Research Topics
| Richard S GarfeinSummaryAffiliation: University of California Country: USA Publications
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Publications
Methods to recruit and retain a cohort of young-adult injection drug users for the Third Collaborative Injection Drug Users Study/Drug Users Intervention Trial (CIDUS III/DUIT)Richard S Garfein
Centers for Disease Control and Prevention, Division of HIV AIDS Prevention, 1600 Clifton Road, MS E 45, Atlanta, GA 30333, USA
Drug Alcohol Depend 91:S4-17. 2007..S. policy to only fund proven-effective HIV prevention interventions, insights into conducting intervention trials among young IDUs are provided here by describing methods and participants' characteristics in the CIDUS III/DUIT study...- A peer-education intervention to reduce injection risk behaviors for HIV and hepatitis C virus infection in young injection drug usersRichard S Garfein
Division of HIV AIDS Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
AIDS 21:1923-32. 2007..To evaluate whether a behavioral intervention, which taught peer education skills, could reduce injection and sexual risk behaviors associated with primary HIV and hepatitis C virus infection (HCV) among young injection drug users (IDU)... 
Three years after legalization of nonprescription pharmacy syringe sales in California: where are we now?Richard S Garfein
Department of Medicine, Division of Global Public Health, School of Medicine, University of California San Diego, San Diego, CA, USA
J Urban Health 87:576-85. 2010..Outcome studies are needed to determine whether SB 1159 had the desired impact on increasing syringe access and reducing blood-borne viral infection risk among California IDUs...- Latent tuberculosis infection in a migrant agricultural community in Baja California, MexicoRichard S Garfein
School of Medicine, Division of Global Public Health, University of California San Diego, La Jolla, San Diego, CA 92093 0507, USA
J Immigr Minor Health 13:940-7. 2011..S. suggests the potential for TB transmission across borders. Higher QFT-positivity among those consuming unpasteurized milk could indicate M. bovis infection, previously reported among Mexican migrants living in U.S. border cities... 
Young adult injection drug users in the United States continue to practice HIV risk behaviorsAmanda J Rondinelli
San Diego State University, Graduate School of Public Health, 5500 Campanile Drive, San Diego, CA 92182, USA
Drug Alcohol Depend 104:167-74. 2009..Injection drug users (IDUs) are at risk of acquiring HIV through injection and sexual practices...- Tuberculosis testing among populations with high HIV risk in Tijuana, Baja California, MexicoMichele G Velasquez
School of Medicine, University of California San Diego, CA, USA
Rev Panam Salud Publica 32:30-5. 2012..To assess the prevalence of prior tuberculin skin testing (TST) among populations at risk for HIV infection in Tijuana, Mexico, and to identify factors associated with TST... - Prevalence and correlates of crack-cocaine injection among young injection drug users in the United States, 1997-1999Scott S Santibanez
Division of HIV AIDS, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, USA
Drug Alcohol Depend 77:227-33. 2005..We estimated prevalence and identified correlates of crack-cocaine injection among young injection drug users in the United States... - Increased drug use and STI risk with injection drug use among HIV-seronegative heterosexual methamphetamine usersW Susan Cheng
Native American Alliance for Emergency Preparedness NAAEP, California Department of Health Care Services, Davis, CA, USA
J Psychoactive Drugs 42:11-8. 2010..HIV and STI prevention interventions should be tailored according to MA users' method of administration... - The influence of needle exchange programs on injection risk behaviors and infection with hepatitis C virus among young injection drug users in select cities in the United States, 1994-2004Deborah Holtzman
Division of Viral Hepatitis, National Center for HIV AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Mailstop G 37, Atlanta GA 30333, USA
Prev Med 49:68-73. 2009.... - Development, description, and acceptability of a small-group, behavioral intervention to prevent HIV and hepatitis C virus infections among young adult injection drug usersDavid W Purcell
Centers for Disease Control and Prevention, Division of HIV AIDS Prevention, 1600 Clifton Road, MS E 37, Atlanta, GA 30333, USA
