Differentially classified methamphetamine-using men who have sex with men: A latent class analysis

•There is a need to rethink interventions for polysubstance using men who have sex with men (MSM).•Modeled the use patterns of polysubstance-using MSM on psychosocial variables.•Polysubstance-using MSM differed based polysubstance-using class membership.•Findings support developing interventions tai...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Drug and alcohol dependence 2018-11, Vol.192, p.129-136
Hauptverfasser: Wilkerson, J. Michael, Noor, Syed W., Rhoton, Jayson M., Li, Dennis, Rosser, B.R. Simon
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 136
container_issue
container_start_page 129
container_title Drug and alcohol dependence
container_volume 192
creator Wilkerson, J. Michael
Noor, Syed W.
Rhoton, Jayson M.
Li, Dennis
Rosser, B.R. Simon
description •There is a need to rethink interventions for polysubstance using men who have sex with men (MSM).•Modeled the use patterns of polysubstance-using MSM on psychosocial variables.•Polysubstance-using MSM differed based polysubstance-using class membership.•Findings support developing interventions tailored for polysubstance-using classes. Substance use interventions for methamphetamine-using men who have sex with men (MSM) are limited by the assumption that they are a uniform group. We hypothesized that an LCA would identify distinct patterns of substance use and demographic and psychosocial variables associated with different substance-using groups would aid in understanding distinctions. Using cross-sectional data from 343 methamphetamine-using MSM, we conducted an LCA to model the patterns of polysubstance use then examined how the classes varied on psychosocial variables defined by the Information-Motivation-Behavioral Skills (IMB) model. Because we were interested in identifying patterns of polysubstance use (PSU) among our sample, we identified four classes: minimal PSU, marijuana PSU, cocaine/hallucinogens PSU, and designer drugs/heroin PSU. Men in the marijuana PSU class were less likely to have positive attitudes towards methamphetamine than participants in the other three classes. Men in the Cocaine and Hallucinogens PSU class were more likely to have higher PANAS scores (OR = 13.00 [3.25, 52.07]) compared to the other classes, and they were more likely to have higher self-efficacy to enact safer substance use strategies (OR = 10.72 [3.23, 35.47]). MSM in the Designer Drug and Heroin PSU class were more likely to have a diagnosis of Hepatitis B (OR = 4.07 [0.86, 19.36] despite having higher knowledge of sexual health practices (OR = 0.55 [0.36, 0.84]. Differential classification for methamphetamine-using MSM suggests an opportunity for tailored interventions and secondary prevention programs. By understanding how men vary on illicit substance use, interventionists can routinely screen and link men before they potentially progress to another classification.
doi_str_mv 10.1016/j.drugalcdep.2018.07.003
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6746229</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0376871618304253</els_id><sourcerecordid>2136899271</sourcerecordid><originalsourceid>FETCH-LOGICAL-c507t-fe8ec46c4f51b882b724feccfa65d18796bd5e1cfcff5f7a164c3694eb7348f3</originalsourceid><addsrcrecordid>eNqFkU9v3CAQxVHVqtkm_QoVUi-92AWMAfdQKU3_SpFyyR1hPKxZYXsL9qb77Yu1adrmEi5Iw2_ezOMhhCkpKaHi_a7s4rI1wXawLxmhqiSyJKR6hjZUyaYghIvnaEMqKQolqThDr1LakXxEQ16is4owruq62aD2s3cOIoyzNyEcsQ0mJe88dHiAuTfDvofZDH6EYkl-3ObqiO_6CffmADjBL3zn536tfsCXOJg5K51EsBlNOCafLtALZ0KC1_f3Obr9-uX26ntxffPtx9XldWFrIufCgQLLheWupq1SrJWMO7DWGVF3qyvRdjVQ66xztZOGCm4r0XBoZcWVq87Rx5PsfmkH6GxeJJqg99EPJh71ZLz-_2X0vd5OBy0kF4w1WeDdvUCcfi6QZj34ZCEEM8K0JM0oZbQhjMiMvn2E7qYlZr8rVQnVNEzSTKkTZeOUUgT3sAwles1R7_TfHPWaoyZS5xxz65t_zTw0_gkuA59OAOQfPXiIOlkPo4XOR7Cz7ib_9JTf4kG24A</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2136899271</pqid></control><display><type>article</type><title>Differentially classified methamphetamine-using men who have sex with men: A latent class analysis</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><creator>Wilkerson, J. Michael ; Noor, Syed W. ; Rhoton, Jayson M. ; Li, Dennis ; Rosser, B.R. Simon</creator><creatorcontrib>Wilkerson, J. Michael ; Noor, Syed W. ; Rhoton, Jayson M. ; Li, Dennis ; Rosser, B.R. Simon</creatorcontrib><description>•There is a need to rethink interventions for polysubstance using men who have sex with men (MSM).