Cannabis Usage Trends Among Men who have Sex with Men in the United States, 2014-2018 公开

Abstract

Background: The role of cannabis in sexual health behaviors and outcomes among American men who have sex with men (MSM) is poorly understood. As medical and recreational legalization become more common, usage is likely to increase. This study evaluates cannabis usage trends and associations with sexual health behaviors/outcomes using five years of survey data from MSM in the United States.

Methods: The American Men’s Internet Survey (AMIS) is a serial, cross-sectional survey of men who have sex with men in the United States. Using five years of data from AMIS (n=37,346), we evaluate cannabis usage patterns using the Cochrane-Armitage test for trend and estimate prevalence ratios of cannabis usage and sexual health behaviors/outcomes through modified Poisson regression with robust variance.

Results: Cannabis usage is increasing among American MSM. High frequency use is also increasing among this population. Usage is associated with more serodiscordant condomless anal intercourse (aPR 1.10, 95% CI: 1.04, 1.16), higher PrEP use (aPR 1.11, 95% CI: 1.01, 1.22), and fewer STI diagnoses (aPR: 0.89, 95% CI: 0.82, 0.96).

Conclusions: Cannabis use is increasing among this population. Cannabis users might engage in riskier sexual behaviors than nonusers; however, they also employ protective health measures at a higher frequency.

Table of Contents

Introduction………………………………………………………….………….....………1

Methods….………………………………………………………………………………...3

Participants………………………………………………………………………...3

Demographics, Sexual Behavior, and Substance Use….………..…………4

Statistical Analysis………………………………………………………………...4

Results…………………………………………………………………………………..…5

Discussion…………………………………………………………………………………7

Conclusion…………………………………..........…………………………………….10

References…………………………………………………………………….………….11

Tables……………………………………………………………………………….……17

Figures…………………………………………………………………………..………..23

Appendix…………………………………………………………………,,……………..27

About this Master's Thesis

Rights statement

• Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.

School	Rollins School of Public Health
Department	Epidemiology
Subfield / Discipline	Epidemiology - MPH & MSPH
Degree	M.P.H.
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Epidemiology
关键词	Cannabis MSM
Committee Chair / Thesis Advisor	Jeb Jones, PhD, MPH, MS, Emory University

最新修改

Primary PDF

Thumbnail	Title	Date Uploaded	Actions
	Cannabis Usage Trends Among Men who have Sex with Men in the United States, 2014-2018 ()	2019-04-23 10:57:19 -0400	Press to Select an action Download

Supplemental Files

Thumbnail	Title	Date Uploaded	Actions