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November 2003, Vol 93, No. 11 | American Journal of Public Health 1915-1921
© 2003 American Public Health Association


RESEARCH AND PRACTICE

Regional Patterns and Correlates of Substance Use Among Young Men Who Have Sex With Men in 7 US Urban Areas

Hanne Thiede, DVM, MPH, Linda A. Valleroy, PhD, Duncan A. MacKellar, MA, MPH, David D. Celentano, ScD, Wesley L. Ford, MA, MPH, Holly Hagan, PhD, MPH, Beryl A. Koblin, PhD, Marlene LaLota, MPH, William McFarland, MD, PhD, Douglas A. Shehan, BA and Lucia V. Torian, PhD for the Young Men’s Survey Study Group

Hanne Thiede is with Public Health—Seattle and King County, Seattle, Wash. Linda A. Valleroy and Duncan A. MacKellar are with the National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention (CDC), Atlanta, Ga. David D. Celentano is with The Johns Hopkins University Bloomberg School of Public Health, Baltimore, Md. Wesley L. Ford is with the Los Angeles County Department of Health Services, Los Angeles, Calif. Holly Hagan is with the National Development and Research Institutes, New York, NY. Beryl A. Koblin is with The New York Blood Center, New York, NY. Marlene LaLota is with the Florida Department of Health, Tallahassee. William McFarland is with the San Francisco Department of Public Health, San Francisco, Calif. Douglas A. Shehan is with the University of Texas Southwestern Medical Center at Dallas. Lucia V. Torian, for the Young Men’s Survey Study Group, is with the New York City Department of Health.

Correspondence: Requests for reprints should be sent to Hanne Thiede, DVM, MPH, Public Health—Seattle and King County, 106 Prefontaine S, Seattle, WA 98104 (e-mail: hanne.thiede{at}metrokc.gov).

Objectives. We sought to characterize substance use patterns in young men who have sex with men (MSM) in 7 US urban areas and sociodemographic characteristics and history associated with such use.

Methods. We examined data collected from 1994 through 1998 in a venue-based, cross-sectional survey.

Results. Among the 3492 participants, 66% reported use of illicit drugs; 28%, use of 3 or more drugs; 29%, frequent drug use (once a week or more); and 4%, injection drug use. These practices were more common among participants who were White, self-identified as bisexual or heterosexual, had run away, or had experienced forced sex.

Conclusions. Effective drug prevention and treatment programs addressing local drug-use patterns and associated factors are urgently needed for young MSM, a population with a high rate of illicit drug use.




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