1 / 17

The Sexual Practices of Combined Methamphetamine and Nitrate Users

The Sexual Practices of Combined Methamphetamine and Nitrate Users. Michael T. Maurer, Ph.D., M.H.A. Methamphetamine (crystal, tina). Synthetic drug with marked cocaine like effects but are longer-acting than cocaine stimulates the CNS produces euphoria (a sense of well being)

Download Presentation

The Sexual Practices of Combined Methamphetamine and Nitrate Users

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. The Sexual Practices of Combined Methamphetamine and Nitrate Users Michael T. Maurer, Ph.D., M.H.A.

  2. Methamphetamine (crystal, tina) • Synthetic drug with marked cocaine like effects but are longer-acting than cocaine • stimulates the CNS • produces euphoria (a sense of well being) • used to stave off sleepiness, “diet drugs”, antidepressants • tolerance creates does escalation

  3. Swallowed in water, dabbed on tongue, smoked, snorted, injected, anally • hyperactivity, paranoid thinking, violent behavior, psychotic symptoms • physically addicting to some people • affects self image • high sexual stimulation

  4. Inhalant Nitrates (amyl nitrate) • Aromatic stimulant • produces many of the effects of alochol intoxication • CNS depressant • relaxes anal muscles • headache, blurred vision, vertigo, nausea, weakness, confusion, vomiting, neuritis

  5. Links between SU & risk-taking behaviors • “disinhibition” • “personality” • “aphrodisiac”

  6. “Disinhibition” • Drug use results in the elimination of inhibitors that normally keep risk-taking behavior in check

  7. “Personality” • Drug use and risk taking are related to each other through a third variable involving the personal characteristic(s) of an individual

  8. “Aphrodisiac” • Drug use enhances the pleasure of sexual encounters, thereby increasing the likelihood that all sexual activities will take place, including those involving high risk disease transmission

  9. Social Cognition Model • Social cognitive factors (e.g., attitudes and beliefs), which frequently mediate the effects of other individual differences (e.g., demographics, mental health, identity)

  10. Seropositive Urban Men’s Study (SUMS) • Qualitative interviews and Quantitative surveys • 225 HIV+ sexually active MSM • 29% A-A, 29% L, 33% E-A, 9% other/mixed

  11. 11% injected, inhaled/swallowed 7.4% usage rate in NYC 16.5% usage rate in SF 77.8% >twice a week 3.7% daily 5.8 HIV- & 30.5 HIV UK in last 3 months 2.3 acts of non-p anal I 3.5 acts of non-p oral I HIV- 9.8 acts of non-p oral I HIV UK 44% vs. 26% non-p anal I Methamphetamine Data (SUMS)

  12. Non-p anal R (t=2.29, p=0.23) attend sex parties (p=.002) bath houses (p=.05) Higher levels of sensation seeking (p=.05) higher levels of depression (p=.10) Sums Data

  13. Brief survey to 202 men of whom 14.9% were HIV+ crystal use in last 3 months 10.4% 7.4% less than once a week 2.4% twice a week 0.5% more than twice 0.5% daily 25% reported first time use in past 3 months Street Survey

  14. 20% HIV+ non-p a I 50% non-p a R 33% non-p o I 43% non-p o R more common among those frequenting mainstream gay venues (x2 (1)=5.79, p=.01) 22 crystal out of 202 15 E-A, 4 L, 1 Asian-A, 1 A-A used alcohol, marijuana, inhalant nitrates, cocaine Street Crystal Data

  15. 59 (29.9%) of 202 men in last 3 months HIV+ more use than HIV- (t(187)=3.18, p=.02) public sex environment (t(142)=5.77, p<.001) Non-p o I, o R, a I, a R (t (141)=4.57, p<.01) single best predictor for non-p o R (66.7%) non-p a I 73.7% Street Nitrate Data

  16. Street Crystal & Nitrates • 202 respondents • 20 (9.9%) crystal • 59 (29.2%) inhalant nitrates • 14 (8.1%) both crystal & nitrates • used both 28.6% less than once, 35.7% once or twice, 35.7% more than twice a week

  17. Crystal & Nitrates Combined • 54.3% orally receptive • 16.5% oral insertive • 16.5% anally insertive • 64.3% anally receptive

More Related