Drug Alcohol Depend 91:S73-80. 2007..Minimal evidence of contamination was found. Lessons learned can help future researchers to develop stronger interventions for this high-need population... - Binge use and sex and drug use behaviors among HIV(-), heterosexual methamphetamine users in San DiegoW Susan Cheng
Division of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, CA 92093 0680, USA
Subst Use Misuse 45:116-33. 2010..HIV prevention efforts should differentiate and address these differences in motivations for MA use and the associated HIV-risk sex and drug use behaviors as key targets for effective intervention... - Predictors and effects of alcohol use on liver function among young HCV-infected injection drug users in a behavioral interventionLydia N Drumright
University of California, San Diego, Department of Medicine, La Jolla, CA, USA
J Hepatol 55:45-52. 2011.... - Access to sterile syringes through San Francisco pharmacies and the association with HIV risk behavior among injection drug usersElise D Riley
Department of Medicine, University of California, San Francisco, CA, USA
J Urban Health 87:534-42. 2010..These results are consistent with prior studies in suggesting that increasing the availability of syringes through SEPs and pharmacies, and developing bridges between them, may further reduce syringe-related risk... - A randomized intervention trial to reduce the lending of used injection equipment among injection drug users infected with hepatitis CMary H Latka
Division of International Health and Cross Cultural Medicine, University of California School of Medicine, 9500 Gilman Dr, Mailstop 0622, La Jolla, CA 92093, USA
Am J Public Health 98:853-61. 2008..g., syringe lending, unsafe drug preparation) among injection drug users with hepatitis C virus (HCV) infection... - Prevalence of hepatitis C virus infection among injection drug users in the United States, 1994-2004Joseph J Amon
Division of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
Clin Infect Dis 46:1852-8. 2008..To examine hepatitis C virus (HCV) seroprevalence among injection drug users in 4 US cities from 1994 through 2004... - Influences of cross-border mobility on tuberculosis diagnoses and treatment interruption among injection drug users in Tijuana, MexicoRobert Deiss
Department of Family and Preventive Medicine, Division of International Health and Cross Cultural Medicine, School of Medicine, University of California, San Diego, USA
Am J Public Health 99:1491-5. 2009..We sought to identify correlates of reported lifetime diagnoses of TB among injection drug users in the border city of Tijuana, Mexico... - HIV prevalence and sexual risk behaviour among non-injection drug users in Tijuana, MexicoRobert G Deiss
Division of Global Public Health, School of Medicine, University of California San Diego, La Jolla, CA 92093, USA
Glob Public Health 7:175-83. 2012..Broad interventions including HIV testing, condom promotion and sexual risk reduction should be offered to all drug users in Tijuana... - Update and overview of practical epidemiologic aspects of HIV/AIDS among injection drug users in the United StatesScott S Santibanez
Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop K 39, Atlanta, GA 30333, USA
J Urban Health 83:86-100. 2006..It is imperative that public health agencies continue to monitor and combat the HIV epidemic among IDUs to ensure that hard-won gains will not be eroded... - Latent tuberculosis among persons at risk for infection with HIV, Tijuana, MexicoRichard S Garfein
University of California San Diego School of Medicine, San Diego, California, USA
Emerg Infect Dis 16:757-63. 2010..28), age (OR 1.03 per year), and years lived in Tijuana (OR 1.02 per year) were independently associated with TB infection (p<0.05). Frequent LTBI in marginalized persons may lead to increases in TB as HIV spreads... - Cigarette-Smoking Intensity and Interferon-Gamma Release Assay Conversion among Persons Who Inject Drugs: A Cohort StudySanghyuk S Shin
San Diego State University, 5500 Campanile Drive, San Diego, CA 92182 4162, USA Division of Global Public Health, Department of Medicine, School of Medicine, University of California San Diego, 9500 Gilman Drive, MC 0507, San Diego, CA 92093 0507, USA
Pulm Med 2012:828106. 2012..Larger longitudinal studies are needed to fully explore this relationship... - Differences in sexual risk behaviors among male and female HIV-seronegative heterosexual methamphetamine usersW Susan Cheng
