Prevalence and Correlates of Substance Use Among Young Asian Pacific Islander Men Who Have Sex with Men

Operario, Don; Choi, Kyung–Hee; Chu, Priscilla Lee; McFarland, Willi; Secura, Gina M.; Behel, Stephanie; MacKellar, Duncan; Valleroy, Linda A.

doi:10.1007/s11121-005-0018-x

Cited by 40 publications

(36 citation statements)

References 31 publications

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“…Finally, in line with other published studies [14,15,35], we found that the use of alcohol and drugs by MSM before and during sex shows a clear association with unprotected sexual relation, which stresses the need to include substance use in future prevention messages.…”

Section: Discussionsupporting

confidence: 91%

“…Studies in Catalonia have also shown a growing trend in reported sexual risk behaviours such as high number of sexual partners and unprotected anal intercourse (UAI) [5,13]. Among the reasons some authors give for these increases, particularly noteworthy are the use of alcohol and drugs before and during sexual intercourse [14,15] and the use of Internet to search for and meet partners [16,17]. Furthermore, psychosocial factors such as externalised and internalised homophobia and discrimination can lead to low self-esteem that can in turn lead to an increase in risk behaviours, difficulties when negotiating safe sex, and substance abuse [18][19][20].…”

Section: Introductionmentioning

confidence: 99%

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Sexual risk behaviour and its determinants among men who have sex with men in Catalonia, Spain

et al. 2009

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R e s e a r c h a r t i c l e sS e x u a l r i S k b e h av i o u r a n d i t S d e t e r m i n a n t S a m o n g m e n w h o h av e S e x w i t h m e n i n C ata l o n i a , S p a i n To evaluate the prevalence of sexual risk behaviours among men who have sex with men (MSM) in Catalonia and to identify sociodemographic, psychosocial, and behavioural factors associated with unprotected anal intercourse (UAI) with casual partners a convenience sample of 850 MSM was recruited in 2006. An anonymous questionnaire was used to explore risk behaviours during the previous 12 months. Logistic regression models were used to examine the variables associated with UAI. Mean age was 41 years and 20.4% were immigrants. Among those with casual partners (91.7% of all respondents), 31.4% had UAI. The multivariate analysis revealed that the likelihood of UAI was higher in men who were HIV-positive (OR: 1.77), used more than four drugs before sex (OR: 4.90 for +6), were not from Spain (OR: 2.10 for Latin American; OR: 1.86 for other immigrants), had more than 20 sexual partners (OR: 1.56), met casual sex partners on the Internet (OR:1.45) and presented a high level of internalised homophobia (OR: 2.40). HIV/STI prevention programmes for MSM in Catalonia should incorporate activities that strengthen self-esteem, take into account the impact of internalised homophobia, and adapt to the sociocultural reality of immigrants. Furthermore, these programmes should also address substance abuse and alert HIV-positive men about the risk of HIV re-infection and transmission of other STI.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Sexual risk behaviour and its determinants among men who have sex with men in Catalonia, Spain

et al. 2009

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“…There is an extensive literature on non-injection drug use and HIV risk behavior in MSM populations elsewhere in the world. Many studies have found associations between sexual risk behavior and consumption of recreational drugs including crystal methamphetamine, ecstasy, cocaine, gamma hydroxybutyrate (GHB), and amyl nitrate (''poppers'') in a variety of social contexts (Choi et al 2005;Colfax et al 2001;Darrow et al 2005;Hirshfield et al 2004;Koblin et al 2006;Operario et al 2006;Rawstorne et al 2007;Spindler et al 2007;Stueve et al 2002). One study has described sexual risk behavior among members of drug-using sub-populations of urban South African MSM (Parry et al 2008).…”

Section: Introductionmentioning

confidence: 99%

Alcohol and Sexual Risk Behavior Among Men Who Have Sex with Men in South African Township Communities

et al. 2008

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There are few studies of HIV risk behavior among men who have sex with men (MSM) in sub-Saharan Africa. We conducted a behavioral survey of MSM in peri-urban "township" communities in Gauteng province, South Africa. Between October 2004 and March 2005, 199 MSM completed an interviewer administered pen-and-paper standardized questionnaire. The sample was 94% black, 83% identified as gay, and 12% as bisexual. Among those reporting sex with other men in the prior six months (n = 147), 59% reported unprotected anal intercourse (UAI). Increased risk of UAI was associated with both regular drinking (adjusted odds ratio (OR) 4.1, 95% confidence interval (CI) 1.4, 12.6) regular drinking to intoxication (OR 2.6, 95% CI 1.0, 6.8), and reporting symptoms of rectal trauma resulting from anal intercourse (AI; OR 4.3, 95% CI 1.8, 10.4). Decreased risk of UAI was associated with the exclusive use of lubricants that are latex-compatible for AI (OR 0.3, 95% CI 0.1, 0.7). Township MSM in South Africa are at high risk of HIV infection. Targeted sexual health and risk reduction interventions that address the link between alcohol use and HIV risk are urgently needed.

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“…This is the case among Asian/Pacific Islander (API) MSM. Existing epidemiological data shows that API MSM engage in high levels of HIV-related risk behaviors including unprotected anal intercourse and substance use [3][4][5]. Yet, HIV prevalence and incidence rates have been much lower among API MSM than among MSM of other races/ethnicities, especially other racial/ethnic minority MSM [6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Lower HIV Prevalence Among Asian/Pacific Islander Men Who Have Sex with Men: A Critical Review for Possible Reasons

et al. 2010

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We conducted a critical literature review for possible reasons that may explain the lower HIV prevalence observed among API MSM compared to MSM of other races/ethnicities. Trends emerging from the literature suggest that traditional individual-level factors-unprotected anal intercourse, substance use, STD prevalence, rates and frequency of HIV testing, and utilization of HIV prevention services-do not appear to be related to the lower HIV prevalence among API MSM. Some evidence suggests that socio-cultural and structural factors might be the more critical forces in determining racial/ethnic disparities of HIV among MSM. For API MSM, these factors include structures of sexual networks, access to and reception of medical care and treatment among HIV-positive MSM, and influences of different levels and types of acculturation. Moreover, emerging risk reduction strategies, such as seroadaptive behaviors, could play a role. Future research should address these factors in intervention design. In addition, better theories of resilience and measurement of strengths and protective factors are needed to enhance the efficacy of HIV interventions.

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Prevalence and Correlates of Substance Use Among Young Asian Pacific Islander Men Who Have Sex with Men

Cited by 40 publications

References 31 publications

Sexual risk behaviour and its determinants among men who have sex with men in Catalonia, Spain

Sexual risk behaviour and its determinants among men who have sex with men in Catalonia, Spain

Alcohol and Sexual Risk Behavior Among Men Who Have Sex with Men in South African Township Communities

Lower HIV Prevalence Among Asian/Pacific Islander Men Who Have Sex with Men: A Critical Review for Possible Reasons

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