5 results on '"Demetria Cain"'
Search Results
2. Testing the drug use and condomless anal sex link among sexual minority men: The predictive utility of marijuana and interactions with relationship status
- Author
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Tyrel J. Starks, Rob Stephenson, Patrick S. Sullivan, S. Scott Jones, Gabriel Robles, Demetria Cain, Ruben H. Jimenez, and Kory D Kyre
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Adult ,Male ,Drug ,Casual ,media_common.quotation_subject ,Human immunodeficiency virus (HIV) ,HIV Infections ,Toxicology ,medicine.disease_cause ,Article ,Sexual and Gender Minorities ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Marijuana use ,medicine ,Humans ,Pharmacology (medical) ,030212 general & internal medicine ,Homosexuality, Male ,Sexual risk ,media_common ,Pharmacology ,Unsafe Sex ,Illicit Drugs ,Sexual minority ,Psychiatry and Mental health ,Cross-Sectional Studies ,Hallucinogens ,Marijuana Use ,Club drug ,Psychology ,human activities ,Anal sex ,030217 neurology & neurosurgery ,Forecasting ,Demography - Abstract
Background The association between drug use and condomless anal sex (CAS) is well documented among sexual minority men (SMM). Less is known about whether this association generalizes to marijuana and across relationship status and sexual agreements groups (single, partnered monogamous, partnered open –outside partners permitted, and partnered monogamish –outside partners permitted when main partners are together). Methods A nationwide sample of SMM (N = 65,707) were recruited through a geosocial networking app between November 2017 and November 2019. Participants reported on drug use and instances of CAS with casual partners in the previous 30 days. Results Both marijuana and club drug use were associated with the occurrence of CAS with casual partners among single men. Only club drug use was associated with CAS frequency in this group. The association between marijuana and the occurrence of CAS did not differ significantly among monogamous men, while the associations between club drug use and the occurrence as well as frequency of CAS were significantly weaker. Meanwhile, the associations between club drug use and the occurrence as well as frequency of CAS did not differ significantly between single and non-monogamous (open and monogamish) subgroups; however, the association between marijuana and the occurrence of CAS was significantly weaker. Conclusions Findings largely replicated the robust association between club drug use and CAS with casual partners. They support the assertion that marijuana use predicts sexual risk for some SMM subgroups. Finally, they illustrate the potential for relationship status – and sexual agreements – to contextualize associations between drug use and CAS.
- Published
- 2020
3. Patterns of alcohol use and sexual behaviors among current drinkers in Cape Town, South Africa
- Author
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Demetria Cain, Kate B. Carey, Michael P. Carey, Lori A. J. Scott-Sheldon, Kelvin Mwaba, Leickness C. Simbayi, Vuyelwa Mehlomakulu, Ofer Harel, and Seth C. Kalichman
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Adult ,Male ,Alcohol Drinking ,Cross-sectional study ,Sexual Behavior ,Population ,Medicine (miscellaneous) ,Poison control ,Toxicology ,Suicide prevention ,Article ,Occupational safety and health ,Condoms ,South Africa ,Young Adult ,Unsafe Sex ,Environmental health ,Injury prevention ,Humans ,Medicine ,education ,Analysis of Variance ,education.field_of_study ,business.industry ,Human factors and ergonomics ,Middle Aged ,Psychiatry and Mental health ,Clinical Psychology ,Cross-Sectional Studies ,Sexual Partners ,Female ,business - Abstract
This study examined the association between alcohol use and sexual behaviors among South African adults who reported current drinking.Street-intercept surveys were administered to adults residing in neighborhoods in a South African township.Analyses were restricted to participants reporting current drinking (N=1285; mean age=32; 27% women; 98% Black). Most participants (60%) reported heavy episodic drinking (i.e., 5 or more drinks on a single occasion) at least once per week in the past 30 days. Compared to non-heavy episodic drinkers, participants who reported heavy episodic drinking were more likely to drink before sex (79% vs. 66%) and have sex with a partner who had been drinking (59% vs. 44%). Overall, drinking before sex (self or partner) and heavy episodic drinking was associated with multiple sexual partners, discussing condom use with sexual partner(s), and proportion of protected sex. The frequency of condom use varied among participants with steady, casual, or both steady and casual sexual partners.Alcohol use among South African adults is associated with sexual risk behaviors, but this association differs by partner type. Findings suggest the need to strengthen alcohol use components in sexual risk reduction interventions especially for participants with both steady and casual sex partners.