Department of Medicine, University of California, San Diego, La Jolla, 92093 0680, USA
Am J Drug Alcohol Abuse 35:295-300. 2009..Despite increased awareness and attention towards methamphetamine (MA) use among men who have sex with men (MSM), few studies have examined behaviors and effects of MA use among heterosexual populations... - HIV-tuberculosis coinfection in Southern California: evaluating disparities in disease burdenTimothy C Rodwell
Department of Medicine, Division of Global Public Health, University of California San Diego School of Medicine, 9500 Gilman Dr, La Jolla, CA 92093 0507, USA
Am J Public Health 100:S178-85. 2010..We sought to understand tuberculosis (TB) and HIV coinfection trends in San Diego County, California, and to identify associations between sociodemographic risk factors and TB and HIV coinfection... - Border crossing to inject drugs in Mexico among injection drug users in San Diego, CaliforniaTyson Volkmann
Division of Global Public Health, San Diego State University University of California, San Diego, San Diego, CA, USA
J Immigr Minor Health 14:281-6. 2012..Prospective studies should monitor trends in cross-border drug use in light of recent Mexican drug policy reforms partially decriminalizing drug possession... - Ethical and regulatory considerations in HIV prevention studies employing respondent-driven samplingSalaam Semaan
Centers for Disease Control and Prevention, 1600 Clifton Road, NE, E 07, Atlanta, GA 30333, USA
Int J Drug Policy 20:14-27. 2009.... - High-risk behaviors associated with injection drug use among recently HIV-infected men who have sex with men in San Diego, CAAngie Ghanem
Graduate School of Public Health, San Diego State University, CA, USA
AIDS Behav 15:1561-9. 2011..17) were significantly (P < 0.05) associated with injection drug use. These findings suggest that violence is more common among MSM who inject drugs, which should be considered in HIV prevention efforts... - The social and environmental context of cross-border drug use in Mexico: findings from a mixed methods study of young injection drug users living in San Diego, CAKarla D Wagner
Division of Global Public Health, Department of Medicine, University of California San Diego, 92093, USA
J Ethn Subst Abuse 11:362-78. 2012.... - Trends in mortality of tuberculosis patients in the United States: the long-term perspectiveRichard F W Barnes
Division of Global Public Health, School of Medicine, University of California at San Diego, San Diego, CA 92093 0507, USA
Ann Epidemiol 21:791-5. 2011..To describe long-term trends in tuberculosis (TB) mortality and to compare trends estimated from two different sources of public health surveillance data... - Prevalence of hepatitis C virus and HIV infection among injection drug users in two Mexican cities bordering the U.SEmily Faye White
Division of International Health and Cross Cultural Medicine, Department of Family and Preventive Medicine, School of Medicine, University of California, San Diego, CA 92093, USA
Salud Publica Mex 49:165-72. 2007..To estimate the prevalence of the hepatitis C virus (HCV) and HIV infection and associated risk behaviors among injection drug users (IDUs) in two northern Mexican cities... - Tracing the origins of Mycobacterium bovis tuberculosis in humans in the USA to cattle in Mexico using spoligotypingTimothy C Rodwell
Division of Global Public Health, University of California San Diego, Institute of the Americas, 10111 N Torrey Pines Rd, La Jolla, CA 92093 0507, USA
Int J Infect Dis 14:e129-35. 2010..To compare genotypes of Mycobacterium bovis strains from humans in Southern California with genotypes of M. bovis strains in cattle in Mexico and the USA to explore the possible origins of human infections... - Developing an HIV behavioral surveillance system for injecting drug users: the National HIV Behavioral Surveillance SystemAmy Lansky
Division of HIV AIDS Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
Public Health Rep 122:48-55. 2007..S. that will provide local and national data on risk for HIV and other blood-borne and sexually transmitted infections among IDUs for monitoring changes in the epidemic and prevention programs... - Comparison of HIV infection risk behaviors among injection drug users from East and West Coast US citiesRichard S Garfein
Division of HIV AIDS Prevention Surveillance and Epidemiology, National Center for HIV, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
