Crystal methamphetamine: a source of added sexual risk for Hispanic men who have sex with men?

Drug Alcohol Depend. 2007 Jan 12;86(2-3):245-52. doi: 10.1016/j.drugalcdep.2006.06.016. Epub 2006 Aug 22.


Objectives: To determine whether use of crystal methamphetamine increases HIV risk behaviors beyond the risk associated with use of other recreational drugs among Hispanic men who have sex with men (HMSM).

Design: We compared the sexual behaviors and psychosocial characteristics of non-recreational drug users (non-users), recreational drug users who did not use crystal (non-crystal drug users), and recreational drug users who used crystal (crystal users).

Methods: We recruited 294 HMSM from Internet and 272 from community venues. Eligible men completed an ACASI to assess socio-demographic factors, drug use, sexual behaviors and psychosocial factors and received 50 dollars.

Results: In the multivariate model, crystal users were more likely than non-crystal drug users to have lower Hispanicism, higher attachment to the gay community, and history of suicide attempts. Crystal users were not significantly different from non-crystal drug users in number of sex partners; however, differences in unprotected receptive anal sex approached significance.

Conclusions: The additional risk of crystal above that of other recreational drugs needs to be disentangled from those associated with poly-drug use. Our data suggest that it may depend on how one defines risky sexual behavior and is influenced by psychological, physiologic and social factors.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Amphetamine-Related Disorders / epidemiology*
  • Central Nervous System Stimulants*
  • Florida
  • HIV Infections / transmission
  • Hispanic or Latino*
  • Homosexuality, Male
  • Humans
  • Male
  • Methamphetamine*
  • Risk-Taking*
  • Sexual Behavior*


  • Central Nervous System Stimulants
  • Methamphetamine