Skip to main content
Top
Published in: Substance Abuse Treatment, Prevention, and Policy 1/2018

Open Access 01-12-2018 | Short report

Financial hardship and drug use among men who have sex with men

Authors: Su Hyun Park, Yazan Al-Ajlouni, Joseph J. Palamar, William C. Goedel, Anthony Estreet, Brian Elbel, Scott E. Sherman, Dustin T. Duncan

Published in: Substance Abuse Treatment, Prevention, and Policy | Issue 1/2018

Login to get access

Abstract

Background

Little is known about the role of financial hardship as it relates to drug use, especially among men who have sex with men (MSM). As such, this study aimed to investigate potential associations between financial hardship status and drug use among MSM.

Methods

We conducted a cross-sectional survey of 580 MSM in Paris recruited using a popular geosocial-networking smartphone application (GSN apps). Descriptive analyses and multivariate analyses were performed. A modified Poisson model was used to assess associations between financial hardship status and use of drugs (any drugs, tobacco, alcohol, marijuana, inhalant nitrites, and club drugs).

Results

In our sample, 45.5% reported that it was somewhat, very, or extremely difficult to meet monthly payments of bills (high financial hardship). In multivariate analyses, a high level of financial hardship was significantly associated with an increased likelihood of reporting use of any substance use (adjusted risk ratio [aRR] = 1.15; 95% CI = 1.05–1.27), as well as use of tobacco (aRR = 1.45; 95% CI = 1.19–1.78), marijuana (aRR = 1.48; 95% CI =1.03–2.13), and inhalant nitrites (aRR = 1.24; 95% CI = 1.03–1.50).