•Modeled the use patterns of polysubstance-using MSM on psychosocial variables.•Polysubstance-using MSM differed based polysubstance-using class membership.•Findings support developing interventions tailored for polysubstance-using classes. Substance use interventions for methamphetamine-using men who have sex with men (MSM) are limited by the assumption that they are a uniform group. We hypothesized that an LCA would identify distinct patterns of substance use and demographic and psychosocial variables associated with different substance-using groups would aid in understanding distinctions. Using cross-sectional data from 343 methamphetamine-using MSM, we conducted an LCA to model the patterns of polysubstance use then examined how the classes varied on psychosocial variables defined by the Information-Motivation-Behavioral Skills (IMB) model. Because we were interested in identifying patterns of polysubstance use (PSU) among our sample, we identified four classes: minimal PSU, marijuana PSU, cocaine/hallucinogens PSU, and designer drugs/heroin PSU. Men in the marijuana PSU class were less likely to have positive attitudes towards methamphetamine than participants in the other three classes. Men in the Cocaine and Hallucinogens PSU class were more likely to have higher PANAS scores (OR = 13.00 [3.25, 52.07]) compared to the other classes, and they were more likely to have higher self-efficacy to enact safer substance use strategies (OR = 10.72 [3.23, 35.47]). MSM in the Designer Drug and Heroin PSU class were more likely to have a diagnosis of Hepatitis B (OR = 4.07 [0.86, 19.36] despite having higher knowledge of sexual health practices (OR = 0.55 [0.36, 0.84]. Differential classification for methamphetamine-using MSM suggests an opportunity for tailored interventions and secondary prevention programs. By understanding how men vary on illicit substance use, interventionists can routinely screen and link men before they potentially progress to another classification.</description><identifier>ISSN: 0376-8716</identifier><identifier>EISSN: 1879-0046</identifier><identifier>DOI: 10.1016/j.drugalcdep.2018.07.003</identifier><identifier>PMID: 30248559</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Adult ; Alcohol and substance use ; Alcohol use ; Amphetamine-Related Disorders - classification ; Amphetamine-Related Disorders - epidemiology ; Amphetamine-Related Disorders - psychology ; Behavioral theories ; Cannabis ; Classification ; Cocaine ; Cross-Sectional Studies ; Demographic variables ; Demographics ; Drug abuse ; Drug use ; Gay men ; Gays &amp; lesbians ; Hallucinogens ; Health behavior ; Hepatitis ; Hepatitis B ; Heroin ; HIV ; HIV Infections - epidemiology ; HIV Infections - prevention &amp; control ; HIV Infections - psychology ; HIV/AIDS ; Homosexuality ; Homosexuality, Male - psychology ; Human immunodeficiency virus ; Humans ; Intervention ; Latent Class Analysis ; Male ; Marijuana ; Mathematical models ; Medical diagnosis ; Men who have sex with men ; Mens health ; Methamphetamine ; Methamphetamine - adverse effects ; Motivation ; Multiple drugs ; Narcotics ; Prevention programs ; Psychosocial factors ; Risk-Taking ; Secondary prevention ; Self-efficacy ; Sexual health ; Substance abuse ; Substance use ; United States - epidemiology</subject><ispartof>Drug and alcohol dependence, 2018-11, Vol.192, p.129-136</ispartof><rights>2018 Elsevier B.V.</rights><rights>Copyright © 2018 Elsevier B.V. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Nov 1, 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c507t-fe8ec46c4f51b882b724feccfa65d18796bd5e1cfcff5f7a164c3694eb7348f3</citedby><cites>FETCH-LOGICAL-c507t-fe8ec46c4f51b882b724feccfa65d18796bd5e1cfcff5f7a164c3694eb7348f3</cites><orcidid>0000-0003-0815-8577 ; 0000-0001-9709-7619 ; 0000-0002-4090-8799</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.drugalcdep.2018.07.003$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30248559$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wilkerson, J. Michael</creatorcontrib><creatorcontrib>Noor, Syed W.