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dc.contributor.authorPower, J.
dc.contributor.authorMikolajczak, G.
dc.contributor.authorBourne, A.
dc.contributor.authorBrown, Graham
dc.contributor.authorLeonard, W.
dc.contributor.authorLyons, A.
dc.contributor.authorDowsett, G.
dc.contributor.authorLucke, J.
dc.identifier.citationPower, J. and Mikolajczak, G. and Bourne, A. and Brown, G. and Leonard, W. and Lyons, A. and Dowsett, G. et al. 2018. Sex, drugs and social connectedness: Wellbeing among HIV-positive gay and bisexual men who use party-and-play drugs. Sexual Health. 15 (2): pp. 135-143.

© 2018 CSIRO. Background This paper explores associations between use of party-and-play drugs, including crystal methamphetamine, and wellbeing among HIV positive gay and bisexual men (GBM) in Australia. This study considers whether use of drugs in a social or sex-based setting facilitates access to social and support networks, which may in turn support wellbeing. Methods: A cross-sectional survey of Australian people living with HIV (PLHIV) was conducted. There were 714 participants (79.7%) who identified as GBM. Differences between party-and-play drug users and non-users were examined using bivariate and multinomial logistic regressions. Mediation analysis examined the indirect effect of drug use on wellbeing via social connectedness and support. Results: One in three participants (29.7%) reported party-and-play drug use within the past 12 months. Only 5% reported regular use. There were no differences between users and non-users on self-reported measures of general health, wellbeing or general social support. Compared with non-users, party-and-play drug users reported higher levels of resilience and lower levels of perceived HIV-related stigma. This was associated with spending more time with other people living with HIV and friends in the gay and lesbian community. Conclusions: While party-and-play drug use poses risks to the health of GBM, the social contexts in which these drugs are used may provide wellbeing benefits, particularly for HIV-positive GBM who may be subject to HIV-related stigma in other settings. Further research is needed to determine whether drug-use facilitates access to social networks or if people with more active social ties are more likely to engage in drug use.

dc.publisherC S I R O Publishing
dc.titleSex, drugs and social connectedness: Wellbeing among HIV-positive gay and bisexual men who use party-and-play drugs
dc.typeJournal Article
dcterms.source.titleSexual Health
curtin.departmentSchool of Public Health
curtin.accessStatusFulltext not available

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