Sex, drugs, and sexually transmitted infections: A latent class analysis among men who have sex with men in Amsterdam and surrounding urban regions, the Netherlands
•Drug use was higher among men who have sex with men (MSM) in Amsterdam than in surrounding urban regions.•4 classes found in Amsterdam: no drug, alcohol, few + various drugs, and polydrug.•3 classes found in surrounding regions: no drug, alcohol + soft drugs, and polydrug.•Sexually transmitted infe...
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| Veröffentlicht in: | Drug and alcohol dependence 2020-01, Vol.206, p.107526-107526, Article 107526 |
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| container_title | Drug and alcohol dependence |
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| creator | Achterbergh, R.C.A. Drückler, S. van Rooijen, M.S. van Aar, F. Slurink, I.A.L. de Vries, H.J.C. Boyd, A. |
| description | •Drug use was higher among men who have sex with men (MSM) in Amsterdam than in surrounding urban regions.•4 classes found in Amsterdam: no drug, alcohol, few + various drugs, and polydrug.•3 classes found in surrounding regions: no drug, alcohol + soft drugs, and polydrug.•Sexually transmitted infection (STI) risk occurred mainly in the polydrug class.
Men who have sex with men (MSM) are at high risk for sexually transmitted infections (STI) and often have sex while under the influence of drugs (sexualized drug use). We aimed to identify classes of MSM in Amsterdam and in surrounding urban regions with distinctive patterns of sexualized drug use and their association with STI.
In this cross-sectional study, data on MSM were collected at STI clinics in the Netherlands between September-December 2017. Information on drug use, sociodemographics and sexual risk behavior, including lab-confirmed STI (chlamydia, gonorrhea, syphilis and HIV) was collected and compared between Amsterdam and surrounding urban regions. Latent class analysis was used to identify classes with similar drug use patterns, which were then linked to sexual behavior and STI.
We included 4461 MSM who were a median 35 years old (IQR = 27–47) and mostly Dutch (56.9 %). Use of all drugs was more often reported in Amsterdam compared to surrounding regions (p |
| doi_str_mv | 10.1016/j.drugalcdep.2019.06.028 |
| format | Article |
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Men who have sex with men (MSM) are at high risk for sexually transmitted infections (STI) and often have sex while under the influence of drugs (sexualized drug use). We aimed to identify classes of MSM in Amsterdam and in surrounding urban regions with distinctive patterns of sexualized drug use and their association with STI.
In this cross-sectional study, data on MSM were collected at STI clinics in the Netherlands between September-December 2017. Information on drug use, sociodemographics and sexual risk behavior, including lab-confirmed STI (chlamydia, gonorrhea, syphilis and HIV) was collected and compared between Amsterdam and surrounding urban regions. Latent class analysis was used to identify classes with similar drug use patterns, which were then linked to sexual behavior and STI.
We included 4461 MSM who were a median 35 years old (IQR = 27–47) and mostly Dutch (56.9 %). Use of all drugs was more often reported in Amsterdam compared to surrounding regions (p<0.001). We identified four different classes based on sexualized drug use among Amsterdam participants and three classes in surrounding regions. In both regions, polydrug use classes (compared to classes of no drug use; alcohol use; or few, various drugs) were defined by higher numbers of sexual partners (median range 8–15 vs 4–6, respectively) and higher STI prevalence (range 30.5%–31.8% vs 18.6%–22.8%, respectively).
