Substance use treatment partially mitigates association between methamphetamine use and STI risk: Findings from the NSDUH cohort

Jessica P. Sherman, Christina Dyar, Ethan Morgan*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: In recent years, both methamphetamine use and STIs have been on the rise in the USA. In this analysis, we sought to ascertain whether the risk of STIs and HIV among methamphetamine users was moderated on the basis of participation in substance use treatment programmes. Methods: Data came from the National Survey on Drug Use and Health, 2015-2019. Among adult participants, survey-weighted logistic regression analyses were used to assess the relationship between past year methamphetamine use and risk of HIV and STIs, stratified by methamphetamine treatment utilisation and adjusted for demographic and other risk factors. Results: Among participants in the analytic sample (n=210 392), 1862 (0.9%) reported past year methamphetamine use, 566 (0.3%) reported receiving treatment for its use, 5471 (2.6%) tested positive for any STI in the past year and 395 (0.2%) for HIV ever in their lifetime. Past year methamphetamine use was associated with increased risk of STIs among those who did not receive treatment (adjusted OR=3.628; 95% CI 2.75 to 4.92). Significant moderation was also present between past-year methamphetamine use, risk of STI, and substance use treatment. Conclusion: In this analysis, we demonstrated a strong relationship between methamphetamine use and risk of STIs that differed based on receipt of substance use treatment. These findings suggested that integrated STI and substance use treatment programmes may yield substantial public health benefits.

Original languageEnglish (US)
Article number055004
JournalSexually Transmitted Infections
DOIs
StateAccepted/In press - 2021

Keywords

  • HIV
  • chlamydia Infections
  • gonorrhea
  • substance-related disorders
  • syphilis

ASJC Scopus subject areas

  • Dermatology
  • Infectious Diseases

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