Club Drug Use and Risky Sex Among Gay and Bisexual Men in New York City José E. Nanín, EdD Jeffrey T. Parsons, PhD SUMMARY. In New York City, the use of “club drugs” such as MDMA, crystal methamphetamine, ketamine, GHB, and cocaine has been iden- tified as an emerging problem among subgroups of the gay and bi- sexual male community. More alarming is the mounting empirical evidence showing how club drug use is associated with the rising prev- alence of unsafe sexual behaviors among members of this community, leading to increasing HIV incidence. Studies have been conducted at the Center for HIV Educational Studies and Training (CHEST) at Hunter College of City University of New York that address prev- alence of club drug use and unsafe sexual behaviors among various samples of gay and bisexual men in New York City. Creative educa- tional interventions as well as clinical strategies using Motivational Interviewing and Cognitive Behavioral Therapy may be useful for José E. Nanín and Jeffrey T. Parsons are affiliated with the Center for HIV Educa- tional Studies and Training. Dr. Parsons is also affiliated with Hunter College and the Graduate Center of the City University of New York (CUNY). Address correspondence to: Jeffrey T. Parsons, PhD, Hunter College-CUNY, De- partment of Psychology, 695 Park Avenue, New York, NY 10021 (E-mail: Jeffrey. parsons@hunter.cuny.edu). The authors would like to thank David Bimbi and Elana Rosof for their assistance in preparing this manuscript. [Haworth co-indexing entry note]: “Club Drug Use and Risky Sex Among Gay and Bisexual Men in New York City.” Nanín, José E., and Jeffrey T. Parsons. Co-published simultaneously in Journal of Gay & Lesbian Psychotherapy (The Haworth Medical Press, an imprint of The Haworth Press, Inc.) Vol. 10, No. 3/4, 2006, pp. 111-122; and: Crystal Meth and Men Who Have Sex with Men: What Mental Health Care Professionals Need to Know (ed: Milton L. Wainberg, Andrew J. Kolodny, and Jack Drescher) The Haworth Medical Press, an imprint of The Haworth Press, Inc., 2006, pp. 111-122. Single or multiple copies of this article are avail- able for a fee from The Haworth Document Delivery Service [1-800-HAWORTH, 9:00 a.m. - 5:00 p.m. (EST). E-mail address: docdelivery@haworthpress.com]. Available online at http://jglp.haworthpress.com  2006 by The Haworth Press, Inc. All rights reserved. doi:10.1300/J236v10n03_10 111