</creatorcontrib><creatorcontrib>Rhoton, Jayson M.</creatorcontrib><creatorcontrib>Li, Dennis</creatorcontrib><creatorcontrib>Rosser, B.R. Simon</creatorcontrib><title>Differentially classified methamphetamine-using men who have sex with men: A latent class analysis</title><title>Drug and alcohol dependence</title><addtitle>Drug Alcohol Depend</addtitle><description>•There is a need to rethink interventions for polysubstance using men who have sex with men (MSM).•Modeled the use patterns of polysubstance-using MSM on psychosocial variables.•Polysubstance-using MSM differed based polysubstance-using class membership.•Findings support developing interventions tailored for polysubstance-using classes. Substance use interventions for methamphetamine-using men who have sex with men (MSM) are limited by the assumption that they are a uniform group. We hypothesized that an LCA would identify distinct patterns of substance use and demographic and psychosocial variables associated with different substance-using groups would aid in understanding distinctions. Using cross-sectional data from 343 methamphetamine-using MSM, we conducted an LCA to model the patterns of polysubstance use then examined how the classes varied on psychosocial variables defined by the Information-Motivation-Behavioral Skills (IMB) model. Because we were interested in identifying patterns of polysubstance use (PSU) among our sample, we identified four classes: minimal PSU, marijuana PSU, cocaine/hallucinogens PSU, and designer drugs/heroin PSU. Men in the marijuana PSU class were less likely to have positive attitudes towards methamphetamine than participants in the other three classes. Men in the Cocaine and Hallucinogens PSU class were more likely to have higher PANAS scores (OR = 13.00 [3.25, 52.07]) compared to the other classes, and they were more likely to have higher self-efficacy to enact safer substance use strategies (OR = 10.72 [3.23, 35.47]). MSM in the Designer Drug and Heroin PSU class were more likely to have a diagnosis of Hepatitis B (OR = 4.07 [0.86, 19.36] despite having higher knowledge of sexual health practices (OR = 0.55 [0.36, 0.84]. Differential classification for methamphetamine-using MSM suggests an opportunity for tailored interventions and secondary prevention programs. By understanding how men vary on illicit substance use, interventionists can routinely screen and link men before they potentially progress to another classification.</description><subject>Adult</subject><subject>Alcohol and substance use</subject><subject>Alcohol use</subject><subject>Amphetamine-Related Disorders - classification</subject><subject>Amphetamine-Related Disorders - epidemiology</subject><subject>Amphetamine-Related Disorders - psychology</subject><subject>Behavioral theories</subject><subject>Cannabis</subject><subject>Classification</subject><subject>Cocaine</subject><subject>Cross-Sectional Studies</subject><subject>Demographic variables</subject><subject>Demographics</subject><subject>Drug abuse</subject><subject>Drug use</subject><subject>Gay men</subject><subject>Gays &amp; lesbians</subject><subject>Hallucinogens</subject><subject>Health behavior</subject><subject>Hepatitis</subject><subject>Hepatitis B</subject><subject>Heroin</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - prevention &amp; control</subject><subject>HIV Infections - psychology</subject><subject>HIV/AIDS</subject><subject>Homosexuality</subject><subject>Homosexuality, Male - psychology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Intervention</subject><subject>Latent Class Analysis</subject><subject>Male</subject><subject>Marijuana</subject><subject>Mathematical models</subject><subject>Medical diagnosis</subject><subject>Men who have sex with men</subject><subject>Mens health</subject><subject>Methamphetamine</subject><subject>Methamphetamine - adverse effects</subject><subject>Motivation</subject><subject>Multiple drugs</subject><subject>Narcotics</subject><subject>Prevention programs</subject><subject>Psychosocial factors</subject><subject>Risk-Taking</subject><subject>Secondary prevention</subject><subject>Self-efficacy</subject><subject>Sexual health</subject><subject>Substance abuse</subject><subject>Substance use</subject><subject>United States - epidemiology</subject><issn>0376-8716</issn><issn>1879-0046</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkU9v3CAQxVHVqtkm_QoVUi-92AWMAfdQKU3_SpFyyR1hPKxZYXsL9qb77Yu1adrmEi5Iw2_ezOMhhCkpKaHi_a7s4rI1wXawLxmhqiSyJKR6hjZUyaYghIvnaEMqKQolqThDr1LakXxEQ16is4owruq62aD2s3cOIoyzNyEcsQ0mJe88dHiAuTfDvofZDH6EYkl-3ObqiO_6CffmADjBL3zn536tfsCXOJg5K51EsBlNOCafLtALZ0KC1_f3Obr9-uX26ntxffPtx9XldWFrIufCgQLLheWupq1SrJWMO7DWGVF3qyvRdjVQ66xztZOGCm4r0XBoZcWVq87Rx5PsfmkH6GxeJJqg99EPJh71ZLz-_2X0vd5OBy0kF4w1WeDdvUCcfi6QZj34ZCEEM8K0JM0oZbQhjMiMvn2E7qYlZr8rVQnVNEzSTKkTZeOUUgT3sAwles1R7_TfHPWaoyZS5xxz65t_zTw0_gkuA59OAOQfPXiIOlkPo4XOR7Cz7ib_9JTf4kG24A</recordid><startdate>20181101</startdate><enddate>20181101</enddate><creator>Wilkerson, J. Michael</creator><creator>Noor, Syed W.</creator><creator>Rhoton, Jayson M.</creator><creator>Li, Dennis</creator><creator>Rosser, B.R. Simon</creator><general>Elsevier B.V</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><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><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0815-8577</orcidid><orcidid>https://orcid.org/0000-0001-9709-7619</orcidid><orcidid>https://orcid.org/0000-0002-4090-8799</orcidid></search><sort><creationdate>20181101</creationdate><title>Differentially classified methamphetamine-using men who have sex with men: A latent class analysis</title><author>Wilkerson, J. Michael ; Noor, Syed W. ; Rhoton, Jayson M. ; Li, Dennis ; Rosser, B.R. Simon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c507t-fe8ec46c4f51b882b724feccfa65d18796bd5e1cfcff5f7a164c3694eb7348f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Alcohol and substance use</topic><topic>Alcohol use</topic><topic>Amphetamine-Related Disorders - classification</topic><topic>Amphetamine-Related Disorders - epidemiology</topic><topic>Amphetamine-Related Disorders - psychology</topic><topic>Behavioral theories</topic><topic>Cannabis</topic><topic>Classification</topic><topic>Cocaine</topic><topic>Cross-Sectional Studies</topic><topic>Demographic variables</topic><topic>Demographics</topic><topic>Drug abuse</topic><topic>Drug use</topic><topic>Gay men</topic><topic>Gays &amp; lesbians</topic><topic>Hallucinogens</topic><topic>Health behavior</topic><topic>Hepatitis</topic><topic>Hepatitis B</topic><topic>Heroin</topic><topic>HIV</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - prevention &amp; control</topic><topic>HIV Infections - psychology</topic><topic>HIV/AIDS</topic><topic>Homosexuality</topic><topic>Homosexuality, Male - psychology</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Intervention</topic><topic>Latent Class Analysis</topic><topic>Male</topic><topic>Marijuana</topic><topic>Mathematical models</topic><topic>Medical diagnosis</topic><topic>Men who have sex with men</topic><topic>Mens health</topic><topic>Methamphetamine</topic><topic>Methamphetamine - adverse effects</topic><topic>Motivation</topic><topic>Multiple drugs</topic><topic>Narcotics</topic><topic>Prevention programs</topic><topic>Psychosocial factors</topic><topic>Risk-Taking</topic><topic>Secondary prevention</topic><topic>Self-efficacy</topic><topic>Sexual health</topic><topic>Substance abuse</topic><topic>Substance use</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wilkerson, J. Michael</creatorcontrib><creatorcontrib>Noor, Syed W.</creatorcontrib><creatorcontrib>Rhoton, Jayson M.</creatorcontrib><creatorcontrib>Li, Dennis</creatorcontrib><creatorcontrib>Rosser, B.R. Simon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Drug and alcohol dependence</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wilkerson, J. Michael</au><au>Noor, Syed W.</au><au>Rhoton, Jayson M.</au><au>Li, Dennis</au><au>Rosser, B.R. Simon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differentially classified methamphetamine-using men who have sex with men: A latent class analysis</atitle><jtitle>Drug and alcohol dependence</jtitle><addtitle>Drug Alcohol Depend</addtitle><date>2018-11-01</date><risdate>2018</risdate><volume>192</volume><spage>129</spage><epage>136</epage><pages>129-136</pages><issn>0376-8716</issn><eissn>1879-0046</eissn><abstract>•There is a need to rethink interventions for polysubstance using men who have sex with men (MSM).