| Until recently, the Viagra connection to HIV was | | | | Mean age was 43.97 years, ranging from 18.7 to 70.3 |
| anchored in older adults. However, CDC investigation | | | | with almost 25% over 50. Sexual orientation was |
| showed stability in 50+ HIV diagnoses on the heels | | | | 79% heterosexual, 8% bisexual and 12% gay. Racial |
| of upward trends in risk indicators among men who | | | | composition was 45% white, 35% black and 19% |
| have sex with men (MSM) and substance abusing | | | | Hispanic. NIDA's Risk Behavior Assessment and a Club |
| populations. Signs have increasingly pointed to | | | | Drug/Viagra addendum were used to collect |
| recreational drug use among younger populations, to | | | | socio-demographic, substance use and sexual risk |
| which Viagra is being added to the mix. Currently, the | | | | data. Multiple logistic regression models were |
| field is still locating the substance abuse, sexual risk | | | | constructed along with chi-square tests of association |
| and age-related dimensions of Viagra misuse. Recent | | | | and some t-tests. White race was a major risk |
| studies identify it primarily as substance abuse, but | | | | factor. No age effect was found. MSM were more |
| the majority reports a combination of risky sex and | | | | likely to use Viagra. Insertive anal sex was a |
| risky drug use. At the very least, Viagra appears | | | | significant co-factor among heterosexual Viagra users |
| related to the enhancement of sexual experience or | | | | involved in transactional sex with women. In the |
| performance, even when it is used to compensate | | | | overall sample and the subsets of heterosexual, MSM, |
| for erectile dysfunction caused by other drugs-either | | | | younger and older men, predictive models all identified |
| illicit or prescribed (e.g., antidepressants and highly | | | | club or designer drugs as significant co-factors in the |
| active antiretroviral therapy or HAART). The | | | | use of Viagra. Different patterns of drug co-factors |
| populations studied, however, frequently have limited | | | | were observed for each subset. We detected |
| the generalizability of findings. This report analyzes | | | | consistent positive associations between the use of |
| the relationship among Viagra, Club Drugs and HIV | | | | Viagra and the use of amphetamines immediately |
| sexual risk behavior in drug using men with a sample | | | | before or during sex. Viagra use has moved into a |
| diverse in sexual orientation and demographic scope. | | | | new generational context and now complicates the |
| Participants were 640 males recruited from three | | | | sexual risk and intervention equations for all men, |
| HIV prevention programs in Los Angeles County. | | | | particularly MSM as well as more hidden subgroups. |