Amsterdam 2015
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| Abstract #2372 - Poster 1 | ||||
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Session: 58.11: Poster 1 (Poster) on Tuesday in Chaired by Authors: Presenting Author: Prof Brian C Kelly - Purdue University, United States |
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| Additional Authors: Dr Kouassi Martin, Mr Brou Sylvain, | ||||
| Aim: Methamphetamine use emerged as a significant problem in China during the 21st century. With the growth in methamphetamine use, it remains uncertain how drug users in China use methamphetamine in conjunction with sex and how this relates to sexual risk taking. This paper aims to assess sexual risk among a sample of primarily heterosexual Chinese methamphetamine users. | ||||
| Method / Issue: The authors utilize data from a mixed-methods study on methamphetamine use and HIV risk in China to assess sexual risk. A total of 303 methamphetamine users were recruited using Respondent Driven Sampling in central China. We provide descriptive statistics as well as present multivariate regression models to assess condomless sex and involvement in sex work (as buyer or seller of sex) within this population. | ||||
| Results / Comments: About half (53.5%) of the sample reported a history of paying for sex, with 30.7% having done so within the previous 3 months. Few users (11.6%) reported any history of sex work, with 5.9% having done so within the previous 3 months. In the prior 3 months, the mean number of sex partners was 3, mean number of condomless sex acts was 12, and mean number of condomless sex acts under the influence of methamphetamine was 6.1. Frequency of methamphetamine use is associated with the number of condomless sex acts and the number of sex acts under the influence of methamphetamine. Those with full-time employment (AOR=0.39) and higher education (AOR=0.48) reported lower odds of condomless sex. Women (AOR=2.64) reported higher odds of condomless sex under the influence of methamphetamine, while those with full-time employment (AOR=0.45) and higher education (AOR=0.49) reported lower odds of condomless sex under the influence of methamphetamine. No significant differences, beyond gender, existed with respect to buying or selling sex. | ||||
| Discussion: Sexual risk taking remains a modest concern among the growing population of methamphetamine users in China. Condomless sex did not occur with great frequency across the population of methamphetamine users. Yet, given the known association between methamphetamine use and HIV risk, sexual health promotion initiatives and HIV prevention campaigns in China should consider that methamphetamine users might become a vulnerable population should patterns of use associated with sexual behavior change in the future. | ||||
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