Conclusions

Financial hardship was associated with drug use among MSM, suggesting the need for interventions to reduce the burden of financial hardship in this population.
Literature
1.
go back to reference Batisse A, Batel P, Chevallier C, Marillier M, Djezzar S. “Sex and drugs” in substance-using men who have sex with men (SUMSM). European Psychiatry. 2015;30:491.CrossRef Batisse A, Batel P, Chevallier C, Marillier M, Djezzar S. “Sex and drugs” in substance-using men who have sex with men (SUMSM). European Psychiatry. 2015;30:491.CrossRef
3.
go back to reference Greenwood GL, White EW, Page-Shafer K, Bein E, Osmond DH, Paul J, Stall RD. Correlates of heavy substance use among young gay and bisexual men: the San Francisco young Men's health study. Drug Alcohol Depend. 2001;61(2):105–12.CrossRefPubMed Greenwood GL, White EW, Page-Shafer K, Bein E, Osmond DH, Paul J, Stall RD. Correlates of heavy substance use among young gay and bisexual men: the San Francisco young Men's health study. Drug Alcohol Depend. 2001;61(2):105–12.CrossRefPubMed
4.
go back to reference Russell ST, Driscoll AK, Truong N. Adolescent same-sex romantic attractions and relationships: implications for substance use and abuse. Am J Public Health. 2002;92(2):198–202.CrossRefPubMedPubMedCentral Russell ST, Driscoll AK, Truong N. Adolescent same-sex romantic attractions and relationships: implications for substance use and abuse. Am J Public Health. 2002;92(2):198–202.CrossRefPubMedPubMedCentral
6.
11.
go back to reference Ostrow DG, Plankey MW, Cox C, Li X, Shoptaw S, Jacobson LP, Stall RC. Specific sex-drug combinations contribute to the majority of recent HIV seroconversions among MSM in the MACS. J Acquir Immune Defic Syndr. 2009;51(3):349.CrossRefPubMedPubMedCentral Ostrow DG, Plankey MW, Cox C, Li X, Shoptaw S, Jacobson LP, Stall RC. Specific sex-drug combinations contribute to the majority of recent HIV seroconversions among MSM in the MACS. J Acquir Immune Defic Syndr. 2009;51(3):349.CrossRefPubMedPubMedCentral
14.
go back to reference Remafedi G. Predictors of unprotected intercourse, among gay and bisexual youth: knowledge, beliefs, and behavior. Pediatrics. 1994;94(2):163.PubMed Remafedi G. Predictors of unprotected intercourse, among gay and bisexual youth: knowledge, beliefs, and behavior. Pediatrics. 1994;94(2):163.PubMed
16.
go back to reference Wong CF, Weiss G, Ayala G, Kipke MD. Harassment, discrimination, violence, and illicit drug use among young men who have sex with men. AIDS Educ Prev. 2010;22(4):286–98.CrossRefPubMedPubMedCentral Wong CF, Weiss G, Ayala G, Kipke MD. Harassment, discrimination, violence, and illicit drug use among young men who have sex with men. AIDS Educ Prev. 2010;22(4):286–98.CrossRefPubMedPubMedCentral
18.
go back to reference Schönpflug, K. 2009. Sexual orientation discrimination: an international perspective, edited by lee Badgett and Jefferson frank. New York and London: Routledge, 2007. 322 pp. ISBN-13: 978-0-415-77023-1, ISBN-10: 0-415-77023-8 US$150.00." Fem Econ 15 (2):97–103. doi: https://doi.org/10.1080/13545700902763028. Schönpflug, K. 2009. Sexual orientation discrimination: an international perspective, edited by lee Badgett and Jefferson frank. New York and London: Routledge, 2007. 322 pp. ISBN-13: 978-0-415-77023-1, ISBN-10: 0-415-77023-8 US$150.00." Fem Econ 15 (2):97–103. doi: https://​doi.​org/​10.​1080/​1354570090276302​8.
22.
go back to reference Vail MI. Varieties of liberalism: Keynesian responses to the great recession in France and Germany. Governance. 2014;27(1):63–85.CrossRef Vail MI. Varieties of liberalism: Keynesian responses to the great recession in France and Germany. Governance. 2014;27(1):63–85.CrossRef
24.
go back to reference Duncan DT, Hyun Park S, Goedel WC, Kreski NT, Morganstein JG, Rhodes Hambrick H, Jean-Louis G, Chaix B. Perceived neighborhood safety is associated with poor sleep health among gay, bisexual, and other men who have sex with men in Paris, France. J Urban Health. 2017:1–9. https://doi.org/10.1007/s11524-017-0148-z. Duncan DT, Hyun Park S, Goedel WC, Kreski NT, Morganstein JG, Rhodes Hambrick H, Jean-Louis G, Chaix B. Perceived neighborhood safety is associated with poor sleep health among gay, bisexual, and other men who have sex with men in Paris, France. J Urban Health. 2017:1–9. https://​doi.​org/​10.​1007/​s11524-017-0148-z.
27.
go back to reference Zou G. A modified poisson regression approach to prospective studies with binary data. Am J Epidemiol. 2004;159(7):702–6.CrossRefPubMed Zou G. A modified poisson regression approach to prospective studies with binary data. Am J Epidemiol. 2004;159(7):702–6.CrossRefPubMed
32.
go back to reference Díaz RM, Ayala G, Bein E, Henne J, Marin BV. The impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: findings from 3 US cities. Am J Public Health. 2001;91(6):927–32.CrossRefPubMedPubMedCentral Díaz RM, Ayala G, Bein E, Henne J, Marin BV. The impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: findings from 3 US cities. Am J Public Health. 2001;91(6):927–32.CrossRefPubMedPubMedCentral
Metadata
Title
Financial hardship and drug use among men who have sex with men
Authors
Su Hyun Park
Yazan Al-Ajlouni
Joseph J. Palamar
William C. Goedel
Anthony Estreet
Brian Elbel
Scott E. Sherman
Dustin T. Duncan
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Substance Abuse Treatment, Prevention, and Policy / Issue 1/2018
Electronic ISSN: 1747-597X
DOI
https://doi.org/10.1186/s13011-018-0159-0

Other articles of this Issue 1/2018

Substance Abuse Treatment, Prevention, and Policy 1/2018 Go to the issue