Club drug use, sexual behavior, and HIV seroconversion: A qualitative study of motivations

Roy C. Jerome, Perry N. Halkitis, Daniel E. Siconolfi

Research output: Contribution to journalArticlepeer-review


This qualitative study funded by the National Institute on Drug Abuse examines phenomenological meanings surrounding motivations for club drug use in a sample of HIV seroconverted and seronegative gay and bisexual men. Grounded in the cognitive escape model (CEM), this study sought to clarify the synergistic relationship between club drug use, risky sexual behavior, and seroconversion. Sixteen seropositive participants were drawn from a large-scale (n = 450), longitudinal, mixed-method investigation of club drug use among gay and bisexual men in New York City from 2001-2004 and matched with 16 seronegative participants for race/ethnicity, most-frequently used substance, and educational level. Total sample size consisted of 32 participants. Sample size consisted of 13 (41%) Black/African-American, 12 (37.5%) White/Caucasian, 5 (15.5%) Hispanic/Latino, and 2 (6%) mixed/other race/ethnicity participants. Findings suggest behavioral outcomes of club drug use and HIV seroconversion result from complex interactions between physical, emotional, and social motivations.

Original languageEnglish (US)
Pages (from-to)431-447
Number of pages17
JournalSubstance Use and Misuse
Issue number3
StatePublished - Feb 2009


  • Club drugs
  • Cognitive escape model
  • Gay/bisexual
  • HIV
  • Motivations
  • Risk
  • Sexual behavior

ASJC Scopus subject areas

  • Health(social science)
  • Medicine (miscellaneous)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health


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