Public health policy implications for HIV behavioral risk reduction interventions: Unintended recovery outcomes among methamphetamine-using MSM
Recreational drug use, particularly methamphetamine (meth), is a crisis across the U.S. The use of meth is at epidemic levels among men who have sex with men (MSM). The meth epidemic coexists with the growing HIV epidemic and public health threats from other drug-related crime, sex behavior, and the transmission of hepatitis and other bloodborne pathogens associated with sharing injection drug equipment. Out-of-treatment meth-using MSM have little access to recovery programs and services. However, many of these same men participate in existing HIV counseling and testing programs or receive other risk prevention counseling through sexual health clinics and other community-based organizations. Enhancing the existing infrastructure of HIV sexual risk prevention programs to include need-based recovery intervention tools is an important public health policy opportunity for increasing utilization of recovery programs and services for methusing MSM. This study consisted of secondary analysis of unintended recovery outcomes among meth-using MSM who participated in a previous San Diego-based HIV sexual risk behavior intervention trial grounded in motivational interviewing, social cognitive theory, and the theory of reasoned action. The study attempted to ascertain whether participation in the original study influenced utilization of substance abuse treatment program services, utilization of 12-step or other peer support group services, and reports of abstinence from meth use. This study found that MSM who participated in the brief six session motivational interviewing HIV sexual risk reduction intervention reported significant positive unintended substance use recovery and harm reduction outcomes. The positive substance use outcomes were contrasted with less increased utilization of traditional recovery programs and services.
0573: Public health