Abstract
BackgroundRecreational drug use has increased considerably among Chinese men who have sex with men (MSM). The phenomenon has the potentially to increase HIV transmission among Chinese MSM. The aims of this study were: 1) to investigate the prevalence of recreational drug use among Chinese MSM, and 2) to explore the correlation between gay smartphone based sex-seeking applications (gay apps), HIV/STIs testing, group sex, commercial sex, sexual roles and poppers use among Chinese MSM.MethodsMSM who were born biologically male, were at least 16 years of age and had engaged in anal sex with a man at least once were recruited through a nation-wide online survey in 2014. Information regarding socio-demographics, risk behaviors, recreational drug use, HIV and other STIs testing history and gay app use were collected. Univariate and multivariate analysis were used to determine factors associated with recreational drug use among Chinese MSM.ResultsAmong 1424 participating MSM, 1100 (77.3%) reported ever using recreational drugs in their lifetime. In the last 12 months, 303 (21.3%) used poppers, 34 (2.4%) used crystal meth and 15 (1.0%) used ecstasy. The mean age of respondents was 25.6±6.8 years, 72.9% identified as gay, 41.3% were students, and 83.8% had never been married. Multiple logistic regression models revealed that compared with non-popper users, popper users were more likely to have been tested for HIV (adjusted OR (aOR) = 1.50, 95% CI: 1.15–1.96) and other STIs (aOR = 1.65, 95% CI: 1.26–2.17). In addition, popper users were more likely to engage in group sex (aOR = 2.63, 95% CI:1.80–3.86), commercial sex (aOR = 1.86, 95% CI:1.13–3.06) and used gay mobile apps to seek sexual partners (aOR = 2.10, 95% CI:1.58–2.80).ConclusionChinese MSM has a high rate of recreational drug use, including poppers. Public health programs serving MSM may consider integrating intervention programs to decrease recreational drug use related harms.
Highlights
Recreational drug use is long being considered to a major global driving force for HIV transmission[1]
The aims of this study were: 1) to investigate the prevalence of recreational drug use among Chinese men who have sex with men (MSM), and 2) to explore the correlation between gay smartphone based sex-seeking applications, HIV/STIs testing, group sex, commercial sex, sexual roles and poppers use among Chinese MSM
Chinese MSM has a high rate of recreational drug use, including poppers
Summary
Recreational drug use is long being considered to a major global driving force for HIV transmission[1]. With the implementation of harm reduction programs, HIV incidence rates have decreased among people who inject drugs around the world[2,3,4]. New challenges have emerged in the last decade due to increasing prevalence of recreational drug use among men who have sex with men (MSM) and transgender individuals [6]. Recreational drug use is not uncommon among MSM, and may be associated with risk of HIV and sexually transmitted infections[7]. Under the effect of recreational drugs, MSM may to have multiple sexual partnerships [9], participate in group sex[10], engage in condomless anal intercourse [11] and experience more intimate partner violence [12], which may further facilitate HIV transmission. Recreational drug use has increased considerably among Chinese men who have sex with men (MSM). The aims of this study were: 1) to investigate the prevalence of recreational drug use among Chinese MSM, and 2) to explore the correlation between gay smartphone based sex-seeking applications (gay apps), HIV/STIs testing, group sex, commercial sex, sexual roles and poppers use among Chinese MSM
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