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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
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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.
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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.
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