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Sep21
Drug use strongly associated with sex, condomless sex and STIs in gay men with HIV in England-Drug & Alcohol lowers control so more STDs
Drug use strongly associated with sex, condomless sex and STIs in gay men with HIV in England-Drug & Alcohol lowers control so more STDs

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The most popular drugs (excluding alcohol and tobacco) were nitrites (poppers), used by 27% of study participants, and cannabis, cocaine and erectile dysfunction drugs (e.g. Viagra¸ Cialis), which were each used by about 20%. Ketamine and MDMA (ecstasy) were used by about 12% of participants, GHB or GBL by 9% and methamphetamine and mephedrone by 7%. All other individual drugs including various opiates, psychedelics, crack and anabolic steroids were used by less than 4% of study participants. Three per cent of the sample reported injecting drug use (68 people) of whom four reported sharing injecting equipment with persons of unknown serostatus.

Drug use was strongly associated with having had sex at all in the last three months, having sex without a condom and having higher-risk sex without a condom, having an STI diagnosed, and having had group sex or more than ten new partners in the past year.For instance, whereas 64% of the whole group had had any anal or vaginal sex in the last three months, this rose to 79% among men who had used recreational drugs. While 38% of the whole group had had sex without a condom, this rose to 52% for men who had used drugs; and while 21% of all the men had participated in group sex, 32% of those using recreational drugs had done so (and only 10% of men who took no drugs).
In general, men who used drugs were about 40 to 70% more likely to have high-risk sex than men who did not use drugs, while users of ‘club drugs’ like GHB and mephedrone, erectile dysfunction drugs, nitrites (poppers) and cocaine were 90% more likely to have higher-risk sex. Methamphetamine stood out as the drug most likely to be associated with high-risk sex: men who reported using ‘meth’ were 2.7 times (170%) more likely to have high-risk sex than non-drug-users, suggesting, the researchers suggest, that it has a specific disinhibitory effect.
As reported by a community study reported at the Melbourne International AIDS Conference in July that found that among a group of gay men surveyed, 25% had condomless sex when no drugs were used, 50% with three drugs and 75% when more than five drugs had been taken.This study further confirmed the above finding


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