Club drug users on PrEP at increased risk of contracting bacterial sexually transmitted infections

rave
Credit: CC0 Public Domain

Club drug (ketamine, ecstasy, GHB, cocaine, and methamphetamine) use has been documented to be higher among gay and bisexual men (GBM) and has been shown to increase the risk of HIV transmission due to its connection with sexual behavior

Pre-exposure prophylaxis (PrEP) can reduce the risk of HIV transmission and may be particularly beneficial for those who use club drugs. Nevertheless, there is a growing concern about bacterial (BSTIs) associated with decreasing condom use among PrEP users.

To determine the characteristics of PrEP users at the highest risk of contracting BSTIs, a team of researchers including CUNY Graduate School of Public Health Professor Christian Grov and Dr. Steven A. John at the Center for HIV/AIDS Educational Studies & Training at CUNY Hunter College, surveyed GBM who were active PrEP users at the time of enrolment. The findings were published in the journal Sexually Transmitted Infections.

Twenty-six percent of GBM on PrEP reported a diagnosis of BSTI in the past six months. Men who reported using club drugs had 6.6 times the odds of reporting at BSTI and those reporting more frequent condomless anal sex in the past 30 days had 1.1 times odds of reporting a BSTI.

"The fact that club users demonstrated higher odds of bacterial STIs, even after controlling for condomless sex, suggests other variables may be putting club drug users greater at risk for exposure," said Dr. Grov

The study's findings led the researchers to conclude that club drug users could be at a unique BSTI risk, perhaps because of higher-risk sexual networks. "We know that club drugs and sex often go hand-in-hand, and our findings may point to a concentration of STIs that are being passed between drug users," said Grov, "But more research would be necessary to confirm the network hypothesis." The researchers recommend ongoing BSTI screening and risk reduction counselling for GBM on HIV PrEP.


Explore further

The perception of PrEP as an excuse for promiscuity

More information: Steven A John et al. Club drug users had higher odds of reporting a bacterial STI compared with non-club drug users: results from a cross-sectional analysis of gay and bisexual men on HIV pre-exposure prophylaxis, Sexually Transmitted Infections (2018). DOI: 10.1136/sextrans-2018-053591
Journal information: Sexually Transmitted Infections

Citation: Club drug users on PrEP at increased risk of contracting bacterial sexually transmitted infections (2018, September 12) retrieved 20 July 2019 from https://medicalxpress.com/news/2018-09-club-drug-users-prep-bacterial.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more