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Researchers from the San Francisco Department of Public Health report that meth use among men who have sex with men has decreased over the past three years. They attribute the change to successful public health campaigns, but say that drug use is still a problem. Methamphetamine reduces inhibitions, making all men — not just gay ones — much more likely to participate in high-risk sexual behavior. In other words, by taking meth, men are more likely to perform sex acts that will result in the spread of sexually transmitted diseases. In , researchers in San Francisco demonstrated a link between methamphetamine use and the spread of HIV. Four years later, in , the Ted Haggard scandal drew further attention to methamphetamine use among homosexuals.

The Journal of Urban Health recently released an advanced access version of a special issue devoted to investigations of substance use and sexual risk behavior among men who have sex with men MSM. Some of these papers may offer useful insights for designing interventions and understanding the complex motivations that drives high risk behavior and continuing HIV transmissions in what is often referred to as a "community" but are, as is evident from these studies, highly diverse populations of individuals with many differing motivations and behavior patterns. Heavy drug users were younger than light drug users Both heavy and light users used meth and alcohol in similar amounts and frequency. The heavy users reported more unprotected sex with more partners of seronegative or unknown status.

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