BACKGROUND: Methamphetamine (MA) is a new arrival to the Southeastern<br />United States (US). Incidence of HIV is also increasing regionally,<br />but data are limited regarding any association between this trend<br />and MA use. We examined behavioral data from North Carolina (NC)<br />residents newly diagnosed with HIV, collected by the Department of<br />Health between 2000-2005. PRINCIPAL FINDINGS: Among 1,460 newly diagnosed<br />HIV-positive young men, an increasing trend was seen from 2000-2005<br />in MA use (p = 0.01, total n = 20). In bivariate analyses, users<br />of MA had significantly greater odds of reporting other substance<br />use, including alcohol, powder or crack cocaine, marijuana, and methylenedioxymethamphetamine<br />(MDMA, "ecstasy"). They were also more likely to have reported sexual<br />activity while traveling outside NC; sex with anonymous partners;<br />and previous HIV testing. In a predictive model, MA use had a negative<br />association with nonwhite race, and strong positive associations<br />with powder cocaine, "ecstasy," or intravenous drug use and being<br />a university student. CONCLUSIONS: Similar to trends seen in more<br />urban parts of the US, MA use among newly diagnosed, HIV-positive<br />young men is increasing in NC. These data are among the first to<br />demonstrate this relationship in a region with a burgeoning epidemic<br />of MA use. Opportunities exist for MA-related HIV risk-reduction<br />interventions whenever young men intersect the healthcare system.
Hurt, C. B., Torrone, E., Green, K., Foust, E., Leone, P., & Hightow-Weidman, L. (2010). Methamphetamine use among newly diagnosed HIV-positive young men in North Carolina, United States, from 2000 to 2005. PLoS ONE, 5(6). https://doi.org/10.1371/journal.pone.0011314