Alcohol Use and Risk of HIV infection among Men Who Have Sex with Men

Woolf, Sarah E.; Maisto, Stephen A.

doi:10.1007/s10461-007-9354-0

Cited by 178 publications

(175 citation statements)

References 62 publications

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“…Indeed, Kashubeck-West & Szymanski [1] reported that vaginal intercourse in their sample of predominantly gay men was "extremely infrequent." Similar to previous research in SMM [25][26][27], use of alcohol and/or drugs before or during sex was frequently reported in the current sample.…”

Section: Sex Actssupporting

confidence: 88%

Connecting Experiences with Heterosexism and Sexual Behavior in a Sample of Ethnically Diverse Sexual Minority Men

Smith¹,

Perrin²

2017

Sex Health Issues

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This study examined associations between heterosexist experiences and sexual behaviors in sexual minority men (SMM). Ethnically diverse cis-gender SMM completed a national online survey assessing experiences with heterosexism and various sexual behaviors they had engaged in over the past year. High reported rates of a number of sexual behaviors over the past 6 months emerged: left social event with someone (46.1%), sexual behavior with an acquaintance (63%), regretted sexual encounter (55%), fellatio without a condom (80.9%), anal sex without a condom (62.9%), analingus without protection (57.3%), sex with uncommitted partners (61.8%), sex under the influence of substances (60.7%), and sex before discussing risk factors (53.9%). A canonical correlation found that experiences with heterosexism and sexual behaviors had 25% overlapping variance. The standardized canonical coefficients suggested that SMM who have experienced high levels of work/school and other discrimination report a larger intent to engage in sexual acts. Multiple regressions showed that harassment/rejection, work/school, and other heterosexism significantly explained 19.5% of the variance in intent to engage in sexual acts and 12.2% of the variance in impulsive sexual acts, with work/school heterosexism being a unique predictor of the intent to engage in sexual acts. Experiences with heterosexist discrimination were robustly associated with sexual behavior, suggesting that some SMM may use sexual behavior as a method of coping with discrimination. Interventions that help SMM become aware of this possible link in their own life and identify more effective coping strategies may be particularly valuable.

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Section: Sex Actssupporting

confidence: 88%

Connecting Experiences with Heterosexism and Sexual Behavior in a Sample of Ethnically Diverse Sexual Minority Men

Smith¹,

Perrin²

2017

Sex Health Issues

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“…This association may have resulted, in part, from the causal impact of acute alcohol use on sexual decision‐making 107, resulting in condomless sex 105, 108, 109, 110, 111, 112, 113, 114. Alternatively, other variables could be causally responsible for the associations between alcohol use and HIV/AIDS, especially the effect of risk‐taking behaviours and other personality traits 96, 115.…”

Section: Resultsmentioning

confidence: 99%

The relationship between different dimensions of alcohol use and the burden of disease—an update

et al. 2017

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Background and aimsAlcohol use is a major contributor to injuries, mortality and the burden of disease. This review updates knowledge on risk relations between dimensions of alcohol use and health outcomes to be used in global and national Comparative Risk Assessments (CRAs).MethodsSystematic review of reviews and meta‐analyses on alcohol consumption and health outcomes attributable to alcohol use.For dimensions of exposure: volume of alcohol use, blood alcohol concentration and patterns of drinking, in particular heavy drinking occasions were studied. For liver cirrhosis, quality of alcohol was additionally considered. For all outcomes (mortality and/or morbidity): cause of death and disease/injury categories based on International Classification of Diseases (ICD) codes used in global CRAs; harm to others.ResultsIn total, 255 reviews and meta‐analyses were identified. Alcohol use was found to be linked causally to many disease and injury categories, with more than 40 ICD‐10 three‐digit categories being fully attributable to alcohol. Most partially attributable disease categories showed monotonic relationships with volume of alcohol use: the more alcohol consumed, the higher the risk of disease or death. Exceptions were ischaemic diseases and diabetes, with curvilinear relationships, and with beneficial effects of light to moderate drinking in people without heavy irregular drinking occasions. Biological pathways suggest an impact of heavy drinking occasions on additional diseases; however, the lack of medical epidemiological studies measuring this dimension of alcohol use precluded an in‐depth analysis. For injuries, except suicide, blood alcohol concentration was the most important dimension of alcohol use. Alcohol use caused marked harm to others, which has not yet been researched sufficiently.ConclusionsResearch since 2010 confirms the importance of alcohol use as a risk factor for disease and injuries; for some health outcomes, more than one dimension of use needs to be considered. Epidemiological studies should include measurement of heavy drinking occasions in line with biological knowledge.

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“…However, MSM who did not use alcohol during sex and those who were not depressed were more likely to engage in less risky sexual behaviors, consistent with prior studies. 10,[13][14][15]23 These findings suggest that HIV prevention interventions with MSM would benefit from addressing ''syndemics'' 24,25 associated with sexual risk taking. In particular, alcohol use, depression, and sexual risk behavior may be interacting health conditions that additively increase negative health consequences (i.e., HIV transmission) among some MSM.…”

Section: Discussionmentioning

confidence: 95%

Beyond Anal Sex: Sexual Practices Associated with HIV Risk Reduction among Men Who Have Sex with Men in Boston, Massachusetts

Reisner

Mimiaga

Skeer

et al. 2009

AIDS Patient Care and STDs

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Men who have sex with men (MSM) continue to bear a disproportionate HIV and sexually transmitted disease (STD) burden. The current study examined the frequency and associations of sexual risk reduction behaviors among a sample of MSM in the greater Boston, Massachusetts area. One hundred eighty-nine MSM completed a one-time behavioral and psychosocial assessment between March 2006 and May 2007. Logistic regression procedures examined the association of demographic, psychosocial, and behavioral factors with risk reduction practices. Twenty percent of the sample reported rimming, mutual masturbation, digital penetration, using sex toys, or 100% condom use as a means to reduce their risk of acquiring or transmitting HIV in the prior 12 months. In bivariate analyses, risk reducers were more likely to disclose their MSM status (i.e., be ''out''; odds ratio [OR] ¼ 3.64; p < 0.05), and report oral sex with a condom in the prior 12 months (OR ¼ 4.85; p < 0.01). They were less likely to report: depression (Center for Epidemiologic Studies Depression Scale [CES-D] score 16þ; OR ¼ 0.48; p < 0.05), a history of one or more sexually transmitted diseases (STDs; OR ¼ 0.40; p < 0.05), and meeting sexual partners at public cruising areas (OR ¼ 0.32; p < 0.01). In a multivariable model, risk reducers were less likely to report: alcohol use during sex (adjusted odds ratio [AOR] ¼ 0.33; p < 0.05), depression (CESD score 16þ; AOR ¼ 0.32; p < 0.05), or meeting sexual partners at public cruising areas (AOR ¼ 0.30; p < 0.05), or via the Internet (AOR ¼ 0.12; p < 0.05) in the previous 12 months. Identifying and understanding such factors associated with risk reduction behaviors may be important to consider in designing effective prevention interventions to promote sexual health for MSM.

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Alcohol Use and Risk of HIV infection among Men Who Have Sex with Men

Cited by 178 publications

References 62 publications

Connecting Experiences with Heterosexism and Sexual Behavior in a Sample of Ethnically Diverse Sexual Minority Men

Connecting Experiences with Heterosexism and Sexual Behavior in a Sample of Ethnically Diverse Sexual Minority Men

The relationship between different dimensions of alcohol use and the burden of disease—an update

Beyond Anal Sex: Sexual Practices Associated with HIV Risk Reduction among Men Who Have Sex with Men in Boston, Massachusetts

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