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Sexual Behaviors Linked to Drug and Alcohol Use Among Men Who Have Sex With Men in China.
- Source :
-
Substance Use & Misuse . 2016, Vol. 51 Issue 14, p1821-1830. 10p. 2 Charts. - Publication Year :
- 2016
-
Abstract
- Background: High-risk sexual behaviors drive the HIV epidemic among men who have sex with men (MSM). Alcohol consumption and use of club drugs may increase sexual risk behaviors. We evaluated effects of drug and alcohol use on sexual behaviors with both their male and female partners as well as on HIV and syphilis infections among MSM in China. Methods: As the part of a community randomized clinical trial that conducted among MSM in Beijing from 2013 to 2015, we recruited a total of 3,680 participants cross-sectionally. A self-administered questionnaire was employed to collect information regarding demographics, sexual behaviors, and a history of alcohol and drug use. Blood sample was collected for HIV and syphilis testing. Results: A total of 3,588 MSM completed the survey and were included in the data analysis. The mean age was 29.9 with 97.3% of Han-ethnicity and 85.0% unmarried. The HIV and syphilis prevalence was 12.7% and 7.4%, respectively. Drug use was significantly associated with higher odds of HIV infection (aOR = 1.3, 95% Confidence Interval [CI] = 1.0,1.6), but not associated with syphilis. A higher level of alcohol consumption was similarly associated with higher odds of HIV risks with both male (e.g., condomless sex acts) and female partners (e.g., numbers of sexual partners). Conclusion: The association between drug and alcohol use and high-risk behaviors is notable among MSM in China. Integrated HIV interventions that target substance use among MSM may be more effective than programs that only target HIV alone. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HIV infection risk factors
*SEXUALLY transmitted disease risk factors
*GAY men
*ANALYSIS of variance
*ATTITUDE (Psychology)
*CHI-squared test
*CONFIDENCE intervals
*ALCOHOL drinking
*MULTIVARIATE analysis
*PROBABILITY theory
*QUESTIONNAIRES
*RESEARCH funding
*RISK perception
*RISK-taking behavior
*SUBSTANCE abuse
*UNSAFE sex
*RANDOMIZED controlled trials
*DISEASE prevalence
*CROSS-sectional method
*ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 10826084
- Volume :
- 51
- Issue :
- 14
- Database :
- Academic Search Index
- Journal :
- Substance Use & Misuse
- Publication Type :
- Academic Journal
- Accession number :
- 118246498
- Full Text :
- https://doi.org/10.1080/10826084.2016.1197264