Double Jeopardy: Methamphetamine Use and HIV as Risk Factors for COVID-19.

The article provides an overview of important areas for research on the potential implications of the epidemics of methamphetamine (meth) use and HIV for the COVID-19 pandemic in men who have sex with men (MSM). Topics include the identification of the use of meth and other stimulants as a potent driver of the HIV/AIDS epidemic in MSM and plausible biological pathways for meth-associated exacerbation of microbial translocation that could serve as a driver of systemic immune dysregulation.