TY - JOUR
T1 - Financial hardship and drug use among men who have sex with men
AU - Park, Su Hyun
AU - Al-Ajlouni, Yazan
AU - Palamar, Joseph J.
AU - Goedel, William C.
AU - Estreet, Anthony
AU - Elbel, Brian
AU - Sherman, Scott E.
AU - Duncan, Dustin T.
N1 - Funding Information:
The authors thank Noah Kreski and Jace Morganstein for their contributions to the survey used in this study. We thank the translators and participants in this study who contributed to the project. Dr. Dustin Duncan was funded in part by National Institutes of Health grants R01MH112406, R21MH110190, and R03DA039748 and the Centers for Disease Control and Prevention grant U01PS005122. Dr. Palamar was funded by the National Institute of Drug Abuse (K01 DA038800). This work was supported by Dr. Dustin Duncan's New York University School of Medicine Start-Up Research Fund. We thank the translators and participants of this study who contributed to the project
Funding Information:
Dr. Dustin Duncan was funded in part by National Institutes of Health grants R01MH112406, R21MH110190, and R03DA039748 and the Centers for Disease Control and Prevention grant U01PS005122. Dr. Palamar was funded by the National Institute of Drug Abuse (K01 DA038800). This work was supported by Dr. Dustin Duncan’s New York University School of Medicine Start-Up Research Fund. We thank the translators and participants of this study who contributed to the project.
Publisher Copyright:
© 2018 The Author(s).
PY - 2018/5/24
Y1 - 2018/5/24
N2 - Background: Little is known about the role of financial hardship as it relates to drug use, especially among men who have sex with men (MSM). As such, this study aimed to investigate potential associations between financial hardship status and drug use among MSM. Methods: We conducted a cross-sectional survey of 580 MSM in Paris recruited using a popular geosocial-networking smartphone application (GSN apps). Descriptive analyses and multivariate analyses were performed. A modified Poisson model was used to assess associations between financial hardship status and use of drugs (any drugs, tobacco, alcohol, marijuana, inhalant nitrites, and club drugs). Results: In our sample, 45.5% reported that it was somewhat, very, or extremely difficult to meet monthly payments of bills (high financial hardship). In multivariate analyses, a high level of financial hardship was significantly associated with an increased likelihood of reporting use of any substance use (adjusted risk ratio [aRR]=1.15; 95% CI=1.05-1.27), as well as use of tobacco (aRR=1.45; 95% CI=1.19-1.78), marijuana (aRR=1.48; 95% CI =1.03-2.13), and inhalant nitrites (aRR=1.24; 95% CI=1.03-1.50). Conclusions: Financial hardship was associated with drug use among MSM, suggesting the need for interventions to reduce the burden of financial hardship in this population.
AB - Background: Little is known about the role of financial hardship as it relates to drug use, especially among men who have sex with men (MSM). As such, this study aimed to investigate potential associations between financial hardship status and drug use among MSM. Methods: We conducted a cross-sectional survey of 580 MSM in Paris recruited using a popular geosocial-networking smartphone application (GSN apps). Descriptive analyses and multivariate analyses were performed. A modified Poisson model was used to assess associations between financial hardship status and use of drugs (any drugs, tobacco, alcohol, marijuana, inhalant nitrites, and club drugs). Results: In our sample, 45.5% reported that it was somewhat, very, or extremely difficult to meet monthly payments of bills (high financial hardship). In multivariate analyses, a high level of financial hardship was significantly associated with an increased likelihood of reporting use of any substance use (adjusted risk ratio [aRR]=1.15; 95% CI=1.05-1.27), as well as use of tobacco (aRR=1.45; 95% CI=1.19-1.78), marijuana (aRR=1.48; 95% CI =1.03-2.13), and inhalant nitrites (aRR=1.24; 95% CI=1.03-1.50). Conclusions: Financial hardship was associated with drug use among MSM, suggesting the need for interventions to reduce the burden of financial hardship in this population.
KW - Alcohol
KW - Drug use
KW - Financial hardship
KW - Men who have sex with men (MSM)
KW - Tobacco
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U2 - 10.1186/s13011-018-0159-0
DO - 10.1186/s13011-018-0159-0
M3 - Article
C2 - 29793523
AN - SCOPUS:85047499716
SN - 1747-597X
VL - 13
JO - Substance Abuse: Treatment, Prevention, and Policy
JF - Substance Abuse: Treatment, Prevention, and Policy
IS - 1
M1 - 19
ER -