Sex, drugs and social connectedness: Wellbeing among HIV-positive gay and bisexual men who use party-and-play drugs

© 2018 CSIRO. Background This paper explores associations between use of party-and-play drugs, including crystal methamphetamine, and wellbeing among HIV positive gay and bisexual men (GBM) in Australia. This study considers whether use of drugs in a social or sex-based setting facilitates access t...

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Main Authors: Power, J., Mikolajczak, G., Bourne, A., Brown, Graham, Leonard, W., Lyons, A., Dowsett, G., Lucke, J.
Format: Journal Article
Published: C S I R O Publishing 2018
Online Access:http://hdl.handle.net/20.500.11937/67995
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author Power, J.
Mikolajczak, G.
Bourne, A.
Brown, Graham
Leonard, W.
Lyons, A.
Dowsett, G.
Lucke, J.
author_facet Power, J.
Mikolajczak, G.
Bourne, A.
Brown, Graham
Leonard, W.
Lyons, A.
Dowsett, G.
Lucke, J.
author_sort Power, J.
building Curtin Institutional Repository
collection Online Access
description © 2018 CSIRO. Background This paper explores associations between use of party-and-play drugs, including crystal methamphetamine, and wellbeing among HIV positive gay and bisexual men (GBM) in Australia. This study considers whether use of drugs in a social or sex-based setting facilitates access to social and support networks, which may in turn support wellbeing. Methods: A cross-sectional survey of Australian people living with HIV (PLHIV) was conducted. There were 714 participants (79.7%) who identified as GBM. Differences between party-and-play drug users and non-users were examined using bivariate and multinomial logistic regressions. Mediation analysis examined the indirect effect of drug use on wellbeing via social connectedness and support. Results: One in three participants (29.7%) reported party-and-play drug use within the past 12 months. Only 5% reported regular use. There were no differences between users and non-users on self-reported measures of general health, wellbeing or general social support. Compared with non-users, party-and-play drug users reported higher levels of resilience and lower levels of perceived HIV-related stigma. This was associated with spending more time with other people living with HIV and friends in the gay and lesbian community. Conclusions: While party-and-play drug use poses risks to the health of GBM, the social contexts in which these drugs are used may provide wellbeing benefits, particularly for HIV-positive GBM who may be subject to HIV-related stigma in other settings. Further research is needed to determine whether drug-use facilitates access to social networks or if people with more active social ties are more likely to engage in drug use.
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spelling curtin-20.500.11937-679952018-05-18T08:06:38Z Sex, drugs and social connectedness: Wellbeing among HIV-positive gay and bisexual men who use party-and-play drugs Power, J. Mikolajczak, G. Bourne, A. Brown, Graham Leonard, W. Lyons, A. Dowsett, G. Lucke, J. © 2018 CSIRO. Background This paper explores associations between use of party-and-play drugs, including crystal methamphetamine, and wellbeing among HIV positive gay and bisexual men (GBM) in Australia. This study considers whether use of drugs in a social or sex-based setting facilitates access to social and support networks, which may in turn support wellbeing. Methods: A cross-sectional survey of Australian people living with HIV (PLHIV) was conducted. There were 714 participants (79.7%) who identified as GBM. Differences between party-and-play drug users and non-users were examined using bivariate and multinomial logistic regressions. Mediation analysis examined the indirect effect of drug use on wellbeing via social connectedness and support. Results: One in three participants (29.7%) reported party-and-play drug use within the past 12 months. Only 5% reported regular use. There were no differences between users and non-users on self-reported measures of general health, wellbeing or general social support. Compared with non-users, party-and-play drug users reported higher levels of resilience and lower levels of perceived HIV-related stigma. This was associated with spending more time with other people living with HIV and friends in the gay and lesbian community. Conclusions: While party-and-play drug use poses risks to the health of GBM, the social contexts in which these drugs are used may provide wellbeing benefits, particularly for HIV-positive GBM who may be subject to HIV-related stigma in other settings. Further research is needed to determine whether drug-use facilitates access to social networks or if people with more active social ties are more likely to engage in drug use. 2018 Journal Article http://hdl.handle.net/20.500.11937/67995 10.1071/SH17151 C S I R O Publishing restricted
spellingShingle Power, J.
Mikolajczak, G.
Bourne, A.
Brown, Graham
Leonard, W.
Lyons, A.
Dowsett, G.
Lucke, J.
Sex, drugs and social connectedness: Wellbeing among HIV-positive gay and bisexual men who use party-and-play drugs
title Sex, drugs and social connectedness: Wellbeing among HIV-positive gay and bisexual men who use party-and-play drugs
title_full Sex, drugs and social connectedness: Wellbeing among HIV-positive gay and bisexual men who use party-and-play drugs
title_fullStr Sex, drugs and social connectedness: Wellbeing among HIV-positive gay and bisexual men who use party-and-play drugs
title_full_unstemmed Sex, drugs and social connectedness: Wellbeing among HIV-positive gay and bisexual men who use party-and-play drugs
title_short Sex, drugs and social connectedness: Wellbeing among HIV-positive gay and bisexual men who use party-and-play drugs
title_sort sex, drugs and social connectedness: wellbeing among hiv-positive gay and bisexual men who use party-and-play drugs
url http://hdl.handle.net/20.500.11937/67995