•Modeled the use patterns of polysubstance-using MSM on psychosocial variables.•Polysubstance-using MSM differed based polysubstance-using class membership.•Findings support developing interventions tailored for polysubstance-using classes. Substance use interventions for methamphetamine-using men who have sex with men (MSM) are limited by the assumption that they are a uniform group. We hypothesized that an LCA would identify distinct patterns of substance use and demographic and psychosocial variables associated with different substance-using groups would aid in understanding distinctions. Using cross-sectional data from 343 methamphetamine-using MSM, we conducted an LCA to model the patterns of polysubstance use then examined how the classes varied on psychosocial variables defined by the Information-Motivation-Behavioral Skills (IMB) model. Because we were interested in identifying patterns of polysubstance use (PSU) among our sample, we identified four classes: minimal PSU, marijuana PSU, cocaine/hallucinogens PSU, and designer drugs/heroin PSU. Men in the marijuana PSU class were less likely to have positive attitudes towards methamphetamine than participants in the other three classes. Men in the Cocaine and Hallucinogens PSU class were more likely to have higher PANAS scores (OR = 13.00 [3.25, 52.07]) compared to the other classes, and they were more likely to have higher self-efficacy to enact safer substance use strategies (OR = 10.72 [3.23, 35.47]). MSM in the Designer Drug and Heroin PSU class were more likely to have a diagnosis of Hepatitis B (OR = 4.07 [0.86, 19.36] despite having higher knowledge of sexual health practices (OR = 0.55 [0.36, 0.84]. Differential classification for methamphetamine-using MSM suggests an opportunity for tailored interventions and secondary prevention programs. By understanding how men vary on illicit substance use, interventionists can routinely screen and link men before they potentially progress to another classification.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>30248559</pmid><doi>10.1016/j.drugalcdep.2018.07.003</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-0815-8577</orcidid><orcidid>https://orcid.org/0000-0001-9709-7619</orcidid><orcidid>https://orcid.org/0000-0002-4090-8799</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0376-8716
ispartof Drug and alcohol dependence, 2018-11, Vol.192, p.129-136
issn 0376-8716
1879-0046
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6746229
source MEDLINE; Elsevier ScienceDirect Journals Complete; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Adult
Alcohol and substance use
Alcohol use
Amphetamine-Related Disorders - classification
Amphetamine-Related Disorders - epidemiology
Amphetamine-Related Disorders - psychology
Behavioral theories
Cannabis
Classification
Cocaine
Cross-Sectional Studies
Demographic variables
Demographics
Drug abuse
Drug use
Gay men
Gays & lesbians
Hallucinogens
Health behavior
Hepatitis
Hepatitis B
Heroin
HIV
HIV Infections - epidemiology
HIV Infections - prevention & control
HIV Infections - psychology
HIV/AIDS
Homosexuality
Homosexuality, Male - psychology
Human immunodeficiency virus
Humans
Intervention
Latent Class Analysis
Male
Marijuana
Mathematical models
Medical diagnosis
Men who have sex with men
Mens health
Methamphetamine
Methamphetamine - adverse effects
Motivation
Multiple drugs
Narcotics
Prevention programs
Psychosocial factors
Risk-Taking
Secondary prevention
Self-efficacy
Sexual health
Substance abuse
Substance use
United States - epidemiology
title Differentially classified methamphetamine-using men who have sex with men: A latent class analysis
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T18%3A17%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Differentially%20classified%20methamphetamine-using%20men%20who%20have%20sex%20with%20men:%20A%20latent%20class%20analysis&rft.jtitle=Drug%20and%20alcohol%20dependence&rft.au=Wilkerson,%20J.%20Michael&rft.date=2018-11-01&rft.volume=192&rft.spage=129&rft.epage=136&rft.pages=129-136&rft.issn=0376-8716&rft.eissn=1879-0046&rft_id=info:doi/10.1016/j.drugalcdep.2018.07.003&rft_dat=%3Cproquest_pubme%3E2136899271%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2136899271&rft_id=info:pmid/30248559&rft_els_id=S0376871618304253&rfr_iscdi=true