A total of 29 men self-identified as HIV-infected and 17 self-identified as uninfected. Focus group transcripts were analyzed using consensual qualitative research techniques. Alcohol, crack cocaine, and crystal methamphetamine were the primary drugs mentioned by participants. Participants described alcohol use and drug transactions, use, and addiction as motivating sex with men, allowing and rationalizing same-sex activity and unprotected sex, and facilitating access to male sex partners. Service providers and policy-makers may be guided by these findings toward building maming competency among direct service staff. Use of club drugs Klitzman et al. The pharmacological effects of these drugs include physical, emotional, and psychological health consequences e. Beyond annual events, such as circuit parties, drug use is common in gay communities and peopel specific gay venues. In contrast, general population drug use rates are much lower, with just Contrary to popular belief, MSM are no...