex With Men Engaging in Transactional Sexual Encounters

Overview

Journal Subst Use Misuse

Publisher Informa Healthcare

Date 2016 Sep 30

PMID 27679931

Citations 11

Authors

Humsini Viswanath

J Michael Wilkerson

Ellen Breckenridge

Beatrice J Selwyn

Affiliations

Soon will be listed here.

Abstract

Objective: Social support and life chaos have been inversely associated with increased risk of HIV infection. The purpose of this study was to explore among a sample of HIV-negative methamphetamine-using men who have sex with men (MSM) the association between engaging in transactional sex, life chaos, and low social support.

Methods: HIV-negative methamphetamine-using MSM completed an online questionnaire between July and October 2012 about recent substance use and sexual behavior. Bivariate and multivariate tests were used to obtain statistically significant associations between demographic characteristics, engaging in transactional sex, life chaos, and the participants' perception of their social support.

Results: Of the 325 participants, 23.7% reported engaging in transactional sex, 45.2% reported high life chaos, and 53.5% reported low perceived social support. Participants who engaged in transactional sex were more likely to have high life chaos than participants who did not (aOR = 1.70, 95% CI = [1.01, 2.84]); transactional sex was not associated with social support. Participants with high life chaos were more out about their sexual orientation (aOR = 2.29, 95% CI = [1.18, 4.42]) and more likely to perceive they had low social support (aOR = 3.78, 95% CI = [2.31, 6.22]) than participants with low life chaos. Non-Latinos perceived they had less social support than Latinos (aOR = 0.48, 95% CI = [0.25, 0.92]).

Conclusions: Methamphetamine-using MSM engaging in transactional sex experience more life chaos than those who do not engage in transactional sex. Outness, perceived social support, and ethnicity are associated with life chaos.

Citing Articles

Factors Associated with Antiretroviral Therapy Adherence Among a Community-Based Sample of Sexual Minority Older Adults with HIV.

Weinstein E, Lozano A, Jones M, Jimenez D, Safren S AIDS Behav. 2023; 27(10):3285-3293.

PMID: 36971877 PMC: 11299000. DOI: 10.1007/s10461-023-04048-6.

Life Instability Associated with Lower ART Adherence and Other Poor HIV-Related Care Outcomes in Older Adults with HIV.

Weinstein E, Harkness A, Ironson G, Shrader C, Duncan D, Safren S Int J Behav Med. 2022; 30(3):345-355.

PMID: 35499813 PMC: 9626397. DOI: 10.1007/s12529-022-10095-5.

Assessing the Determinants of Quality of Life and the Impact on HIV Prevention Measures among HIV-Negative and Status-Unknown Young Men Who Have Sex with Men: A Study in Two U.S. Metropolitan Areas.

Liu Y, Russ S, Mitchell J, Przybyla S, Zhang C Int J Environ Res Public Health. 2022; 19(2).

PMID: 35055548 PMC: 8776199. DOI: 10.3390/ijerph19020726.

Ecological and Syndemic Predictors of Drug Use During Sex and Transactional Sex among U.S. Black Men Who Have Sex with Men: A Secondary Data Analysis from the HPTN 061 Study.

LeBlanc N, Crean H, Dyer T, Zhang C, Turpin R, Zhang N Arch Sex Behav. 2021; 50(5):2031-2047.

PMID: 33903969 DOI: 10.1007/s10508-020-01871-z.

Classes of Sexual Identity, Homophobia, and Sexual Risk among Black Sexual Minorities in HPTN 061.

Turpin R, Dyer T, Watson L, Mayer K J Sex Res. 2021; 58(5):638-647.

PMID: 33630695 PMC: 8154646. DOI: 10.1080/00224499.2021.1886228.

References

Hays R, Turner H, Coates T . Social support, AIDS-related symptoms, and depression among gay men. J Consult Clin Psychol. 1992; 60(3):463-9. DOI: 10.1037//0022-006x.60.3.463. View

Lea T, Reynolds R, de Wit J . Alcohol and other drug use, club drug dependence and treatment seeking among lesbian, gay and bisexual young people in Sydney. Drug Alcohol Rev. 2012; 32(3):303-11. DOI: 10.1111/dar.12004. View

Estcourt C, Marks C, Rohrsheim R, Johnson A, Donovan B, Mindel A . HIV, sexually transmitted infections, and risk behaviours in male commercial sex workers in Sydney. Sex Transm Infect. 2000; 76(4):294-8. PMC: 1744173. DOI: 10.1136/sti.76.4.294. View

Newman P, Rhodes F, Weiss R . Correlates of sex trading among drug-using men who have sex with men. Am J Public Health. 2004; 94(11):1998-2003. PMC: 1448575. DOI: 10.2105/ajph.94.11.1998. View

