![]() High rates of smartphone use by young racial or ethnic minority and rural MSM dovetail cleanly with the current meth treatment and HIV risk reduction deficits evidenced in the United States health care system. MSM living in rural areas rely on internet resources and GPS-enabled smartphones to locate sexual partners. Young MSM report using such apps daily, and young, racial minority MSM are simultaneously both the group most at risk for meth use and HIV infection as well as the group most likely to use smartphones. Such behaviors increase the odds of both meth use and HIV sexual risk behavior. ![]() MSM use smartphones for sexual partner selection, sexual health information, and sexual identity expression at a higher rate than non-MSM, and they also use smartphone apps to facilitate GPS-based sexual partner selection (eg, Scruff, Grindr, and Jack’d). Providing meth treatment to MSM is a public health imperative for addressing HIV/AIDS in the 21st century. Meth use is associated with poor antiretroviral therapy (ART) adherence and outcomes and reduced adherence to HIV postexposure prophylaxis (PEP) and pre-exposure prophylaxis (PrEP) among HIV-positive/-negative MSM, respectively. ![]() ![]() Meth use has thus been identified by the Centers for Disease Control and Prevention (CDC) as a driving force of the HIV epidemic among MSM in the United States. HIV prevalence is significantly higher among MSM who use meth and increases in concert with the intensity of meth use. Use of meth by MSM before or during sex is associated with decreased behavioral inhibition and increased engagement in HIV risk behaviors, including condomless anal intercourse (CAI) with serodiscordant or HIV status unknown sexual partners. Men who have sex with men (MSM) have elevated rates of methamphetamine (meth) use relative to non-MSM, as meth use is deeply integrated into the sexual identities and sexual behaviors of MSM in the United States and permeates the venues most often associated with high-risk sexual behaviors among MSM. ![]()
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