Given the high prevalence of risk behavior and STIs, MSM in urban settings partaking in sexualized polydrug use might benefit from tailored outreach, screening, and safe sex and drug use interventions.</description><identifier>ISSN: 0376-8716</identifier><identifier>EISSN: 1879-0046</identifier><identifier>DOI: 10.1016/j.drugalcdep.2019.06.028</identifier><identifier>PMID: 31783312</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Alcohol use ; Bacterial sexually transmitted infections ; Chlamydia trachomatis ; Drug abuse ; Drug use ; Drugs ; Gays & lesbians ; Gonorrhea ; Health risks ; High risk ; HIV ; Homosexuality male ; Human immunodeficiency virus ; Infections ; Latent class analysis ; Medical screening ; Men who have sex with men ; Mens health ; Multiple drugs ; Risk ; Risk behavior ; Risk taking ; Safe sexual practices ; Sex ; Sexual behavior ; Sexual partners ; Sexualization ; Sexually transmitted diseases ; Sociodemographics ; STD ; Substance use ; Syphilis ; Urban areas ; Urban environments</subject><ispartof>Drug and alcohol dependence, 2020-01, Vol.206, p.107526-107526, Article 107526</ispartof><rights>2019 Elsevier B.V.</rights><rights>Copyright © 2019 Elsevier B.V. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Jan 1, 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-3caa59becb4c0cbc0a5561993362fab675952598ef38a938323132312297296e3</citedby><cites>FETCH-LOGICAL-c452t-3caa59becb4c0cbc0a5561993362fab675952598ef38a938323132312297296e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.drugalcdep.2019.06.028$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,30980,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31783312$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Achterbergh, R.C.A.</creatorcontrib><creatorcontrib>Drückler, S.</creatorcontrib><creatorcontrib>van Rooijen, M.S.</creatorcontrib><creatorcontrib>van Aar, F.</creatorcontrib><creatorcontrib>Slurink, I.A.L.</creatorcontrib><creatorcontrib>de Vries, H.J.C.</creatorcontrib><creatorcontrib>Boyd, A.</creatorcontrib><title>Sex, drugs, and sexually transmitted infections: A latent class analysis among men who have sex with men in Amsterdam and surrounding urban regions, the Netherlands</title><title>Drug and alcohol dependence</title><addtitle>Drug Alcohol Depend</addtitle><description>•Drug use was higher among men who have sex with men (MSM) in Amsterdam than in surrounding urban regions.•4 classes found in Amsterdam: no drug, alcohol, few + various drugs, and polydrug.•3 classes found in surrounding regions: no drug, alcohol + soft drugs, and polydrug.•Sexually transmitted infection (STI) risk occurred mainly in the polydrug class.
Men who have sex with men (MSM) are at high risk for sexually transmitted infections (STI) and often have sex while under the influence of drugs (sexualized drug use). We aimed to identify classes of MSM in Amsterdam and in surrounding urban regions with distinctive patterns of sexualized drug use and their association with STI.
In this cross-sectional study, data on MSM were collected at STI clinics in the Netherlands between September-December 2017. Information on drug use, sociodemographics and sexual risk behavior, including lab-confirmed STI (chlamydia, gonorrhea, syphilis and HIV) was collected and compared between Amsterdam and surrounding urban regions. Latent class analysis was used to identify classes with similar drug use patterns, which were then linked to sexual behavior and STI.
We included 4461 MSM who were a median 35 years old (IQR = 27–47) and mostly Dutch (56.9 %). Use of all drugs was more often reported in Amsterdam compared to surrounding regions (p<0.001). We identified four different classes based on sexualized drug use among Amsterdam participants and three classes in surrounding regions. In both regions, polydrug use classes (compared to classes of no drug use; alcohol use; or few, various drugs) were defined by higher numbers of sexual partners (median range 8–15 vs 4–6, respectively) and higher STI prevalence (range 30.5%–31.8% vs 18.6%–22.8%, respectively).
