TY - JOUR
KW - Adult
KW - Amphetamine-Related Disorders/diagnosis/psychology
KW - Homosexuality, Male/psychology
KW - Humans
KW - Male
KW - Methamphetamine
KW - Middle Aged
KW - Risk Factors
KW - Risk-Taking
KW - Severity of Illness Index
KW - Sexual and Gender Minorities/psychology
KW - HIV
KW - Substance use disorder
KW - Men who Have Sex with Men
AU - K. D. Anderson-Carpenter
AU - J. B. Fletcher
AU - D. Swendeman
AU - C. J. Reback
A1 - 
AB - Background: Men who have sex with men (MSM) have elevated rates of substance use disorders (SUDs) and differences across sociodemographic sub-groups of MSM are associated with a greater risk of deleterious outcomes. Although studies have shown that MSM report greater rates of polysubstance use relative to other adult populations, the associations between sociodemographic characteristics and both acute substance use and substance use severity among methamphetamine-using MSM are unknown. Objectives: The present study examines associations between sociodemographic characteristics and (a) recent substance use and (b) SUD severity. Method: From March 2014 to January 2016, 286 methamphetamine-using MSM were recruited to complete a baseline Audio Computer-Assisted Self-Interview (ACASI) assessment and the SCID MINI. Multivariable analyses employed generalized structural equation modeling given the non-continuous nature of the endogenous variables. Results: All measured sociodemographic characteristics except gay self-identification were significantly associated with recent substance use (all ps ≤ .05), and all characteristics except current homelessness were significantly associated with diagnostic SUD severity (all ps ≤ .05). However, nuanced risks were observed in participants' use of specific substances regarding recent substance use and substance use severity. Conclusion: These results suggest that multiple factors contribute to the risks of SUD severity among methamphetamine-using MSM. As such, these results are useful in the tailoring of clinical and psychosocial intervention strategies that serve this and other high-risk populations.
AD - a David Geffen School of Medicine , Semel Institute for Neuroscience and Human Behavior, University of California , Los Angeles , CA , USA.; b Department of Psychology , Michigan State University , East Lansing , MI , USA.; c Friends Research Institute, Inc ., Los Angeles , CA , USA.; a David Geffen School of Medicine , Semel Institute for Neuroscience and Human Behavior, University of California , Los Angeles , CA , USA.; d Development Core, Center for HIV Identification, Prevention, and Treatment Services, University of California , Los Angeles , CA , USA.; a David Geffen School of Medicine , Semel Institute for Neuroscience and Human Behavior, University of California , Los Angeles , CA , USA.; c Friends Research Institute, Inc ., Los Angeles , CA , USA.; e Center for HIV Identification, Prevention and Treatment Services, University of California , Los Angeles , CA , USA.
BT - Substance use & misuse
C5 - Healthcare Disparities; Measures; Opioids & Substance Use
CP - 11
DO - 10.1080/10826084.2019.1610445
IS - 11
JF - Substance use & misuse
LA - eng
M1 - Journal Article
N2 - Background: Men who have sex with men (MSM) have elevated rates of substance use disorders (SUDs) and differences across sociodemographic sub-groups of MSM are associated with a greater risk of deleterious outcomes. Although studies have shown that MSM report greater rates of polysubstance use relative to other adult populations, the associations between sociodemographic characteristics and both acute substance use and substance use severity among methamphetamine-using MSM are unknown. Objectives: The present study examines associations between sociodemographic characteristics and (a) recent substance use and (b) SUD severity. Method: From March 2014 to January 2016, 286 methamphetamine-using MSM were recruited to complete a baseline Audio Computer-Assisted Self-Interview (ACASI) assessment and the SCID MINI. Multivariable analyses employed generalized structural equation modeling given the non-continuous nature of the endogenous variables. Results: All measured sociodemographic characteristics except gay self-identification were significantly associated with recent substance use (all ps ≤ .05), and all characteristics except current homelessness were significantly associated with diagnostic SUD severity (all ps ≤ .05). However, nuanced risks were observed in participants' use of specific substances regarding recent substance use and substance use severity. Conclusion: These results suggest that multiple factors contribute to the risks of SUD severity among methamphetamine-using MSM. As such, these results are useful in the tailoring of clinical and psychosocial intervention strategies that serve this and other high-risk populations.
PY - 2019
SN - 1532-2491; 1082-6084; 1082-6084
SP - 1763
EP - 1773
EP - 
T1 - Associations between sociodemographic characteristics and substance use disorder severity among methamphetamine-using men who have sex with men
T2 - Substance use & misuse
TI - Associations between sociodemographic characteristics and substance use disorder severity among methamphetamine-using men who have sex with men
U1 - Healthcare Disparities; Measures; Opioids & Substance Use
U2 - 31075997
U3 - 10.1080/10826084.2019.1610445
VL - 54
VO - 1532-2491; 1082-6084; 1082-6084
Y1 - 2019
ER -