You have full access to this open access article. Internationally, HIV-related stigma and crystal methamphetamine meth use have been described as barriers to treatment adherence among gay, bisexual, and other men who have sex with men gbMSM. This study was undertaken as part of an exploratory study of crystal meth use in the MAMC. The data were collected from September to December through an encrypted online survey. In the same year, Mexico City had an incidence rate of As in other contexts Lafortune et al.
Previous research on the Mexican population has shown factors negatively affect HIV treatment adherence Katz et al. Crystal meth use has been associated with an increased risk of HIV seroconversion and risky sexual behaviors Hoenigl et al. Previous research on gbMSM living with HIV has reported that HIV-related stigma and the use of alcohol and stimulants are associated with symptoms of psychiatric disorders, risky sexual behaviors, and lower HIV treatment adherence Earnshaw et al.
To our knowledge, studies on HIV treatment adherence among persons who use methamphetamine are scarce. These analyses were undertaken as part of a cross-sectional exploratory study on crystal meth use among adults living in the MAMC. Assistance from stakeholders consisted of allowing the research team to place flyers in their facilities.
These flyers included a QR code that led to the online survey. In addition, NGOs also promoted the research study on their social media and websites. Participants were also invited through Grindr and Hornet, which are geolocation dating apps targeted at gbMSM. Persons who agreed to participate answered an online questionnaire that was available in Survio , which is a platform that encrypts data and a secure site that guarantees the confidentiality of the information.
Participants who did not meet any of the three conditions were classified as participants with inconsistent adherence. Further on, we will refer to this group as participants without adherence.
