In the United States, problematic stimulant use is a prevalent and difficult to treat problem among men who have sex with men MSM , as well as a major driver of HIV transmission through the large number of sexual partners and concomitant condomless anal sex CAS. Evidence-based behavioral studies that address problematic stimulant use in MSM at risk for HIV infection are also lacking. In this paper, we describe the design of a behavioral intervention trial to reduce sexual risk behavior and stimulant use in HIV-uninfected MSM. Participants are randomized to either 1 the IMPACT intervention; 2 a relaxation condition, an active therapy time- and intensity-matched control; or 3 a standard of care risk reduction counseling comparison. At enrollment, all participants receive an HIV test and pre- and post-test counseling.
Prior research established that psychological factors are associated with the frequency of stimulant i. The present investigation examined whether and how psychological factors are associated with engagement in any stimulant use in the broader population of MSM. A probability sample of MSM residing in San Francisco was obtained using random digit dialing from May of through January of After accounting for demographic factors, a multiple logistic regression analysis examined correlates of any self-reported stimulant use during the past 6 months.
JAMA Psychiatry. However, stimulant treatment was previously reported to reduce the risk of substance problems. Odds ratios were obtained for lifetime use ever used and abuse or dependence status for alcohol, cocaine, marijuana, nicotine, and nonspecific drugs for participants from 15 different studies.
Sexuality in men and women is a complex phenomenon involving biological, psychological, social, and according to some, spiritual domains of life. Since time immemorial, there was a search for aphrodisiacs to improve sexual functioning and well-being. Sexual revolution, which became a social movement in s, had its antecedents in early 20 th century Freudian and certain French social theories. On the other hand, sexual revolution helped people seek professional help for their intimate relationship issues and thereby receive help for much related psychological suffering. Kinsey reported[ 2 ] initially and the Masters and Johnson[ 3 ] after that spear-headed the branch of sexual disorders management and have contributed a lot through the behavioral approach.