J Urban Health 81:260-7. 2004..Prevention efforts are needed on the West Coast to decrease HIV-associated risk behaviors among IDUs, and further efforts are also needed to reduce HIV incidence on the East Coast... - Prevalence of cryoglobulinemia in hepatitis C virus (HCV) positive patients with and without human immunodeficiency virus (HIV) coinfectionCharlene S Dezzutti
Centers for Disease Control and Prevention, Mailstop G19, 1600 Clifton Road, NE, Atlanta, GA 30333, USA
J Clin Virol 31:210-4. 2004..Coinfection with human immunodeficiency virus (HIV) has been shown to influence the natural history of hepatitis C infection... - Drug-scene familiarity and exposure to gang violence among residents in a rural farming community in Baja California, MexicoTyson Volkmann
Department of Medicine, Division of Global Public Health, School of Medicine, University of California, San Diego, CA, USA
Glob Public Health 8:65-78. 2013..In a region characterised by mass migration from poorer parts of Mexico, where drugs and gangs have not been previously reported, emerging social harms may affect these communities unless interventions are implemented... - Tuberculosis and illicit drug use: review and updateRobert G Deiss
University of California, San Diego, La Jolla, California, USA
Clin Infect Dis 48:72-82. 2009..Special considerations, including coinfection with viral hepatitis and the rifampin-methadone drug interaction, warrant clinical attention and are also updated here... - Evaluation of an HIV nucleic acid testing program with automated Internet and voicemail systems to deliver resultsSheldon R Morris
Antiviral Research Center, University of California San Diego, 200 Arbor Drive, San Diego, CA 92103, USA
Ann Intern Med 152:778-85. 2010..Nucleic acid testing (NAT) in routine HIV testing programs can increase the detection of infected individuals, but the most effective implementation of NAT remains unclear... - Prevalence of diabetes and metabolic syndrome in a migrant Mixtec population, Baja California, MexicoDavid Goodman
Division of Global Public Health, School of Medicine, University of California San Diego, 9500 Gilman Drive, mailstop 0507, La Jolla, San Diego, CA 92093 0507, USA
J Immigr Minor Health 15:93-100. 2013..95, p = 0.005). The high prevalence of MS, diabetes and other metabolic abnormalities among migrant farm workers in San Quintin suggest the need for interventions to reduce the risk for these conditions... - Evaluation of three rapid screening assays for detection of antibodies to hepatitis C virusBryce D Smith
Division of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
J Infect Dis 204:825-31. 2011..Although therapies are available that can suppress or eliminate infection, identifying persons infected with HCV is challenging. Rapid tests could help identify many of these persons more expeditiously... - The use of needle exchange by young injection drug usersSusan L Bailey
Division of Epidemiology and Biostatistics, Community Outreach Intervention Projects, School of Public Health, University of Illinois at Chicago, 60612, USA
J Acquir Immune Defic Syndr 34:67-70. 2003..13-0.45), and were most likely to use condoms with steady sex partners (OR = 2.95; CI = 1.56-5.56). This study found that while frequent NEP use was associated with less risk behavior, young IDUs used NEPs infrequently or not at all... - HIV prevalence, risk behaviors, and high-risk sexual and injection networks among young women injectors who have sex with womenSamuel R Friedman
National Development and Research Institutes Inc, New York, NY 10010, USA
Am J Public Health 93:902-6. 2003 - Screening for depressive symptoms among HCV-infected injection drug users: examination of the utility of the CES-D and the Beck Depression InventoryElizabeth T Golub
Johns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Baltimore, Maryland 21205, USA
J Urban Health 81:278-90. 2004..Results indicated that both scales should be used in tandem to have the most sensitive detection of depressive symptoms, thereby maximizing the potential for HCV treatment success... - Housing status and associated differences in HIV risk behaviors among young injection drug users (IDUs)Micaela H Coady
Center for Urban Epidemiologic Studies, New York Academy of Medicine, 1216 Fifth Avenue, New York, NY 10029, USA
