Evaluating the impact of COVID-19: A cohort comparison study of drug use and risky sexual behavior among sexual minority men in the U.S.A

TitleEvaluating the impact of COVID-19: A cohort comparison study of drug use and risky sexual behavior among sexual minority men in the U.S.A
Publication TypePublication
Year of Publication2020
AuthorsStarks TJ, S Jones S, Sauermilch D, Benedict M, Adebayo T, Cain D, Simpson KN
JournalDrug Alcohol Depend
Volume216
Pagination108260
Date Published2020 11 01
ISSN1879-0046
KeywordsAdult, Betacoronavirus, Cohort Studies, Coronavirus Infections, COVID-19, Homosexuality, Male, Humans, Illicit Drugs, Male, Marijuana Use, Methamphetamine, Pandemics, Pneumonia, Viral, Risk-Taking, SARS-CoV-2, Sexual and Gender Minorities, Sexual Behavior, Sexual Partners, Social Networking, Substance-Related Disorders, Surveys and Questionnaires
Abstract

<p><b>BACKGROUND: </b>Sexual minority men who use drugs have high sexual HIV transmission risk. Sexual interactions may also increase COVID-19 risk.This study compared marijuana use, other illegal drugs use (i.e. cocaine/crack, methamphetamine, MDMA/ecstasy, GHB, and ketamine) and sexual behavior with casual partners among sexual minority cismen active on social networking and dating applications before and during the COVID-19 epidemic.</p><p><b>METHODS: </b>This cohort-control study compared 455 adult respondents (surveyed May 6th to 17th, 2020) and a matched sample selected from 65,707 respondents surveyed pre-COVID. Participants were recruited on social networking and dating applications and completed surveys online.</p><p><b>RESULTS: </b>The proportion reporting marijuana use declined significantly in the COVID cohort (34.5 % versus 45.7 % pre-COVID,p < .001) as did their illegal drug use (11.0 % versus 22.9 % pre-COVID, p < .001). While the number of casual partners per month was stable, the proportion reporting condomless anal sex with casual partners declined significantly during COVID (26.4 % versus 71.6 % pre-COVID, p < .001). The effect of illegal drug use (excluding marijuana) on number of casual partners per month (aRR = 1.45 pre-COVID versus 2.84, p < .01) and odds of condomless anal sex (aOR = 2.00 pre-COVID versus 5.22, p = .04) were significantly greater in the COVID cohort.</p><p><b>CONCLUSIONS: </b>While the proportion of participants reporting drug use and condomless anal sex with casual partners declined in the COVID cohort, the association between drug use and sexual behavior was magnified. Sexual minority men who use drugs are significantly more likely to engage in sexual behaviors that place them at risk for HIV and COVID-19 transmission.</p>

DOI10.1016/j.drugalcdep.2020.108260
Alternate JournalDrug Alcohol Depend
PubMed ID32890975
PubMed Central IDPMC7453210
Grant ListU19 HD089875 / HD / NICHD NIH HHS / United States
R01 DA045613 / DA / NIDA NIH HHS / United States
R01 DA041262 / DA / NIDA NIH HHS / United States
R34 DA043422 / DA / NIDA NIH HHS / United States
R01 MH114735 / MH / NIMH NIH HHS / United States
UG3 AI133674 / AI / NIAID NIH HHS / United States