Fiona M Guerra1, Travis J Salway2, Robyn Beckett3, Lindsay Friedman4, Sarah A Buchan3. 1. Communicable Disease, Emergency Preparedness and Response, Public Health Ontario, 661 University Ave, Toronto, ON, M5G 1M1, Canada. Electronic address: fiona.guerra@oahpp.ca. 2. Faculty of Health Sciences, Simon Fraser University, Blusson Hall 10506, 8888 University Dr., Burnaby, BC, V5A 1S6, Canada; British Columbia Centre for Disease Control, Vancouver, BC, V5Z 4R4, Canada; Centre for Gender and Sexual Health Equity, Vancouver, BC, V6Z 2K5, Canada. 3. Communicable Disease, Emergency Preparedness and Response, Public Health Ontario, 661 University Ave, Toronto, ON, M5G 1M1, Canada; Dalla Lana School of Public Health, University of Toronto, 155 College St, Room 500, Toronto, ON, M5T 3M7, Canada. 4. Communicable Disease, Emergency Preparedness and Response, Public Health Ontario, 661 University Ave, Toronto, ON, M5G 1M1, Canada.
Abstract
PURPOSE: The aim of the present study was to quantify associations between sexualized drug use (SDU) and sexually-transmitted and blood-borne infection (STBBI) diagnoses in gay, bisexual and other men who have sex with men (GBMSM) with defined temporal proximity between SDU exposure and STBBI diagnoses. METHODS: In May 2018 and June 2019, we searched the literature for primary studies that quantified the association between STBBI and SDU among GBMSM. A random-effects model was used to meta-analyze the data and estimate the association between SDU and STBBIs. RESULTS: Nineteen studies met the inclusion criteria and fourteen studies were included in the meta-analyses. SDU was associated with higher odds of bacterial STI diagnoses, higher odds of HCV diagnoses, and higher odds of HIV diagnoses. Associations between SDU and diagnoses of bacterial STIs or HCV remained after adjustment for behavioral and sociodemographic factors. CONCLUSIONS: Robust and consistent associations between SDU and STBBI identified in this review add to the evidence suggesting SDU is a potential contributor to bacterial STIs and HCV or a proxy indicator for other risk factors. Crown
PURPOSE: The aim of the present study was to quantify associations between sexualized drug use (SDU) and sexually-transmitted and blood-borne infection (STBBI) diagnoses in gay, bisexual and other men who have sex with men (GBMSM) with defined temporal proximity between SDU exposure and STBBI diagnoses. METHODS: In May 2018 and June 2019, we searched the literature for primary studies that quantified the association between STBBI and SDU among GBMSM. A random-effects model was used to meta-analyze the data and estimate the association between SDU and STBBIs. RESULTS: Nineteen studies met the inclusion criteria and fourteen studies were included in the meta-analyses. SDU was associated with higher odds of bacterial STI diagnoses, higher odds of HCV diagnoses, and higher odds of HIV diagnoses. Associations between SDU and diagnoses of bacterial STIs or HCV remained after adjustment for behavioral and sociodemographic factors. CONCLUSIONS: Robust and consistent associations between SDU and STBBI identified in this review add to the evidence suggesting SDU is a potential contributor to bacterial STIs and HCV or a proxy indicator for other risk factors. Crown
Authors: Emilia M Jalil; Thiago S Torres; Claudia C de A Pereira; Alessandro Farias; Jose D U Brito; Marcus Lacerda; Daila A R da Silva; Nickols Wallys; Gabriela Ribeiro; Joyce Gomes; Thiffany Odara; Ludymilla Santiago; Sophie Nouveau; Marcos Benedetti; Cristina Pimenta; Brenda Hoagland; Beatriz Grinsztejn; Valdilea G Veloso Journal: Int J Environ Res Public Health Date: 2022-02-02 Impact factor: 3.390