Journal Article

Recreational Drug Use among Chinese MSM and Transgender Individuals: Results from a National Online Cross-Sectional Study

Huang, Shujie, Tangthanasup, Thitikarn May, Zhang, Ye, Best, John, Tang, Songyuan, Tucker, Joseph D., Wang, Cheng, Yang, Bin, Zhao, Peizhen, Tang, Weiming, Wei, Chongyi

2017

Overview

Recreational drug use has increased considerably among Chinese men who have sex with men (MSM). The phenomenon has the potentially to increase HIV transmission among Chinese MSM. The aims of this study were: 1) to investigate the prevalence of recreational drug use among Chinese MSM, and 2) to explore the correlation between gay smartphone based sex-seeking applications (gay apps), HIV/STIs testing, group sex, commercial sex, sexual roles and poppers use among Chinese MSM. MSM who were born biologically male, were at least 16 years of age and had engaged in anal sex with a man at least once were recruited through a nation-wide online survey in 2014. Information regarding socio-demographics, risk behaviors, recreational drug use, HIV and other STIs testing history and gay app use were collected. Univariate and multivariate analysis were used to determine factors associated with recreational drug use among Chinese MSM. Among 1424 participating MSM, 1100 (77.3%) reported ever using recreational drugs in their lifetime. In the last 12 months, 303 (21.3%) used poppers, 34 (2.4%) used crystal meth and 15 (1.0%) used ecstasy. The mean age of respondents was 25.6±6.8 years, 72.9% identified as gay, 41.3% were students, and 83.8% had never been married. Multiple logistic regression models revealed that compared with non-popper users, popper users were more likely to have been tested for HIV (adjusted OR (aOR) = 1.50, 95% CI: 1.15-1.96) and other STIs (aOR = 1.65, 95% CI: 1.26-2.17). In addition, popper users were more likely to engage in group sex (aOR = 2.63, 95% CI:1.80-3.86), commercial sex (aOR = 1.86, 95% CI:1.13-3.06) and used gay mobile apps to seek sexual partners (aOR = 2.10, 95% CI:1.58-2.80). Chinese MSM has a high rate of recreational drug use, including poppers. Public health programs serving MSM may consider integrating intervention programs to decrease recreational drug use related harms.

• Publisher: Public Library of Science,Public Library of Science (PLoS)
• Subject: Acquired immune deficiency syndrome / Adolescent / Adult / AIDS / Anal sex / Applications programs / Biology and Life Sciences / China - epidemiology / Cross-Sectional Studies / Demographics / Demography / Disease transmission / Drug abuse / Drug use / Drugs / Ecstasy / Female / Gays & lesbians / Health aspects / Health risks / HIV / Homosexuality, Male / Human immunodeficiency virus / Humans / Internet / Lentivirus / Male / Management / MDMA / Medicine and Health Sciences / Mens health / Mobile applications / Mobile computing / MSM (Men who have sex with men) / Multivariate analysis / People and Places / Physical Sciences / Prostitution / Public health / Recreational drugs / Recreational use / Regression analysis / Regression models / Retroviridae / Risk taking / Sex / Sexual behavior / Sexual partners / Sexually transmitted diseases / Sexually Transmitted Diseases - epidemiology / Smart phones / Smartphones / Social aspects / Social Sciences / STD / Substance-Related Disorders - epidemiology / Transgender Persons / Wellness programs / Young Adult