AIDS Behav 11:854-63. 2007..HIV risk varies by housing status, with homeless IDUs at highest risk. Programs for IDUs should utilize a more specific definition of residential status to target IDUs needing intervention... - Variability in the incidence of human immunodeficiency virus, hepatitis B virus, and hepatitis C virus infection among young injecting drug users in New York CityDon C Des Jarlais
Baron Edmond de Rothschild Chemical Dependency Institute, Beth Israel Medical Center, New York, NY 10003, USA
Am J Epidemiol 157:467-71. 2003..0/100 person-years) at the Lower East Side site. Results show that high rates of HBV and HCV transmission do not imply high rates of HIV transmission, even within an area of high HIV seroprevalence... - Risk of hepatitis C virus infection among young adult injection drug users who share injection equipmentLorna E Thorpe
Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA
Am J Epidemiol 155:645-53. 2002..5, 95% confidence interval: 1.3, 9.9). The authors conclude that sharing of injection equipment other than syringes may be an important cause of HCV transmission between IDUs... - Changes in the sharing of drug injection equipment among street-recruited injection drug users in Chicago, Illinois, 1994--1996Dezheng Huo
Community Outreach Intervention Projects, Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois 60637, USA
Subst Use Misuse 40:63-76. 2005..Participation in a syringe exchange program was associated with reductions in receptive syringe sharing and syringe-mediated sharing, but not the sharing of cookers... - Prevalence and correlates of chlamydia trachomatis, neisseria gonorrhoeae, trichomonas vaginalis infections, and bacterial vaginosis among a cohort of young injection drug users in Baltimore, MarylandSabrina S Plitt
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
Sex Transm Dis 32:446-53. 2005..5; 95% CI, 1.1-5.7). CONCLUSIONS: Despite high sexual risk, STI prevalence among young IDUs was similar to that of the general population. BV prevalence was high, suggesting that future STI assessments among female IDUs should include BV... - High prevalence of alcohol use among hepatitis C virus antibody positive injection drug users in three US citiesJennifer V Campbell
HIV AIDS Epidemiology Program, Public Health Seattle and King County, 106 Prefontaine Place South, Seattle, WA 98104, USA
Drug Alcohol Depend 81:259-65. 2006..These findings underscore the importance of referring HCV-positive persons to effective alcohol treatment programs to reduce future liver damage and improve eligibility for and effectiveness of treatment of HCV... - Prevalence and correlates of indirect sharing practices among young adult injection drug users in five U.S. citiesHanne Thiede
HIV AIDS Epidemiology Program, Public Health Seattle and King County, 400 Yesler Way, 3rd Floor, Seattle, WA 98104, USA
Drug Alcohol Depend 91:S39-47. 2007.... - Perceived risk, peer influences, and injection partner type predict receptive syringe sharing among young adult injection drug users in five U.S. citiesSusan L Bailey
Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, IL, USA
Drug Alcohol Depend 91:S18-29. 2007..This study examined risk factors for receptive syringe sharing (RSS) during illicit drug injection by persons 15-30 years old in five U.S. cities... - Distributive syringe sharing among young adult injection drug users in five U.S. citiesElizabeth T Golub
Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, 615 N Wolfe St, room E 7137, Baltimore, MD 21117, USA
Drug Alcohol Depend 91:S30-8. 2007..These findings suggest that interventions to reduce ongoing transmission of blood-borne infections should focus on altering peer norms among networks of young IDUs... - Trends in hepatitis B virus, hepatitis C virus, and human immunodeficiency virus prevalence, risk behaviors, and preventive measures among Seattle injection drug users aged 18-30 years, 1994-2004Richard D Burt
Public Health Seattle and King County, Seattle, WA, USA
J Urban Health 84:436-54. 2007..We conclude that there has been a substantial and sustained reduction in prevalence rates for HBV and HCV infection among young Seattle IDUs, while HIV rates have remained low and stable... - Injecting alone among young adult IDUs in five US cities: evidence of low rates of injection risk behaviorHolly Hagan
Center for Drug Use and HIV Research, National Development and Research Institutes, 8th Floor, 71 West 23rd Street, New York City, NY 10010, USA
