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This paper aims to examine trends in drug use among gay and bisexual men in eastern <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia between 2004 and 2011.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Methods<\/jats:title><jats:p>Data from the cross\u2010sectional, ongoing <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>ay <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ommunity <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>eriodic <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>urveys (<jats:styled-content style=\"fixed-case\">GCPS<\/jats:styled-content>) were used to analyse drug trends among gay and bisexual men in <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>ydney, <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>elbourne and <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>ueensland. Between 2004 and 2011, 45\u2009273 eligible questionnaires were completed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a downward trend in recent drug use (previous 6\u2009months) between 2004 and 2011 from 62.2% to 57.5%. However, this trend was not found among men in <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>ueensland, bisexual men, men aged over 40\u2009years or <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010positive men. Club drug use peaked in 2006 (45.1%), before steadily declining to 32.4% in 2011. There were significant reductions in use of ecstasy, methamphetamine, ketamine and cannabis, increased use of cocaine, gamma hydroxybutyrate, erectile dysfunction medications, amyl nitrite and lysergic acid diethylamide, and no change in heroin use. Recent injecting drug use fluctuated over time but experienced an overall downward trend from 5.5% in 2004 to 4.0% in 2011.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Drug use trends among gay and bisexual men in <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia are broadly consistent with downward and upward drug trends reported in other Australian drug surveys. The risks associated with drug use in this population and high rates of use supports the ongoing role of the <jats:styled-content style=\"fixed-case\">GCPS<\/jats:styled-content> in monitoring drug trends among homosexually active men.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1465-3362.2012.00494.x","type":"journal-article","created":{"date-parts":[[2012,8,8]],"date-time":"2012-08-08T03:46:23Z","timestamp":1344397583000},"page":"39-46","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Trends in drug use among gay and bisexual men in <scp>S<\/scp>ydney, <scp>M<\/scp>elbourne and <scp>Q<\/scp>ueensland, <scp>A<\/scp>ustralia"],"prefix":"10.1111","volume":"32","author":[{"given":"Toby","family":"Lea","sequence":"first","affiliation":[{"name":"National Centre in HIV Social Research The University of New South Wales  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garrett","family":"Prestage","sequence":"additional","affiliation":[{"name":"The Kirby Institute The University of New South Wales  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Limin","family":"Mao","sequence":"additional","affiliation":[{"name":"National Centre in HIV Social Research The University of New South Wales  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iryna","family":"Zablotska","sequence":"additional","affiliation":[{"name":"The Kirby Institute The University of New South Wales  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"de Wit","sequence":"additional","affiliation":[{"name":"National Centre in HIV Social Research The University of New South Wales  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Holt","sequence":"additional","affiliation":[{"name":"National Centre in HIV Social Research The University of New South Wales  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,8,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2004.00759.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/13691050500349875"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2009.02596.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0376-8716(88)90038-5"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0016441"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.129.5.674"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1300\/J082v29n01_03"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0955-3959(01)00096-2"},{"key":"e_1_2_6_10_1","unstructured":"Australian Institute of Health and Welfare.2010 National Drug Strategy Household Survey Report(Drug Statistics Series No. 25. 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