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Methamphetamine and HIV: Intertwined Epidemics Among MSM
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Methamphetamine and HIV: Intertwined epidemics among MSM
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(cartoon)
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What's new?
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Methamphetamine
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DA Neurotransmission
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Methamphetamine use
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Methamphetamine use among MSM
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Methamphetamine use and HIV risk
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Methamphetamine and HIV risk
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Methamphetamine and HIV seroconversion
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How can methamphetamine use be independently associated with HIV infection?
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Methamphetamine users have altered brain metabolism
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Methamphetamine users are deficient in dopamine
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Depressed mood improves with treatment for meth dependence
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Meth skin
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Meth mouth
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Non-adherence due to methamphetamine use
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Methamphetamine use is associated with primary drug resistance
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Interventions for methamphetamine users
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Meth treatment histories among meth-using MSM
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Counseling for meth dependence is associated with reduced meth use
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Matrix intervention: Reported number of days of meth use in past 30 days
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Counseling interventions among methamphetamine-dependent MSM
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Risk behavior declines among MSM in meth behavioral interventions
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Contingency Management
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MSM in contingency management reduce risk
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Positive Reinforcement Opportunity Project
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Will a behavioral risk-reduction approach work among MSM?
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Behavioral interventions Challenges
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Pharmacologic treatment for methamphetamine users
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Treatment Considerations: DA Dysfunction
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Potential medications to treat methamphetamine use
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SFDPH: phase II study of bupropion among meth-dependent MSM
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The Dual Deficit Model of drug dependence
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Pharmacologic approaches to treating methamphetamine dependence
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Pharmacologic approaches...
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Treatment Considerations: DA Dysfunction
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Pharmacologic interventions Challenges
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Conclusions
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Acknowledgements
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