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In this paper the authors report on interviews with stimulant-using men who have sex with men who have participated in Crystal Meth Anonymous and other 12-step groups, focusing on those who did not have unprotected anal intercourse during a 6-month follow-up period and their reasons for doing so. The authors find 4 common themes cited: a diminished sexual drive; exclusive sex with a primary partner; greater sense of responsibility\/commitment to safer sex; and most commonly of the four, an overall healthier sex life. Participants\u2019 use of terms such as \u201chealthy,\u201d \u201cenjoyable,\u201d and \u201cfulfilling\u201d to describe sex not on stimulants, and avoidance of these terms for sex on stimulants, suggests a distinct dimension of sexual experience.<\/jats:p>","DOI":"10.1080\/08897077.2010.514240","type":"journal-article","created":{"date-parts":[[2010,10,31]],"date-time":"2010-10-31T02:03:07Z","timestamp":1288490587000},"page":"224-230","source":"Crossref","is-referenced-by-count":17,"title":["Breaking the Bond between Stimulant Use and Risky Sex: A Qualitative Study"],"prefix":"10.1177","volume":"31","author":[{"given":"Thomas","family":"Lyons","sequence":"first","affiliation":[{"name":"Great Cities Institute, University of Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gopika","family":"Chandra","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerome","family":"Goldstein","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David G.","family":"Ostrow","sequence":"additional","affiliation":[{"name":"National Opinion Research Center, University of Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2010,10,1]]},"reference":[{"key":"bibr1-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e3180417c99"},{"key":"bibr2-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1300\/J069v21n01_08"},{"key":"bibr3-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1023\/A:1009564524602"},{"key":"bibr4-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1016\/S0740-5472(02)00223-4"},{"key":"bibr5-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-006-9127-1"},{"key":"bibr6-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2003.10.001"},{"key":"bibr7-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.2007.164.1.157"},{"key":"bibr8-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1525\/maq.1997.11.4.505"},{"key":"bibr9-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1023\/A:1011374710703"},{"key":"bibr10-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1093\/jurban\/jti019"},{"key":"bibr11-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1007\/0-306-48700-4_4"},{"key":"bibr12-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1080\/09540129650125371"},{"key":"bibr13-08897077.2010.514240","volume-title":"The Select Body: The Gay Dance Party Subculture and the HIV\/AIDS Pandemic","author":"Lewis L","year":"1995"},{"key":"bibr14-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1023\/B:AIBE.0000002980.89501.1b"},{"key":"bibr15-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1023\/A:1009520809581"},{"key":"bibr16-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1177\/002204260303300207"},{"key":"bibr17-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1080\/13691050600783320"},{"key":"bibr18-08897077.2010.514240","first-page":"121","volume-title":"Unequal opportunity: Health Disparities Affecting Gay and Bisexual Men in the United States.","author":"Ostrow D","year":"2008"},{"key":"bibr19-08897077.2010.514240","first-page":"11","volume":"5","author":"Paul J P","year":"1993","journal-title":"AIDS Educ Prevent."},{"key":"bibr20-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2004.10.004"},{"key":"bibr21-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1023\/B:AIBE.0000017528.39338.75"},{"key":"bibr22-08897077.2010.514240","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2007.01773.x"},{"key":"bibr23-08897077.2010.514240","unstructured":"Crystal Meth Anonymous (CMA) \u201cDirectory of meetings\u201d. 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