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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Characterizing Men Who Have Sex with Men and Use Injection Drugs in Vancouver, Canada
AIDS and behavior, v 23(12), pp 3324-3330
01 Dec 2019
PMID: 31327107
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We examined factors associated with reporting sex with men among men who inject drugs in Vancouver, Canada. Data were drawn from three open prospective cohorts of people who use drugs between 2005 and 2014. Generalized estimating equations were used to identify factors associated with reporting non-transactional sex with men (MSM) in the previous 6 months. Of 1663 men who used injection drugs, 225 (13.5%) were MSM over the study period. Sex with men was independently associated with younger age [Adjusted Odds Ratio (AOR)=0.96], childhood sexual abuse (AOR=2.65), sex work (AOR=3.33), crystal methamphetamine use (AOR=1.30), borrowing used syringes (AOR=1.39), inconsistent condom use (AOR=1.76), and HIV seropositivity (AOR=3.82). MSM were less likely to be Hepatitis C-positive (AOR=0.43) and to have accessed addiction treatment in the previous 6 months (AOR=0.83) (all p<0.05). Findings highlight vulnerabilities and resiliencies among MSM-PWID and indicate a need for trauma-informed and affirming harm reduction and substance use treatment services for MSM-PWID.
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Details
- Title
- Characterizing Men Who Have Sex with Men and Use Injection Drugs in Vancouver, Canada
- Creators
- Ayden Scheim - University of California San DiegoRod Knight - University of British ColumbiaHennady Shulha - British Columbia Centre on Substance UseEkaterina Nosova - British Columbia Centre on Substance UseKanna Hayashi - Simon Fraser UniversityM. -J. Milloy - University of British ColumbiaThomas Kerr - University of British ColumbiaKora DeBeck - Simon Fraser University
- Publication Details
- AIDS and behavior, v 23(12), pp 3324-3330
- Publisher
- Springer Nature
- Number of pages
- 7
- Grant note
- Canadian Institutes of Health Research New Investigator Award; Canadian Institutes of Health Research (CIHR) Michael Smith Foundation for Health Research (MSFHR) Scholar Award; Michael Smith Foundation for Health Research MSH-141971 / CIHR New Investigator Award; Canadian Institutes of Health Research (CIHR) CIHR; Canadian Institutes of Health Research (CIHR) MSFHR/St. Paul's Hospital Foundation-Providence Health Care Career Scholar Award St. Paul's Foundation MSFHR Scholar Award; Michael Smith Foundation for Health Research U01-DA0251525 / United States National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA U01DA021525 / NATIONAL INSTITUTE ON DRUG ABUSE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Drug Abuse (NIDA); European Commission Canadian Institutes of Health Research Fellowship; Canadian Institutes of Health Research (CIHR) U01DA038886; U01-DA021525 / US National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000496120100012
- Scopus ID
- 2-s2.0-85069500329
- Other Identifier
- 991020099055604721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health
- Social Sciences, Biomedical