Sexual behavior patterns of methamphetamine-using gay and bisexual men

Perry N. Halkitis, Michael T. Shrem, Frederick W. Martin

Research output: Contribution to journalArticlepeer-review


We assessed the sexual behaviors of 49 gay and bisexual methamphetamine users in New York City and the relationship between their use of the substance and their sexual practices as part of a larger investigation of the behavioral aspects of methamphetamine use. Participants were assessed on their use of methamphetamine and their sexual behaviors in conjunction with use of the substance. Participants reported equivalent rates of unprotected anal insertive and receptive behaviors when comparing their sexual acts while high on methamphetamine, high on other drugs, and sober. In addition, equivalent rates of "extreme" sex acts were found for 10 of the 12 behaviors examined while high on methamphetamine and while sober. While we found few differences in terms of rates of sexual behaviors, our analysis revealed more frequent risky sexual behaviors among HIV positive men when compared with HIV negative men. Our results suggest that methamphetamine attracts a hypersexual risk-taking group of men who engage in unprotected sexual behaviors regardless of their methamphetamine use. Treatment implications are discussed.

Original languageEnglish (US)
Pages (from-to)703-719
Number of pages17
JournalSubstance Use and Misuse
Issue number5
StatePublished - 2005


  • Drug use
  • Gay and bisexual men
  • HIV
  • Methamphetamine
  • Psychosexual behaviors

ASJC Scopus subject areas

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


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