The proposed investigation seeks to examine the use of """"""""club"""""""" drugs among gay /bisexual men in New York City (NYC) and build upon the previous work of the investigators. We will undertake a longitudinal investigation guided by the following three aims: (1) to determine the individual differences and changes in club drug use among gay/bisexual men in NYC over the course of one year; (2) to determine the extent to which antecedent person factors, contextual factors, and coping factors explain differences in year-long club drug use trajectories of gay/bisexual men in NYC; and (3) to determine how individual changes in club drug use over the course of a year, in combination with antecedent person factors, contextual factors, coping factors, explain differences in sexual risk-taking patterns in the course of one year among gay/bisexual men in NYC. Our work will be guided by cognitive escape theory as we seek to determine how antecedents of club drug use influence the use of these substances, and how the interaction of these antecedents with actual use of club drugs leads to cognitive disengagement and sexual risk taking in terms of HIV infection and potentially reinfection. Our work will focus on five club drugs used primarily by gay/bisexual men in NYC: cocaine, GFIB, ketamine, MDMA, and methamphetamine. We will recruit 450 men into our investigation and undertake assessments of the antecedents, club drugs use, and sexual risk-taking behaviors 4 times over the course of one year, and utilize univariate and multivariate growth curve modeling to determine the relationships between these factors as a mean of undertaking theory testing; this will be complemented by our use of qualitative techniques, using the Critical Incident Measure, to provide us with episode-specific data to help realize the relationships that we are assessing as well as further develop the theory of cognitive escape. Our work will be conducted entirely with a community-based sample of seropositive, seronegative, and serostatus unknown gay/bisexual men and through our affiliations with the numerous mainstream gay venues, public sex environments, and community based organization that serve gay/bisexual men in NYC.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA013798-04
Application #
6661186
Study Section
Special Emphasis Panel (ZDA1-MXV-P (15))
Program Officer
Lambert, Elizabeth
Project Start
2000-09-30
Project End
2005-08-31
Budget Start
2003-09-01
Budget End
2005-08-31
Support Year
4
Fiscal Year
2003
Total Cost
$503,432
Indirect Cost
Name
New York University
Department
Psychology
Type
Schools of Education
DUNS #
041968306
City
New York
State
NY
Country
United States
Zip Code
10012
Palamar, Joseph J; Kiang, Mathew V; Storholm, Erik D et al. (2014) A Qualitative Descriptive Study of Perceived Sexual Effects of Club Drug Use in Gay and Bisexual Men. Psychol Sex 5:143-160
Dentato, Michael P; Halkitis, Perry N; Orwat, John (2013) Minority Stress Theory: An Examination of Factors Surrounding Sexual Risk Behavior among Gay & Bisexual Men Who Use Club Drugs. J Gay Lesbian Soc Serv 25:
Pappas, Molly K; Halkitis, Perry N (2011) Sexual risk taking and club drug use across three age cohorts of HIV-positive gay and bisexual men in New York City. AIDS Care 23:1410-6
Halkitis, Perry N; Mukherjee, Preetika Pandey; Palamar, Joseph J (2009) Longitudinal modeling of methamphetamine use and sexual risk behaviors in gay and bisexual men. AIDS Behav 13:783-91
Jerome, Roy C; Halkitis, Perry N; Siconolfi, Daniel E (2009) Club drug use, sexual behavior, and HIV seroconversion: a qualitative study of motivations. Subst Use Misuse 44:431-47
Halkitis, Perry N; Siconolfi, Daniel; Fumerton, Megan et al. (2008) Facilitators of barebacking among emergent adult gay and bisexual men: implications for HIV prevention. J LGBT Health Res 4:11-26
Halkitis, Perry N; Siconolfi, Daniel; Fumerton, Megan et al. (2008) Risk Bases in Childhood and Adolescence among HIV-negative Young Adult Gay and Bisexual Male Barebackers. J Gay Lesbian Soc Serv 20:288-314
Halkitis, Perry N; Jerome, Roy C (2008) A comparative analysis of methamphetamine use: black gay and bisexual men in relation to men of other races. Addict Behav 33:83-93
Palamar, Joseph J; Mukherjee, Preetika P; Halkitis, Perry N (2008) A longitudinal investigation of powder cocaine use among club-drug using gay and bisexual men. J Stud Alcohol Drugs 69:806-13
Halkitis, Perry N; Palamar, Joseph J (2008) Multivariate modeling of club drug use initiation among gay and bisexual men. Subst Use Misuse 43:871-9

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