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The link between methamphetamine use and sex has generated heightened public health concerns about the contribution of drug-related high-risk sexual behaviors to the spread of sexually transmitted diseases such as HIV and hepatitis C.

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Under the influence of methamphetamine, individuals are less likely to use condoms, more likely to have sexual encounters with strangers whose health status is unknown, and more likely to engage in vigorous unprotected vaginal and/or anal intercourse with multiple sex partners.

Recent studies indicate that among gay and bisexual men (i.e., men who have sex with men) methamphetamine use is associated with higher rates of HIV positivity, unprotected anal receptive sex, intravenous use and needle sharing, and engaging in unprotected sex with a partner who is HIV positive.

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