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Trends in Methamphetamine Use Among Men Who Have Sex with Men in New York City, 2004–2017

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Abstract

Methamphetamine (meth) use among men who have sex with men (MSM) has been documented to be associated with HIV transmission among those who are HIV-negative and worsening HIV outcomes among those who are HIV-positive. Recent media reports have suggested recent increases in meth use in New York City (NYC), particularly among Hispanic/Latino and Black MSM. Using serial cross-sectional data from 2004 to 2017, we aim to describe trends in meth use and describe racial/ethnic patterns among MSM in NYC. Overall, we observed a decrease in meth use among MSM from 2004 to 2011 and an increase from 2011 to 2017. When stratified by race/ethnicity, use among White MSM decreased. Beginning in 2008, use among both Hispanic/Latino and Black MSM increased over time. These data provide more evidence that meth use may be increasing in Hispanic/Latino and Black MSM. Culturally-tailored and status-neutral interventions should be explored.

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References

  1. Halkitis PN, Parsons JT, Stirratt MJ. A double epidemic: crystal methamphetamine drug use in relation to HIV transmission among gay men. J Homosex. 2001;41(2):17–35.

    Article  CAS  PubMed  Google Scholar 

  2. Buchacz K, McFarland W, Kellogg TA, et al. Amphetamine use is associated with increased HIV incidence among men who have sex with men in San Francisco. AIDS. 2005;19(13):1423–4.

    Article  PubMed  Google Scholar 

  3. Thu Vu NT, Maher L, Zablotska I. Amphetamine-type stimulants and HIV infection among men who have sex with men: implications on HIV research and prevention from a systematic review and meta-analysis. J Int AIDS Soc. 2015;18(1):193273.

    Article  Google Scholar 

  4. Colfax G, Shoptaw S. The methamphetamine epidemic: Implications for HIV prevention and treatment. Curr HIV/AIDS Rep. 2005;2(4):194–9.

    Article  PubMed  Google Scholar 

  5. Rajasingham R, Mimiaga MJ, White JM, et al. A systematic review of behavioral and treatment outcome studies among HIV-infected men who have sex with men who abuse crystal methamphetamine. AIDS Patient Care STDS. 2011;26(1):36–52.

    Article  PubMed  Google Scholar 

  6. Mayer KH, Skeer MR, O’Cleirigh C, Goshe BM, Safren SA. Factors associated with amplified HIV transmission behavior among American men who have sex with men engaged in care: Implications for clinical providers. Ann Behav Med. 2013;47(2):165–71.

    Article  Google Scholar 

  7. Feldman MB, Thomas JA, Alexy ER, Irvine MK. Crystal methamphetamine use and HIV medical outcomes among HIV-infected men who have sex with men accessing support services in New York. Drug Alcohol Depend. 2014;147:266–71.

    Article  PubMed  Google Scholar 

  8. Carrico AW, Hunt PW, Neilands TB, et al. Stimulant Use and Viral Suppression in the Era of Universal Antiretroviral Therapy. J Acquir Immune Defic Syndr. 2018;80(1):89–93.

    Article  Google Scholar 

  9. Carrico AW. Substance use and HIV disease progression in the HAART era: Implications for the primary prevention of HIV. Life Sci. 2010;88(21–22):940–7.

    PubMed  Google Scholar 

  10. Carrico AW, Shoptaw S, Cox C, et al. Stimulant use and progression to AIDS or mortality after the initiation of highly active antiretroviral therapy. J Acquir Immune Defic Syndr. 2014;67(5):508–13.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Hedegaard H, Bastian BA, Trinidad JP, Spencer MR, Warner M. Regional differences in the drugs most frequently involved in drug overdose deaths: United States, 2017. Natl Vital Stat Rep. 2019;68(12):1–16.

    PubMed  Google Scholar 

  12. Jones CM, Olsen EO, O’Donnell J, Mustaquim D. Resurgent methamphetamine use at treatment admission in the United States, 2008–2017. Am J Public Health. 2020;110(4):509–16.