Given the high prevalence of risk behavior and STIs, MSM in urban settings partaking in sexualized polydrug use might benefit from tailored outreach, screening, and safe sex and drug use interventions.</description><subject>Alcohol use</subject><subject>Bacterial sexually transmitted infections</subject><subject>Chlamydia trachomatis</subject><subject>Drug abuse</subject><subject>Drug use</subject><subject>Drugs</subject><subject>Gays & lesbians</subject><subject>Gonorrhea</subject><subject>Health risks</subject><subject>High risk</subject><subject>HIV</subject><subject>Homosexuality male</subject><subject>Human immunodeficiency virus</subject><subject>Infections</subject><subject>Latent class analysis</subject><subject>Medical screening</subject><subject>Men who have sex with men</subject><subject>Mens health</subject><subject>Multiple drugs</subject><subject>Risk</subject><subject>Risk behavior</subject><subject>Risk taking</subject><subject>Safe sexual practices</subject><subject>Sex</subject><subject>Sexual behavior</subject><subject>Sexual partners</subject><subject>Sexualization</subject><subject>Sexually transmitted diseases</subject><subject>Sociodemographics</subject><subject>STD</subject><subject>Substance use</subject><subject>Syphilis</subject><subject>Urban areas</subject><subject>Urban environments</subject><issn>0376-8716</issn><issn>1879-0046</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqFkc2O0zAUhS0EYkrhFZAlNiya4J_EidmVETBII1gAa8txblpXjlNsZ2b6PjwoznQAiQ2W7GtZ37nHugchTElJCRVvDmUf5p12podjyQiVJRElYe0jtKJtIwtCKvEYrQhvRNE2VFygZzEeSF5CkqfogtOm5ZyyFfr5Fe42eOkWN1j7Hke4m7VzJ5yC9nG0KUGPrR_AJDv5-BZvsdMJfMLG6RizRrtTtPkyTn6HR_D4dj_hvb6BpRe-tWl__2o93o4xQej1eHaaQ5hm39ssm0OnPQ6wWzw2OO0Bf4Z8BpfJ-Bw9GbSL8OKhrtH3D--_XV4V118-frrcXhemqlkquNG6lh2YrjLEdIbouhZUSs4FG3QnmlrWrJYtDLzVkreccbpsxmTDpAC-Rq_PfY9h-jFDTGq00YDLn4BpjopxlkcqCaUZffUPepjmkGexUDUXtKqywRq1Z8qEKcYAgzoGO-pwUpSoJUl1UH-TVEuSigiVk8zSlw8GczdC_0f4O7oMvDsDkCdyYyGoaCx4A70NOSzVT_b_Lr8AsgC11g</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Achterbergh, R.C.A.</creator><creator>Drückler, S.</creator><creator>van Rooijen, M.S.</creator><creator>van Aar, F.</creator><creator>Slurink, I.A.L.</creator><creator>de Vries, H.J.C.</creator><creator>Boyd, A.</creator><general>Elsevier B.V</general><general>Elsevier Science Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20200101</creationdate><title>Sex, drugs, and sexually transmitted infections: A latent class analysis among men who have sex with men in Amsterdam and surrounding urban regions, the Netherlands</title><author>Achterbergh, R.C.A. ; Drückler, S. ; van Rooijen, M.S. ; van Aar, F. ; Slurink, I.A.L. ; de Vries, H.J.C. ; Boyd, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-3caa59becb4c0cbc0a5561993362fab675952598ef38a938323132312297296e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Alcohol use</topic><topic>Bacterial sexually transmitted infections</topic><topic>Chlamydia trachomatis</topic><topic>Drug abuse</topic><topic>Drug use</topic><topic>Drugs</topic><topic>Gays & lesbians</topic><topic>Gonorrhea</topic><topic>Health risks</topic><topic>High risk</topic><topic>HIV</topic><topic>Homosexuality male</topic><topic>Human immunodeficiency virus</topic><topic>Infections</topic><topic>Latent class analysis</topic><topic>Medical screening</topic><topic>Men who have sex with men</topic><topic>Mens health</topic><topic>Multiple drugs</topic><topic>Risk</topic><topic>Risk behavior</topic><topic>Risk taking</topic><topic>Safe sexual practices</topic><topic>Sex</topic><topic>Sexual behavior</topic><topic>Sexual partners</topic><topic>Sexualization</topic><topic>Sexually transmitted diseases</topic><topic>Sociodemographics</topic><topic>STD</topic><topic>Substance use</topic><topic>Syphilis</topic><topic>Urban areas</topic><topic>Urban environments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Achterbergh, R.C.A.</creatorcontrib><creatorcontrib>Drückler, S.