McDowell T, Serovich J . The effect of perceived and actual social support on the mental health of HIV-positive persons. AIDS Care. 2007; 19(10):1223-9. PMC: 2151198. DOI: 10.1080/09540120701402830. View

Smith M, Seal D . Motivational influences on the safer sex behavior of agency-based male sex workers. Arch Sex Behav. 2008; 37(5):845-53. PMC: 5454495. DOI: 10.1007/s10508-008-9341-1. View

Turner H, Hays R, Coates T . Determinants of social support among gay men: the context of AIDS. J Health Soc Behav. 1993; 34(1):37-53. View

Chew Ng R, Samuel M, Lo T, Bernstein K, Aynalem G, Klausner J . Sex, drugs (methamphetamines), and the Internet: increasing syphilis among men who have sex with men in California, 2004-2008. Am J Public Health. 2012; 103(8):1450-6. PMC: 4007854. DOI: 10.2105/AJPH.2012.300808. View

Wilkerson J, Shenk J, Grey J, Rosser B, Noor S . Recruitment Strategies of Methamphetamine-Using Men Who Have Sex with Men into an Online Survey. J Subst Use. 2015; 20(1):33-37. PMC: 4310002. DOI: 10.3109/14659891.2013.868936. View

10.

Santos G, Coffin P, Das M, Matheson T, DeMicco E, Raiford J . Dose-response associations between number and frequency of substance use and high-risk sexual behaviors among HIV-negative substance-using men who have sex with men (SUMSM) in San Francisco. J Acquir Immune Defic Syndr. 2013; 63(4):540-4. PMC: 4671496. DOI: 10.1097/QAI.0b013e318293f10b. View

11.

Zimet G, Powell S, Farley G, WERKMAN S, Berkoff K . Psychometric characteristics of the Multidimensional Scale of Perceived Social Support. J Pers Assess. 1990; 55(3-4):610-7. DOI: 10.1080/00223891.1990.9674095. View

12.

Mugavero M, Raper J, Reif S, Whetten K, Leserman J, Thielman N . Overload: impact of incident stressful events on antiretroviral medication adherence and virologic failure in a longitudinal, multisite human immunodeficiency virus cohort study. Psychosom Med. 2009; 71(9):920-6. PMC: 3691857. DOI: 10.1097/PSY.0b013e3181bfe8d2. View

13.

Minichiello V, Marino R, Browne J, Jamieson M, Peterson K, Reuter B . A profile of the clients of male sex workers in three Australian cities. Aust N Z J Public Health. 1999; 23(5):511-8. DOI: 10.1111/j.1467-842x.1999.tb01308.x. View

14.

Smith M, Seal D . Sexual Behavior, Mental Health, Substance Use, and HIV Risk Among Agency-Based Male Escorts in a Small U.S. City. Int J Sex Health. 2009; 19(4):27-39. PMC: 2749688. DOI: 10.1300/J514v19n04_04. View

15.

McCarty-Caplan D, Jantz I, Swartz J . MSM and drug use: A latent class analysis of drug use and related sexual risk behaviors. AIDS Behav. 2013; 18(7):1339-51. DOI: 10.1007/s10461-013-0622-x. View

16.

Thoits P . Mechanisms linking social ties and support to physical and mental health. J Health Soc Behav. 2011; 52(2):145-61. DOI: 10.1177/0022146510395592. View

17.

Fujimoto K, Williams M, Ross M . Venue-based affiliation networks and HIV risk-taking behavior among male sex workers. Sex Transm Dis. 2013; 40(6):453-8. PMC: 3675278. DOI: 10.1097/OLQ.0b013e31829186e5. View

18.

Lea T, Prestage G, Mao L, Zablotska I, de Wit J, Holt M . Trends in drug use among gay and bisexual men in Sydney, Melbourne and Queensland, Australia. Drug Alcohol Rev. 2012; 32(1):39-46. DOI: 10.1111/j.1465-3362.2012.00494.x. View

19.

Weber A, Craib K, Chan K, Martindale S, Miller M, Schechter M . Sex trade involvement and rates of human immunodeficiency virus positivity among young gay and bisexual men. Int J Epidemiol. 2002; 30(6):1449-54; discussion 1455-6. DOI: 10.1093/ije/30.6.1449. View

20.

Vosburgh H, Mansergh G, Sullivan P, Purcell D . A review of the literature on event-level substance use and sexual risk behavior among men who have sex with men. AIDS Behav. 2012; 16(6):1394-410. DOI: 10.1007/s10461-011-0131-8. View