    Article  PubMed  Google Scholar 

  13. Jones CM, Compton WM, Mustaquim D. Patterns and characteristics of methamphetamine use among adults - United States, 2015–2018. MMWR Morb Mortal Wkly Rep. 2020;69(12):317–23.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Gonzales R, Mooney L, Rawson R. The methamphetamine problem in the United States. Ann Rev Public Health. 2010;31:385–98.

    Article  Google Scholar 

  15. Jin H, Huriaux E, Loughran E, Packer T, Raymond HF. Differences in HIV risk behaviors among people who inject drugs by gender and sexual orientation, San Francisco, 2012. Drug Alcohol Depend. 2014;145:180–4.

    Article  PubMed  Google Scholar 

  16. Forrest DW, Metsch LR, LaLota M, et al. Crystal methamphetamine use and sexual risk behaviors among HIV-positive and HIV-negative men who have sex with men in South Florida. J Urban Health. 2010;87(3):480–5.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Wohl AR, Frye DM, Johnson DR. Demographic characteristics and sexual behaviors associated with methamphetamine use among MSM and non-MSM diagnosed with AIDS in Los Angeles County. AIDS Behav. 2008;12(5):705–12.

    Article  PubMed  Google Scholar 

  18. Griffin M, D. C, Duncan DT, Palamar JJ, . Differential risk for drug use by sexual minority status among electronic dance music attendees in New York City. Subst Use Misuse. 2020;55(2):230–40.

    Article  PubMed  Google Scholar 

  19. Reilly KH, Neaigus A, Wendel T, Marshall DM 4th, Hagan H. Bisexual behavior among male injection drug users in New York City. AIDS Behav. 2016;20(2):405–16.

    Article  PubMed  Google Scholar 

  20. Wendel T, Khan B, Dombrowski K, et al. Dynamics of methamphetamine markets in New York City: Final technical report to the National Institute of Justice. John Jay College of Criminal Justice; 2011. Contract No.: 236122.

  21. Myers JE, Braunstein SL, Xia Q, et al. Redefining prevention and care: A status-neutral approach to HIV. Open Forum Infect Dis. 2018;5(6):ofy097.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Harriman G, Silva F, Cheek J, et al. A status neutral public health approach to men who have sex with men (MSM) using crystal methamphetamine. Fast Track Cities 2019; London, England2019.

  23. Halkitis PN, Mukherjee PP, Palamar JJ. Longitudinal modeling of methamphetamine use and sexual risk behaviors in gay and bisexual men. AIDS Behav. 2009;13(4):783–91.

    Article  PubMed  Google Scholar 

  24. Hirshfield S, Remien RH, Humberstone M, Walavalkar I, Chiasson MA. Substance use and high-risk sex among men who have sex with men: A national online study in the USA. AIDS Care. 2004;16(8):1036–47.

    Article  CAS  PubMed  Google Scholar 

  25. Vosburgh HW, Mansergh G, Sullivan PS, Purcell DW. 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.

    Article  PubMed  Google Scholar 

  26. Halkitis PN, Levy MD, Moreira AD, Ferrusi CN. Crystal methamphetamine use and HIV transmission among gay and bisexual men. Curr Addict Rep. 2014;1(3):206–13.

    Article  Google Scholar 

  27. Brown RE, Turner C, Hern J, Santos G. Partner-level substance use associated with increased sexual risk behaviors among men who have sex with men in San Francisco. CA Drug Alcohol Depend. 2017;2017:176–80.

    Article  Google Scholar 

  28. Nerlander LMC, Hoots BE, Bradley H, et al. HIV infection among MSM who inject methamphetamine in 8 US cities. Drug Alcohol Depend. 2018;190:216–23.

    Article  PubMed  Google Scholar 

  29. Benotsch EG, Lance SP, Nettles CD, Koester S. Attitudes toward methamphetamine use and HIV risk behavior in men who have sex with men. Am J Addict. 2012;21:S35-42.