</creatorcontrib><creatorcontrib>van Rooijen, M.S.</creatorcontrib><creatorcontrib>van Aar, F.</creatorcontrib><creatorcontrib>Slurink, I.A.L.</creatorcontrib><creatorcontrib>de Vries, H.J.C.</creatorcontrib><creatorcontrib>Boyd, A.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Drug and alcohol dependence</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Achterbergh, R.C.A.</au><au>Drückler, S.</au><au>van Rooijen, M.S.</au><au>van Aar, F.</au><au>Slurink, I.A.L.</au><au>de Vries, H.J.C.</au><au>Boyd, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sex, drugs, and sexually transmitted infections: A latent class analysis among men who have sex with men in Amsterdam and surrounding urban regions, the Netherlands</atitle><jtitle>Drug and alcohol dependence</jtitle><addtitle>Drug Alcohol Depend</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>206</volume><spage>107526</spage><epage>107526</epage><pages>107526-107526</pages><artnum>107526</artnum><issn>0376-8716</issn><eissn>1879-0046</eissn><abstract>•Drug use was higher among men who have sex with men (MSM) in Amsterdam than in surrounding urban regions.•4 classes found in Amsterdam: no drug, alcohol, few + various drugs, and polydrug.•3 classes found in surrounding regions: no drug, alcohol + soft drugs, and polydrug.•Sexually transmitted infection (STI) risk occurred mainly in the polydrug class.
Men who have sex with men (MSM) are at high risk for sexually transmitted infections (STI) and often have sex while under the influence of drugs (sexualized drug use). We aimed to identify classes of MSM in Amsterdam and in surrounding urban regions with distinctive patterns of sexualized drug use and their association with STI.
In this cross-sectional study, data on MSM were collected at STI clinics in the Netherlands between September-December 2017. Information on drug use, sociodemographics and sexual risk behavior, including lab-confirmed STI (chlamydia, gonorrhea, syphilis and HIV) was collected and compared between Amsterdam and surrounding urban regions. Latent class analysis was used to identify classes with similar drug use patterns, which were then linked to sexual behavior and STI.
We included 4461 MSM who were a median 35 years old (IQR = 27–47) and mostly Dutch (56.9 %). Use of all drugs was more often reported in Amsterdam compared to surrounding regions (p<0.001). We identified four different classes based on sexualized drug use among Amsterdam participants and three classes in surrounding regions. In both regions, polydrug use classes (compared to classes of no drug use; alcohol use; or few, various drugs) were defined by higher numbers of sexual partners (median range 8–15 vs 4–6, respectively) and higher STI prevalence (range 30.5%–31.8% vs 18.6%–22.8%, respectively).
Given the high prevalence of risk behavior and STIs, MSM in urban settings partaking in sexualized polydrug use might benefit from tailored outreach, screening, and safe sex and drug use interventions.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>31783312</pmid><doi>10.1016/j.drugalcdep.2019.06.028</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | Elsevier ScienceDirect Journals; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Alcohol use Bacterial sexually transmitted infections Chlamydia trachomatis Drug abuse Drug use Drugs Gays & lesbians Gonorrhea Health risks High risk HIV Homosexuality male Human immunodeficiency virus Infections Latent class analysis Medical screening Men who have sex with men Mens health Multiple drugs Risk Risk behavior Risk taking Safe sexual practices Sex Sexual behavior Sexual partners Sexualization Sexually transmitted diseases Sociodemographics STD Substance use Syphilis Urban areas Urban environments |
| title | Sex, drugs, and sexually transmitted infections: A latent class analysis among men who have sex with men in Amsterdam and surrounding urban regions, the Netherlands |
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