- Published
- 2012
4. Sensation seeking and alcohol use predict HIV transmission risks: Prospective study of sexually transmitted infection clinic patients, Cape Town, South Africa
- Author
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Seth C. Kalichman, Demetria Cain, Redwaan Vermaak, Sean Jooste, and Leickness C. Simbayi
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Adult ,Male ,medicine.medical_specialty ,Outpatient Clinics, Hospital ,Alcohol Drinking ,media_common.quotation_subject ,Medicine (miscellaneous) ,Developing country ,HIV Infections ,Alcohol ,Toxicology ,Article ,South Africa ,chemistry.chemical_compound ,Risk-Taking ,Unsafe Sex ,Risk Factors ,Cape ,medicine ,Humans ,Personality ,Sensation seeking ,Prospective Studies ,Hiv transmission ,Psychiatry ,Prospective cohort study ,media_common ,business.industry ,Psychiatry and Mental health ,Clinical Psychology ,chemistry ,HIV-1 ,Female ,business - Abstract
Alcohol is related to HIV risk behaviors in southern Africa and these behaviors are correlated with sensation seeking personality and alcohol outcome expectancies. Here we report for the first time the associations among sensation seeking, substance use, and sexual risks in a prospective study in Africa. Sexually transmitted infection clinic patients in Cape Town South Africa (157 men and 64 women) completed (a) baseline measures of sensation seeking, sexual enhancement alcohol outcome expectancies, alcohol use in sexual contexts, and unprotected sexual behaviors and (b) 6-month follow-up measures of alcohol use in sexual contexts and unprotected sexual acts. Results confirmed that sensation seeking predicts HIV risk behavior and sensation seeking is related to alcohol outcome expectancies which in turn predict alcohol use in sexual contexts. HIV prevention counseling that addresses drinking in relation to sex is urgently needed in southern Africa.
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- 2008
5. Serosorting Sexual Partners and Risk for HIV Among Men Who Have Sex with Men
- Author
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Chauncey Cherry, Seth C. Kalichman, Howard Pope, Jody Flanagan, Christina M. Amaral, Lisa A. Eaton, Heidi L. Stearns, and Demetria Cain
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Adult ,Male ,Safe Sex ,Self Disclosure ,Epidemiology ,Cross-sectional study ,Sexual Behavior ,media_common.quotation_subject ,Psychological intervention ,HIV Infections ,Article ,Men who have sex with men ,Risk-Taking ,Unsafe Sex ,HIV Seronegativity ,Surveys and Questionnaires ,HIV Seropositivity ,Humans ,Medicine ,Homosexuality ,Homosexuality, Male ,media_common ,Response rate (survey) ,business.industry ,Public Health, Environmental and Occupational Health ,virus diseases ,Serosorting ,Cross-Sectional Studies ,Logistic Models ,Sexual Partners ,business ,Demography - Abstract
Objective The purpose of the current study was to assess whether men who have sex with men (MSM) who limit their unprotected anal sexual partners to those who are of the same HIV status (serosort) differ in their risk for HIV transmission than MSM who do not serosort. Methods Cross-sectional surveys administered at a large Gay Pride festival in June 2006 (80% response rate) were collected from MSM. Univariate and multivariate logistic regressions were used to identify predictors of serosorting. Analyses were conducted in 2006. Results Participants were self-identified as HIV-negative MSM (N=628); about one third of them engaged in serosorting ( n =229). Men who serosort were more likely to believe that it offered protection against HIV transmission, perceived themselves as being at no relatively higher risk for HIV transmission, and had more unprotected anal intercourse partners. Over half the sample reported their frequency of HIV testing as yearly or less frequently; this finding did not differ between serosorters and nonserosorters. Conclusions Men who identify as HIV-negative and serosort are no more likely to know their HIV status than men who do not serosort and are at higher risk for exposure to HIV. Interventions targeting MSM must address the limitations of serosorting.
- Published
- 2007
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