journal article Jun 01, 2018

Use of poppers and HIV risk behaviours among men who have sex with men in Paris, France: an observational study

Sexual Health Vol. 15 No. 4 pp. 370-373 · CSIRO Publishing
Abstract
The use of inhaled nitrites, or poppers, among men who have sex with men (MSM) is prevalent, yet has been associated with HIV seroconversion. We surveyed 580 MSM from a geosocial networking smartphone application in Paris, France, in 2016. Of the respondents, 46.7% reported popper use within the previous 3 months. Regression models adjusted for sociodemographic characteristics found that the use of poppers was significantly (P < 0.05) associated with the following during the prior 3 months: condomless anal intercourse (adjusted relative risk (aRR) 1.27, 95% confidence interval (CI) 1.07–1.50), use of alcohol and/or drugs during sex once or twice (adjusted relative risk ratio (aRRR) 2.33, 95% CI 1.44–2.03), three to five times (aRRR 5.41, 95% CI 2.98–9.84) or six or more times (aRRR 4.09, 95% CI 2.22–7.56), participation in group sex (aRRR 3.70, 95% CI 2.33–5.90) and self-reported diagnosis with any sexually transmissible infection over the previous year (aRR 1.63, 95% CI 1.18–2.27), specifically chlamydia (aRR 2.75, 95% CI 1.29–4.29) and syphilis (aRR 2.27, 95% CI 1.29–4.29).
Topics

No keywords indexed for this article. Browse by subject →

References
28
[1]
[2]
Santé publique France. Infection par le VIH et les IST bactériennes. Point épidémiologique du 29 novembre 2016. France: French Institute for Public Health Surveillance; 2016. Available online at: http://invs.santepubliquefrance.fr/Dossiers-thematiques/Maladies-infectieuses/VIH-sida-IST/Infection-a-VIH-et-sida/Actualites/Infection- par-le-VIH-et-les-IST-bacteriennes.-Point-epidemiologique-du-29-novembre-2016 [verified 23 Apr 2018].
[3]
McCormack "PrEP in Europe – expectations, opportunities, and barriers." J Int AIDS Soc (2016) 10.7448/ias.19.7.21103
[4]
Hunter "Recreational drug use in men who have sex with men (MSM) attending UK sexual health services is significantly higher than in non-MSM." Postgrad Med J (2014) 10.1136/postgradmedj-2012-131428
[5]
Bracchi "Increasing use of ‘party drugs’ in people living with HIV on antiretrovirals: a concern for patient safety." AIDS (2015) 10.1097/qad.0000000000000786
[6]
Schmidt "Illicit drug use among gay and bisexual men in 44 cities: findings from the European MSM Internet Survey (EMIS)." Int J Drug Policy (2016) 10.1016/j.drugpo.2016.09.007
[7]
Colfax "Substance use and sexual risk: a participant- and episode-level analysis among a cohort of men who have sex with men." Am J Epidemiol (2004) 10.1093/aje/kwh135
[8]
Daskalopoulou "Recreational drug use, polydrug use, and sexual behavior in HIV-diagnosed men who have sex with men in the UK: results from the cross-sectional ASTRA study." Lancet HIV (2014) 10.1016/s2352-3018(14)70001-3
[9]
Newell "Toxicity, immunosuppressive effects and carcinogenic potential of volatile nitrites: possible relationship to Kaposi’s sarcoma." Pharmacotherapy (1984) 10.1002/j.1875-9114.1984.tb03376.x
[10]
Dax "Amyl nitrite alters human in vitro immune function." Immunopharmacol Immunotoxicol (1991) 10.3109/08923979109019724
[11]
Hersh "Effect of the recreational agent isobutyl nitrite on human peripheral blood leukocytes and on in vitro interferon production." Cancer Res (1983)
[12]
Wilson "The poppers–HIV connection." Focus (1999)
[13]
PowerPoppers. Aroma poppers and safety. 2011. Available online at: http://powerpoppers.com/aroma_poppers.shtml [verified 23 Apr 2018].
[14]
PsychonautWiki. Poppers. 2017. Available online at: https://psychonautwiki.org/wiki/Poppers [verified 23 Apr 2018].
[15]
Tinoco J. Poppers? What are poppers? 2012. Available online at: http://poppersguide.com/ [verified 23 Apr 2018].
[16]
Champenois "Risk factors for syphilis infection in men who have sex with men: results of a case-control study in Lille, France." Sex Transm Infect (2013) 10.1136/sextrans-2012-050523
[17]
Greacen "Access to and use of unauthorised online HIV self-tests by Internet-using French-speaking men who have sex with men." Sex Transm Infect (2012) 10.1136/sextrans-2011-050405
[18]
Hambrick "Rectal douching among men who have sex with men in Paris: implications for HIV/STI risk behaviors and rectal microbicide development." AIDS Behav (2018) 10.1007/s10461-017-1873-8
[19]
Grov "Sexual compulsivity and sexual risk in gay and bisexual men." Arch Sex Behav (2010) 10.1007/s10508-009-9483-9
[20]
Kalichman "Sensation seeking and alcohol use predict HIV transmission risks: prospective study of sexually transmitted infection clinic patients, Cape Town, South Africa." Addict Behav (2008) 10.1016/j.addbeh.2008.07.020
[21]
Chesney "Histories of substance use and risk behavior: precursors to HIV seroconversion in homosexual men." Am J Public Health (1998) 10.2105/ajph.88.1.113
[22]
Buchbinder "Sexual risk, nitrite inhalant use, and lack of circumcision associated with HIV seroconversion in men who have sex with men in the United States." J Acquir Immune Defic Syndr (2005) 10.1097/01.qai.0000134740.41585.f4
[23]
Scott "Age, race/ethnicity, and behavioral risk factors associated with per contact risk of HIV infection among men who have sex with men in the United States." J Acquir Immune Defic Syndr (2014) 10.1097/qai.0b013e3182a98bae
[24]
Weber "Determinants of HIV seroconversion in an era of increasing HIV infection among young gay and bisexual men." AIDS (2003) 10.1097/00002030-200303280-00024
[25]
Crosby "Condom use as a dependent variable: measurement issues relevant to HIV prevention programs." AIDS Educ Prev (1998)
[26]
Lowndes "Polling booth surveys: a novel approach for reducing social desirability bias in HIV-related behavioural surveys in resource-poor settings." AIDS Behav (2012) 10.1007/s10461-011-0004-1
[27]
Phillips "A systematic review and meta-analysis of quantitative interviewing tools to investigate self-reported HIV and STI associated behaviours in low- and middle-income countries." Int J Epidemiol (2010) 10.1093/ije/dyq114
[28]
Phillips "Informal confidential voting interviewing in a sexual risk assessment of men who have sex with men (MSM) and transgenders (hijra) in Bangalore, India." Sex Transm Infect (2013) 10.1136/sextrans-2011-050373