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Meth & HIV/AIDS
Research & Sources

Research in Medical Journals:

1) Molitor F, Truax SR, Ruiz JD, Sun RK. “Association Of Methamphetamine Use During Sex With Risky Sexual Behaviors And HIV Infection Among Non-Injection Drug Users.” West J Med 1998;168:93--7. PubMed Central
Based on research findings of the sexual behaviors of Meth-using injection drug users, researchers examined the relationship between Meth use during sex, risky sexual behaviors and testing positive for the human immunodeficiency virus (HIV) among clients of publicly funded HIV testing sites in California who reported never injecting drugs.  Among their findings, they report users of Meth – of both genders and all sexual orientations - reported more sexual partners than non-Meth users. Among heterosexuals, a greater percentage of Meth users than nonusers participated in anal intercourse. Their data suggest that noninjection Meth use is related to increased, unprotected sexual activity and the risk of contracting sexually transmitted diseases, including HIV.
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2) Semple SJ, Patterson TL, Grant I. “The Context Of Sexual Risk Behavior Among Heterosexual Methamphetamine Users.”  Science Direct Addictive Behavior 2004;29:807-810
Relatively little is known about the relationship between Meth use and sexual risk behavior among heterosexual adults. This study explores the context of sexual risk behavior among HIV-negative, heterosexual Meth-using men and women. Drug use history, motivations for Meth use, relationship types, and the social–sexual context of Meth use were examined as factors that relate to sexual risk behavior and Meth use.  The findings are discussed in relation to HIV prevention messages and the development of sexual risk reduction interventions for HIV-negative, heterosexual Meth users.
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3) Koblin BA, Husnik MJ, Colfax G, et al. “Risk Factors For HIV Infection Among Men Who Have Sex With Men.” AIDS. 2006;20:731-739.
Researchers analyzed results of 4295 HIV-negative men who have sex with men (MSM) enrolled in a randomized behavioral intervention trial conducted in six US cities to pinpoint risk factors for HIV acquisition among this population. (C) 2006 Lippincott Williams & Wilkins, Inc.
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4) Madhavan P. N. Nair, et al. “Methamphetamine Modulates DC-SIGN Expression by Mature Dendritic Cells.” Journal of NeuroImmune Pharmacology. September 2006. University of New York and Buffalo General Hospital
Researchers studied the role of Meth potentially acting as cofactor in HIV-1 pathogenesis by increasing dendritic cell-specific intercellular adhesion molecule-3 (ICAM-3) grabbing non-integrin (DC-SIGN) expression on DCs.  Their data are the first evidence that Meth up-regulates the expression of DC-SIGN on MDCs. A better understanding of the role of DC-SIGN in HIV-1 infection may help to design novel therapeutic strategies against the progression of HIV-1 disease in the drug-using population.
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5) Ellis, Ronald J., Childers, Meredith E., et al. “Increased Human Immunodeficiency Virus Loads in Active Methamphetamine Users Are Explained by Reduced Effectiveness of Antiretroviral Therapy.” The Journal  of Infectious Diseases. 2003; 188:1820–6. Funded by NIDA and NIMH to HIV Neurobehavioral Research Center, University of California, San Diego, this study aimed to determine whether Meth increases HIV replication in humans by evaluating HIV loads in HIV-positive Meth users and nonusers.
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6) Urbina, Antonio and Jones, Kristina. “Crystal Methamphetamine, Its Analogues, and HIV Infection: Medical and Psychiatric Aspects of a New Epidemic.” Clinical Infectious Diseases. Volume 38, Issue 6, Page 890894, Mar 2004.
This article reviews available literature on the medical and psychiatric morbidities associated with Meth abuse in HIV-infected patients. Medical complications include hypertension, hyperthermia, rhabdoymyolysis, and stroke. One fatal case of ingestion of Methamphetamine with HIV medication has been documented. Two fatal cases of ingestion of HIV medication with the amphetamine analogue n-methyl-3,4 methylenedioxymethamphetamine (MDMA, or “ecstasy”) have also been reported. Some molecular researchers suggest that dopaminergic systems are vulnerable to the combined neurotoxicity of HIV infection and Methamphetamine. Access the Abstract Here or the
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Case study:
Blick, Gary, Kagan, Ron M., et al., “The Probable Source of Both the Primary Multidrug-Resistant (MDR) HIV-1 Strain Found in a Patient with Rapid Progression to AIDS and a Second Recombinant MDR Strain Found in a Chronically HIV-1–Infected Patient.” The Journal of Infectious Diseases. 2007; 195:1250–9.
Rapid progression to AIDS after acute infection with a mulitdrug-resistant (MDR), dual-tropic strain of human immunodeficiency virus type 1 was reported in a New York City man (hereafter referred to as “NYC”) who has sex with men.  The probable source of this HIV-1 (hereafter referred to as CT01) and the development of a recombinant MDR HIV-1 in the source’s partner (hereafter referred to as “CT02”) are described. After identifying the epidemiological link of CT01 and CT02 to NYC, viral sequences and phenotypic analyses were compared.  Confirmatory genotypic and phenotypic analyses, replicative capacity, and viral coreceptor use were assessed.  Viral recombination was assessed using a sliding window technique and phylogenetic tree analysis.  The case illustrates the public health implications of unsafe sex between serodiscordant and seroconcordant partners.
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Sources for More Information

SD Department of Health statistics and South Dakota Epidemiologic Profile of HIV/AIDS 2007
OR 2008 Statistics 

SD Youth Risk Behavior Survey (YRBS) - 2007

National Youth Risk Behavior Survey (YRBS)

CDC 2005 HIV/AIDS Surveillance Report

How Does Methamphetamine Use Affect HIV Prevention?” (PDF) A publication of the Center for AIDS Prevention Studies (CAPS) and the AIDS Research Institute, University of California, San Francisco, © September 2006. Funding by the National Institutes of Mental Health.

Catt-Iron Shell, Andrew, Epidemiologist for Rosebud Sioux Tribe, “Women, girls, HIV and AIDS: The South Dakota Perspective.” Indian Country Today. Posted: December 08, 2005.

Methamphetamine use and HIV risk behaviors among heterosexual men—preliminary results from five northern California counties.” Centers for Disease Control (CDC) Morbidity and Mortality Weekly Report 2006;55:273-277.

 “HIV/AIDS.” National Institute of Drug Abuse (NIDA) Research Report Series. NIH Publication Number 06-5760. Printed March 2006.

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