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Xhat great majority of HIV-positive men with multiple sex partners reported unprotected sex with HIV-negative or status unknown partners, which ifies the continued risk of spreading HIV mwth other STDs to non-infected individuals [ 8 ]. Men who begin having sex with men while on drugs may develop crystal meth chat room pattern of using drugs during sexual experiences [ 27 ], and certain drugs such as nitrite inhalants poppers and crystal may be used specifically to enhance sexual experiences [ 27 ].

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The great majority of HIV-positive cbat with multiple sex partners reported unprotected sex with HIV-negative or status unknown partners, which ifies the continued risk of spreading HIV and other STDs to non-infected individuals [ 8 ]. Men who begin having sex with men while on drugs may develop a pattern of using drugs during sexual experiences [ 27 ], and certain drugs such as nitrite inhalants poppers and crystal may be used specifically to enhance sexual experiences [ 27 ].

It has been hypothesized that substance use may help men avoid feelings of anxiety associated with same-sex behavior and concerns about HIV risk [ 20 ].

Certain limitations of this study deserve mention. Our survey was posted on only one gay-oriented website.

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We do not know whether survey respondents would differ if the survey had been posted on multiple sites or on sites that specifically facilitate meeting sex partners. Minority MSM were underrepresented in the sample; our data suggest that white, non-Hispanic MSM were unintentionally crrystal, as those who have computer skills and access to participate in online sex surveys tend to be younger, wealthier, educated white males [ 28 - 30 ].

STD was self-report only and we did not ask for the site of infection. There may have been underreporting in this sample, as certain STDs, like chlamydia and gonorrhea, are often asymptomatic rroom go undetected and unreported [ 31 ]. This may also be true for certain viral STDs such as genital herpes [ 32 ].

Despite these limitations, Internet research is an efficient and inexpensive way crystal meth chat room reach large samples of high-risk groups. The Internet is a necessary and appropriate medium to reach sex-seeking populations for prevention and intervention efforts [ 33 ], especially when factoring in increasing s of people living with HIV who are resuming sexual activity as a result of improved treatment regimens [ 34 ].

Just as bathhouses and shooting galleries have been used to deliver STD prevention messages, Internet-based interventions should be considered for those seeking cjat online [ 35 ]. Studies conducted over the past 20 years have found associations between substance abuse treatment and a reduction in HIV risk behaviors [ 37 ]. frystal

Sex and drugs: popular gay dating app allows users to find more than a date

Primary methh secondary substance abuse treatment among MSM has been successful, as treatment can affect decisions about sexual behavior uninfluenced by drugs and alcohol [ meeth ]. However, treatment remains challenging, and it has been suggested that men need to abstain from drug use and learn skills to meet and initiate sex with men while sober [ 12 ]. The rise in crystal use among the MSM population may require a special focus on current substance abuse treatment approaches, such as addressing drugs in exchange for sex, and disclosure of HIV status [ 17 ].

The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the Mefh Government.

Conflicts of Interest None declared. Increases in HIV diagnoses States, Primary and secondary syphilis among men who have sex with men - New York City, Morb Mortal Wkly Rep ;51 38 Increases in gonorrhea and sexual risk behaviors among men who have sex with men: a year trend analysis at the Denver Metro Health Clinic.

Sex Transm Dis Jul;30 7 The causal role for genital ulcer disease as a risk factor for transmission cryystal human immunodeficiency virus. An application of the Bradford Hill criteria.

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Sex Transm Dis ;23 5 An investigation of genital ulcers in Jackson, Mississippi, with use of a multiplex polymerase chain reaction assay: high prevalence of chancroid and human immunodeficiency virus infection. J Infect Dis Oct; 4 Interactions between herpes simplex virus type 2 and human immunodeficiency virus type 1 infection in African women: opportunities for intervention.

Effect of highly active antiretroviral therapy on diagnoses of sexually transmitted diseases in people with AIDS. Lancet Feb 10; Drug use and sexual risk behavior among gay and bisexual men who attend circuit parties: a venue-based comparison.

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Am J Public Health Jun;91 6 Intertwining epidemics: a review of research on substance use among men who have sex with men and its connection to the AIDS epidemic. AIDS and Behavior ;4 2 A double epidemic: crystal methamphetamine drug use in relation to HIV transmission among gay men. J Homosex ;41 2 Binge use of methamphetamine among HIV-positive men who have sex with men: pilot data and HIV prevention implications.

J Subst Abuse Treat Apr;22 3 The crystal meth-HIV connection. New York; The social construction of a gay drug: methamphetamine use among gay and bisexual males in Los Angeles. Executive Summary.

Sexually transmitted diseases and human immunodeficiency virus-discordant partnerships among men who have sex with men. Clin Infect Dis Oct 15;35 8 Sex, drugs and escape: a psychological model of HIV-risk sexual behaviours.

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Expectancies of sexual "escape" and sexual risk among drug and alcohol-involved gay and bisexual men. J Subst Abuse ;13 Chicago, IL; Unprotected anal intercourse between potentially HIV-serodiscordant men who have sex with men, San Francisco. Intentional unsafe sex barebacking among HIV-positive gay men who seek sexual partners on the internet. Cruising on the Internet highway. JAMA Jul 26; 4 HIV and sexually transmitted infection risk behaviors among men seeking sex with men on-line.

New York: Cassell; Mar 1, Ethical issues in conducting sex research on the Internet. J Sex Res ;36 1 Sex and cyberspace-virtual networks leading to high-risk sex. Untreated gonococcal and chlamydial infection in a probability sample of adults. JAMA Feb 13; 6 Meh prospective study of crystal meth chat room infections with herpes simplex virus type 1 and type 2.

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N Engl J Med Nov 4; 19 Differences between Internet samples and conventional samples of men who have sex with men: implications for research cyat HIV interventions. Soc Sci Med Sep;51 5 Sex and the internet. AIDS Jul 27;15 11 Health Educ Res Dec;16 6 Use of Internet chat rooms for HIV prevention among men who have sex with men in the United States: an evaluation of a community-based initiative.

Metzger DS, Navaline H. Human immunodeficiency virus prevention and the potential of drug abuse treatment.

Substance abuse treatment as HIV prevention for men who have sex with men. AIDS Behav ;4 2