Dr. Andrew Mattison's presentation of his study on circuit party attendance, club drug use and unsafe sex among gay men

1. Circuit Party Attendance, Club Drug Use, and Unsafe Sex in Gay Men Andrew Mattison, MSW, Ph.D. Clinical Professor of Psychiatry HIV Neurobehavioral Research Center University of California, San Diego

2. Circuit Party Attendance, Club Drug Use, and Unsafe Sex in Gay Men Purpose Determine if health problems exist at circuit parties Determine targeted behavioral interventions Security and safety Education and health promotion

4. HIV status

5. Chemical use at parties

6. Sexual behaviors during the party weekends

8. Education

9. Ethnicity

10. Annual Income

11. Sexual Orientation

12. HIV Status

13. Relationship Status

14. Drug Use(at circuit parties in the past 12 months) Alcohol 79% Ecstasy 72% Special K 60% GHB 28% Cocaine 39% Crystal Meth 36% Marijuana 45% Poppers 39%

15. Results At circuit parties, unsafe sexual behavior was significantly associated with frequent use of Ecstasy,Special K, and Poppers Unsafe sexual activity in the past 12 months was significantly associated with Poppers GHB and Crystal Meth show trends for unsafe sexual activity in the past 12 months

16. Results Unsafe sexual behavior in the past 12 months was significantly associated with the following reasons for party attendance: To have sex To be Uninhibited and Wild To Look and Feel Good

17. Conclusions Circuit party attendees are well educated and financially secure Party drug use was high Poppers, Ecstasy, Special K, Crystal Meth, and GHB are associated with various measures of unsafe sex Possible interventions should be setting based and “savvy” to the norms of the circuit community

18. Issues for future focus Circuit party results lead to interest in surveying local, late-night clubs for the following reasons: Local clubs may present a different demographic make-up Possible differences in drug use and sexual behavior between party patrons and local club patrons Differences in behavior/norms between HIV+ and HIV- respondents

19. Non- Medical Interventions Andrew Mattison, MSW, Ph.D. Clinical Professor of Psychiatry HIV Neurobehavioral Research Center University of California, San Diego

20. Club Life Project