Amphetamine-group substances and HIV
Abstract
Amphetamine-group substances are used worldwide and are more prevalent than either cocaine or opioids. We reviewed published reports about amphetamine-group substances and did a meta-analysis of randomised controlled trials of behavioural interventions for their use. Most research was done in developed countries. Many, but not all, studies show an association between amphetamine-group substance use and risk of HIV infection. Much use of amphetamine-group substances is non-injection and is associated with increased HIV risk, particularly in men who have sex with men. The structural, social, interpersonal, and personal factors that link to amphetamine-group substance use and HIV risk are poorly understood. 13 studies, with a cumulative sample size of 1997 individuals, qualified for the meta-analysis. Overall, high-intensity behavioural interventions were moderately effective in reducing use of amphetamine-group substances (effect size 0.28, 95% CI 0.13-0.44). We did not find conclusive evidence that behavioural interventions as a group are more effective than are passive or minium treatment for reduction of amphetamine-group substance use or sexual risk behaviours. The search for effective, scalable, and sustainable interventions for amphetamine-group substance use, including pharmacotherapies, should be supported and encouraged.
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Methamphetamine use, when regular, is associated with harms including injecting and sexual risk-taking behaviour, symptoms of mental ill health (psychosis, aggression, depression, anxiety), psychomotor, social and cognitive impairment, criminal activity, and sometimes death by overdose.
“Methamphetamine (MA) is a psychostimulant that when used regularly is associated with harms such as injecting and sexual risk-taking behaviour, symptoms of mental ill health (eg, psychosis, aggression, depression and/or anxiety), psychomotor, social and cognitive impairment, criminal activity and sometimes death caused by overdose.1–7”
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- Authors
- Colfax, G., Santos, G.-M., Chu, P., Vittinghoff, E., Pluddemann, A., Kumar, S., & Hart, C.
- Affiliations
- University of California, San Francisco (US)
- San Francisco Department of Public Health (US)
- Columbia University (US)
- Corresponding author
- Colfax, Grant
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2010-08
- Volume
- 376
- Issue
- 9739
- Pages
- 458-474
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2120564358
- Cited by
- 167
- References
- 137
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 5 · 2023: 3 · 2022: 5 · 2021: 13 · 2020: 13 · 2019: 10 · 2018: 11 · 2017: 10 · 2016: 13 · 2015: 17 · 2014: 14 · 2013: 18 · 2012: 14
- FWCI
- 1.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Drug Abuse (R01DA022155, R01DA022190, R01DA023387)
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- stimulant use, HIV risk, men who have sex with men, behavioral interventions, substance use reduction, sexual risk behavior, non-injection drug use, HIV prevention
- MeSH terms
- Behavior Therapy, Humans, Risk-Taking, Sexual Behavior, HIV Infections, Substance Abuse, Intravenous, Prevalence, Randomized Controlled Trials as Topic, Needle-Exchange Programs, Amphetamine-Related Disorders
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