    Article  PubMed  Google Scholar 

  30. Henry BL, Minassian A, Perry W. Effect of methamphetamine dependence on everyday functional ability. Addict Behav. 2010;35(6):593–8.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Minassian A, Henry BL, Iudicello JE, et al. Everyday functional ability in HIV and methamphetamine dependence. Drug Alcohol Depend. 2017;175:60–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Halkitis PN, Solomon TM. New data reveals shifting NYC meth demographic. amNY. 2010 November 3, 2010. Available from: https://www.amny.com/news/new-data-reveals-shifting-nyc-meth-demographic/.

  33. Oldenburg CE, Mitty JA, Biello KB, et al. Differences in attitudes about HIV pre-exposure prophylaxis use among stimulant versus alcohol using men who have sex with men. AIDS Behav. 2016;20(7):1451–60.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Storholm ED, Volk JE, Marcus JL, Silverberg MJ, Satre DD. Risk perception, sexual behaviors, and PrEP adherence among substance-using men who have sex with men: A qualitative study. Prev Sci. 2017;18(6):737–47.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Okafor CN, Hucks-Ortiz C, Hightow-Weidman LB, et al. Brief report: Associations between self-reported substance use behaviors and PrEP acceptance and adherence among black MSM in the HPTN 073 study. J Acquir Immune Defic Syndr. 2020;85(1):23–9.

    Article  PubMed  Google Scholar 

  36. O’Halloran C, Rice B, White E, et al. Chemsex is not a barrier to self-reported daily PrEP adherence among PROUD study participants. Int J Drug Policy. 2019;74:246–54.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Grov C, Rendina HJ, John SA, Parsons JT. Determining the roles that club drugs, marijuana, and heavy drinking play in PrEP medication adherence among gay and bisexual men: Implications for treatment and research. AIDS Behav. 2019;23(5):1277–86.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Hojilla JC, Vlahov D, Glidden DV, et al. Skating on thin ice: stimulant use and sub-optimal adherence to HIV pre-exposure prophylaxis. J Int AIDS Soc. 2018;21(3):e25103.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  39. Grant RM, Anderson PL, McMahan V, et al. Uptake of pre-exposure prophylaxis, sexual practices, and HIV incidence in men and transgender women who have sex with men: A cohort study. Lancet Infect Dis. 2014;14(9):S1473-3099.

    Article  PubMed  Google Scholar 

  40. Perera S, Bourne AH, Thomas S. P198 Chemsex and antiretroviral therapy non-adherence in HIV-positive men who have sex with men: A systematic review. Sex Transm Infect. 2017;93:A81.

    Google Scholar 

  41. Moore DJ, Blackstone K, Woods SP, et al. Methamphetamine use and neuropsychiatric factors are associated with antiretroviral non-adherence. AIDS Care. 2012;24(12):1504–13.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Marquez C, Mitchell SJ, Hare CB, John M, Klausner JD. Methamphetamine use, sexual activity, patient-provider communication, and medication adherence among HIV-infected patients in care, San Francisco 2004–2006. AIDS Care. 2009;21(5):575–82.

    Article  PubMed  Google Scholar 

  43. Blumenthal J, Haubrich R, Jain S, et al. Factors associated with high transmission risk and detectable plasma HIV RNA in HIV-infected MSM on ART. Int J STD AIDS. 2014;25(10):734–41.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Nance RM, Trejo MEP, Whitney BM, et al. Impact of abstinence and of reducing illicit drug use without abstinence on Human Immunodeficiency Virus viral load. Clin Infect Dis. 2019;70(5):867–74.

    Article  PubMed Central  Google Scholar 

  45. Hightow-Weidman L, LeGrand S, Choi SK, et al. Exploring the HIV continuum of care among young black MSM. PLoS ONE. 2017;12(6):e0179688.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  46. Jin H, Ogunbajo A, Mimiaga MJ, et al. Over the influence: The HIV care continuum among methamphetamine-using men who have sex with men. Drug Alcohol Depend. 2018;192:125–8.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Carrico AW, Flentje A, Kober K, et al. Recent stimulant use and leukocyte gene expression in methamphetamine users with treated HIV infection. Brain Behav Immun. 2018;71:108–15.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Carrico AW, Cherenack EM, Roach ME, et al. Substance-associated elevations in monocyte activation among methamphetamine users with treated HIV infection. AIDS. 2018;32(6):767–71.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  49. Miller M, Lee JY, Fulcher JA, et al. Getting to the point: Methamphetamine injection is associated with biomarkers relevant to HIV pathogenesis. Drug Alcohol Depend. 2020;213:108133.

