Psychiatric and Substance Dependence Comorbidities, Sexually Transmitted Diseases, and Risk Behaviors Among Methamphetamine-Dependent Gay and Bisexual Men Seeking Outpatient Drug Abuse Treatment

Bibliographic Data

ID13913058
AuthorsSteven Shoptaw (0000-0002-3583-0026, University of California, Los Angeles, corresponding author), James Peck, James A Peck (University of California, Los Angeles), Cathy J Reback (0000-0003-4375-7452), Erin Rotheram-Fuller (0000-0002-9604-4192, University of California, Los Angeles)
Year2003
Volume35
Issuesup1
Pages161-168
Publication date2003-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Psychoactive Drugs (JOURNAL)
Journal identifiersISSN: 0279-1072 • E-ISSN: 2159-9777
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/02791072.2003.10400511
PMID12825759
OpenAlexW2018557397
LanguageEN
Citations received27
References cited21

This article describes psychiatric and substance dependence comorbidities, lifetime rates of infectious disease, and reported high-risk sexual behaviors for methamphetamine-dependent, gay and bisexual men at entry to outpatient drug abuse treatment in Los Angeles. Participants' self-reports of high-risk sexual and drug use behaviors and of history of infectious disease status were correlated with diagnostic information from 155 Structured Clinical Interviews for the DSM-IV (SCID). A total of 82 participants met criteria for lifetime depressive disorders; 44 participants met criteria for lifetime anxiety disorders. Compared to those without psychiatric diagnoses, significant differences were observed in lifetime prevalence of sexually transmitted infections among those who have generalized anxiety disorder (higher rates of genital gonorrhea), specific phobia and major depressive disorder (higher rates of oral gonorrhea), social phobia (higher rates of syphilis) and bipolar disorder, type I (higher rates of HIV). Differences in infectious disease prevalence did not correspond to significantly different rates of high-risk sexual behaviors. Findings indicate that gay and bisexual men seeking outpatient treatment for methamphetamine dependence are likely to experience psychiatric comorbidity and to have high rates of infectious disease, including HIV, syphilis and gonorrhea

Anxiety · Comorbidity · Generalized anxiety disorder · Gonorrhea · Human immunodeficiency virus (HIV · Psychiatry · Sexually transmitted disease · Substance abuse · Substance dependence · Syphilis · Clinical Psychology · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Sexuality, Behavior, and Technology · Immunology