Factors associated with drug use among HIV-infected men who have sex with men in China

Xi CHEN, Phoenix K.H. MO, Jinghua LI, Joseph T.F. LAU*

*Corresponding author for this work

Research output: Journal PublicationsJournal Article (refereed)peer-review

3 Citations (Scopus)


Drug use is globally more prevalent in HIV-positive men who have sex with men (HIVMSM) than their heterosexual counterparts. Yet, few studies have investigated the factors associated with drug use among this population beyond Western societies. A cross-sectional survey was conducted to examine factors associated with drug use among 415 HIVMSM in Chengdu, China. The results show that 10.8% of the participants had used drugs in the past 30 days. Among participants who had anal intercourse in the past 30 days, 11.5% had used drugs during anal intercourse. After adjusting for background variables, logistic regression models show that life satisfaction was associated with past 30-day drug use [Adjusted Odds Ratio (ORa) = 0.90, p < 0.001], and with drug use during anal intercourse in the past 30 days (ORa = 0.89, p < 0.01). Participants with more nonregular partners were more likely to use drugs with or without sex in the past 30 days, whereas those with one regular partner were less likely to use drugs during anal intercourse compared to their counterparts with no regular partners. The findings of this study are informative for designing effective substance-use intervention programs targeting HIVMSM.

Original languageEnglish
Pages (from-to)1612-1620
Number of pages9
JournalAIDS and Behavior
Issue number6
Early online date4 Sept 2019
Publication statusPublished - Jun 2020
Externally publishedYes

Bibliographical note

Funding Information:
The study was supported by a 2013 international developmental grant from the Lifespan/Tufts/Brown Center for AIDS Research (P30AI042853) and the National Natural Science Foundation of China (81302479).

Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.


  • China
  • Drug use
  • HIV-positive
  • Life satisfaction
  • Men who have sex with men
  • Sex partner


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