    Article  CAS  PubMed  Google Scholar 

  50. Parsons JT, John SA, Millar BM, Starks TJ. Testing the efficacy of combined motivational interviewing and cognitive behavioral skills training to reduce methamphetamine use and improve HIV medication adherence among HIV-positive gay and bisexual men. AIDS Behav. 2018;22(8):2674–86.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Wu E, El-Bassel N, McVinney LD, et al. Feasibility and promise of a couple-based HIV/STI preventive intervention for methamphetamine-using, black men who have sex with men. AIDS Behav. 2011;15(8):1745–54.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Shoptaw S, Reback CJ, Larkins S, et al. Outcomes using two tailored behavioral treatments for substance abuse in urban gay and bisexual men. J Subst Abuse Treat. 2008;35(3):285–93.

    Article  PubMed  Google Scholar 

  53. Shoptaw S, Reback CJ, Peck JA, et al. Behavioral treatment approaches for methamphetamine dependence and HIV-related sexual risk behaviors among urban gay and bisexual men. Drug Alcohol Depend. 2005;78(2):125–34.

    Article  PubMed  Google Scholar 

  54. Mausbach BT, Semple SJ, Strathdee SA, Zians J, Patterson TL. Efficacy of a behavioral intervention for increasing safer sex behaviors in HIV-positive MSM methamphetamine users: results from the EDGE study. Drug Alcohol Depend. 2007;87(2–3):249–57.

    Article  PubMed  Google Scholar 

  55. Jaffe A, Shoptaw S, Stein J, Reback CJ, Rotheram-Fuller E. Depression ratings, reported sexual risk behaviors, and methamphetamine use: Latent growth curve models of positive change among gay and bisexual men in an outpatient treatment program. Exp Clin Psychopharmacol. 2007;15(3):301–7.

    Article  PubMed  Google Scholar 

  56. Nanín JE, Parsons JT. Club drug use and risky sex among gay and bisexual men in New York City. J Gay Lesbian Psych. 2006;10(3–4):111–22.

    Google Scholar 

  57. Nanín JE, Parsons JT, Bimbi DS, Grov C, Brown JT. Community reactions to campaigns addressing crystal methamphetamine use among gay and bisexual men in New York City. J Drug Educ. 2007;36(4):297–315.

    Article  Google Scholar 

  58. Braine N, Acker CJ, van Sluytman N, Friedman S, Des Jarlais DC. Drug use, community action, and public health: Gay men and crystal meth in NYC. Subst Use Misuse. 2011;46(4):368–80.

    Article  PubMed  Google Scholar 

  59. Pantalone DW, Bimbi DS, Holder CA, Golub SA, Parsons JT. Consistency and change in club drug use by sexual minority men in New York City, 2002 to 2007. Am J Public Health. 2010;100(10):1892–5.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Osborne D. Meth kills — and evidence points to its upswing in NYC. Gay City News. Feb 4, 2016. Available from: https://www.gaycitynews.nyc/stories/2016/3/w23496-meth-kills-evidence-points-upswing-nyc-2016-02-04.html.

  61. Secret M. Meth finds a new market in New York. The New York Times. June 5, 2015. Available from: https://www.nytimes.com/2015/06/07/nyregion/meth-finds-a-new-market-in-new-york.html.

  62. Rice M. parTy boi, black diamonds in ice castles (Documentary). 2017.

  63. New York City Department of Health and Mental Hygiene. New York City HIV/AIDS Annual Surveillance Statistics 2018. 2019. Available from: https://www1.nyc.gov/assets/doh/downloads/pdf/ah/surveillance2018-table-all.pdf.

  64. New York City Department of Health and Mental Hygiene. HIV among men who have sex with men (MSM) in New York City, 2018. 2019. Available from: https://www1.nyc.gov/assets/doh/downloads/pdf/dires/hiv-aids-in-msm.pdf.

