Associations Between Methamphetamine Use, Housing Status, and Incarceration Rates Among Men Who Have Sex With Men and Transgender Women

作者：Anderson Carpenter Kaston D; Fletcher Jesse B; Reback Cathy J

来源：Journal of Drug Issues, 2017, 47(3): 383-395.

DOI：10.1177/0022042617696917

• methamphetamine
• men who have sex with men
• transgender
• HIV
• incarceration
• housing

The present study examined associations between methamphetamine use and social factors among men who have sex with men (MSM) and transgender women. Over a 4-year period, 7,419 HIV outreach encounters were conducted with MSM (n = 6,243) and transgender women (n = 1,176). Logistic and negative binomial regressions estimated associations between sociodemographics, incarceration history, housing status, and methamphetamine use. Incarceration history was associated with marginal housing or homelessness (adjusted odds ratio [AOR] = 3.4) and with increased likelihood (AOR = 6.00) and adjusted incidence rate ratio (AIRR = 3.57) of methamphetamine use. African American/Black MSM and transgender women were more likely to report a recent incarceration history compared with non-African American/Black participants (AOR = 2.18). Incarceration history was associated with a HIV-positive status (AOR = 1.69), and transgender women were 5.2 times more likely to report recent incarceration relative to MSM. Understanding these associations may provide a basis for developing interventions that account for the social factors influencing health outcomes among these two high-risk populations.

• 出版日期2017-7