Drug Alcohol Depend 91:S48-55. 2007..However, risks may include accidental overdose with severe consequences... - Self-reported hepatitis C virus antibody status and risk behavior in young injectorsHolly Hagan
Center for Drug Use and HIV Research, National Development and Research Institutes, 8th Fl, 71 West 23rd St, NY, NY 10010, USA
Public Health Rep 121:710-9. 2006.... - Convenience is the key to hepatitis A and B vaccination uptake among young adult injection drug usersJennifer V Campbell
HIV AIDS Epidemiology Program, Public Health Seattle and King County, 400 Yesler Way 3rd Floor, c o Hanne Thiede, Seattle, WA 98104, USA
Drug Alcohol Depend 91:S64-72. 2007..Vaccination programs convenient to IDUs have not been widely implemented or evaluated. We assessed whether convenience and monetary incentives influenced uptake of free vaccine by 18-30-year-old IDUs in five U.S. cities... - Design and feasibility of a randomized behavioral intervention to reduce distributive injection risk and improve health-care access among hepatitis C virus positive injection drug users: the Study to Reduce Intravenous Exposures (STRIVE)Farzana Kapadia
Guttmacher Institute, New York, NY 10005, USA
J Urban Health 84:99-115. 2007.... - Eligibility for treatment of hepatitis C virus infection among young injection drug users in 3 US citiesHolly Hagan
National Development and Research Institutes, Center for Drug Use and HIV Research, New York, NY, 10010, USA
Clin Infect Dis 42:669-72. 2006..g., problem drinking, moderate-to-severe depression, and recent drug injection). Restrictive eligibility criteria may deny treatment to a large proportion of patients who could benefit from it... - Association between injection practices and duration of injection among recently initiated injection drug usersMeredith Becker Buxton
Center for Urban Epidemiological Studies, New York Academy of Medicine, New York City, NY 10029 5293, USA
Drug Alcohol Depend 75:177-83. 2004..Whether IDUs' risky injection practices rise progressively with duration of injection or frequency of practices is higher near initiation and then taper remains an open question... - Mortality risk among recent-onset injection drug users in five U.S. citiesDavid Vlahov
Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York, New York 10029, USA
Subst Use Misuse 43:413-28. 2008.... - Does bleach disinfection of syringes protect against hepatitis C infection among young adult injection drug users?Farzana Kapadia
Center for Urban Epidemiologic Studies, New York Academy of Medicine, NY 10029, USA
Epidemiology 13:738-41. 2002..Hepatitis C virus (HCV) has emerged as a major public health problem among injection drug users. In this analysis we examine whether disinfection of syringes with bleach has a potentially protective effect on anti-HCV seroconversion... - Increasing syringe access and HIV prevention in California: findings from a survey of local health jurisdiction key personnelThomas J Stopka
Office of AIDS, California Department of Health Services, Sacramento, CA 95899 7426, USA
J Urban Health 84:116-25. 2007..Further research is needed to identify facilitators and barriers to adopting SB1159, to identify areas for improving technical assistance to implementers, and to assess the public health impact of the legislation... - Correlates of attempted suicide among young injection drug users in a multi-site cohortJennifer R Havens
Center on Drug and Alcohol Research, University of Kentucky, 915B South Limestone, Lexington, KY 40536, USA
Drug Alcohol Depend 75:261-9. 2004..These data suggest that increased access to drug treatment, community mental health, and violence prevention programs may decrease suicidal behavior among young injection drug users... - Hepatitis C virus transmission from an anesthesiologist to a patientSara H Cody
California Department of Health Services, Berkeley, USA
Arch Intern Med 162:345-50. 2002..An anesthesiologist was diagnosed as having acute hepatitis C 3 days after providing anesthesia during the thoracotomy of a 64-year-old man (patient A). Eight weeks later, patient A was diagnosed as having acute hepatitis C...
Research Grants
- Reducing Sexual HIV Risk among Methamphetamine-Using MSM in San Diego, CARichard Garfein; Fiscal Year: 2007..If proven cost-effective, this intervention could fill a critical gap by providing much needed options for reducing the risk of sexual HIV transmission among MSM who use methamphetamine. ..