  65. Centers for Disease Control and Prevention. HIV Infection risk, prevention and testing behaviors among men who have sex with men - National HIV Behavioral Surveillance, 23 US cities, 2017. 2019. https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-special-report-number-22.pdf.

  66. SAS Institute. SAS 9.4. Cary, N.C.

  67. Melgarejo T, Hawthorne C, Frost T, et al. A blueprint guide to supporting Black and Latino MSM who use crystal meth. Harm Reduction Coalition, BEAM (Black Emotional & Mental Health Collective), and Counter Narrative Project. October 2018. https://harmreduction.org/hrc2/wp-content/uploads/2020/08/Resource-SaferDruguse-ABlueprintGuidetoSupportingBlackandLatinoMSMWhoUseCrystalMeth.pdf.

  68. Kuo I, Patrick R, Opoku J, et al. Changing pattern of crystal meth use in black & white MSM, Washington, DC, 2008–2014. Conference on Retroviruses and Opportunistic Infections; 2017; Seattle.

  69. Halkitis PN, Jerome RC. A comparative analysis of methamphetamine use: Black gay and bisexual men in relation to men of other races. Addict Behav. 2008;33(1):83–93.

    Article  PubMed  Google Scholar 

  70. Staley P. Meth use by gay men remains stable after 2014 uptick. POZ. June 19, 2019. https://www.poz.com/blog/meth-use-gay-men-remains-stable-2014-uptick.

  71. Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychol Bull. 2003;129(5):674–97.

    Article  PubMed  PubMed Central  Google Scholar 

  72. Halkitis PN, Levy MD, Solomon TM. Temporal relations between methamphetamine use and HIV seroconversion in gay, bisexual, and other men who have sex with men. J Health Psychol. 2014;21(1):93–9.

    Article  PubMed  Google Scholar 

  73. Halkitis PN, Fischgrund BN, Parsons JT. Explanations for methamphetamine use among gay and bisexual men in New York City. Subst Use Misuse. 2005;40(9–10):1331–45.

    Article  PubMed  Google Scholar 

  74. Wu E, El-Bassel N, Donald McVinney L, Fontaine YM, Hess L. Adaptation of a couple-based HIV intervention for methamphetamine-involved African American men who have sex with men. Open AIDS J. 2010;4:123–31.

    PubMed  PubMed Central  Google Scholar 

  75. Carrico AW, Neilands TB, Dilworth SE, et al. Randomized controlled trial of a positive affect intervention to reduce HIV viral load among sexual minority men who use methamphetamine. J Int AIDS Soc. 2019;22(12):e25436.

    Article  PubMed  PubMed Central  Google Scholar 

  76. Rowe C, Vittinghoff E, Colfax G, Coffin PO, Santos GM. Correlates of validity of self-reported methamphetamine use among a sample of dependent adults. Subst Use Misuse. 2018;53(10):1742–55.

    Article  PubMed  PubMed Central  Google Scholar 

  77. Semple SJ, Strathdee SA, Zians J, Patterson TL. Factors associated with experiences of stigma in a sample of HIV-positive, methamphetamine-using men who have sex with men. Drug Alcohol Depend. 2012;125(1–2):154–9.

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

This study was funded by CDC grant 1U62PS005086-01. The authors would like to acknowledge Alan Neiagus, PhD, former NYC NHBS Principal Investigator, and former NHBS-MSM data collection staff. We would like to acknowledge Jelani Cheek, MPH, Matthew Feldman, PhD, and Frances Silva, MPH for providing data and their work on NYC DOHMH’s Recharge program. We would also like to thank Willi McFarland, Henry Fisher Raymond, and Glenn-Milo Santos on their insight on meth use in San Francisco.

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Rivera, A.V., Harriman, G., Carrillo, S.A. et al. Trends in Methamphetamine Use Among Men Who Have Sex with Men in New York City, 2004–2017. AIDS Behav 25, 1210–1218 (2021). https://doi.org/10.1007/s10461-020-03097-5

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