Binge Drinking and Risky Sexual Behavior among HIV-Negative and Unknown HIV Status Men who have Sex with Men, 20 U.S. Cities

Details

• Alternative Title:
  Drug Alcohol Depend
• Personal Author:
  Hess, Kristen L. ; Chavez, Pollyanna R. ; Kanny, Dafna ; DiNenno, Elizabeth ; Lansky, Amy ; Paz-Bailey, Gabriela
• Description:
  Background ; Men who have sex with men (MSM) represent over half of new HIV infections in the United States. It is important to understand the factors associated with engaging in risky sexual behavior to develop effective prevention interventions. Binge drinking (≥5 drinks on ≥1 occasion) is the most common form of excessive alcohol consumption. This study examines the relationship between binge drinking and sexual risk behaviors among MSM who are current drinkers and who were either HIV-negative or unaware of their HIV status. ; Methods ; Using the 2011 National HIV Behavioral Surveillance system and multivariable Poisson models with robust error estimates, we assessed the association between binge drinking and sexual risk behaviors among current drinkers. Prevalence ratios (PR) and 95% confidence intervals (CI) are presented. ; Results ; Overall, 85% of MSM were current drinkers, and 59% of MSM who drank reported ≥1 episode of binge drinking in the preceding 30 days. In multivariable models, binge drinking was associated with condomless anal intercourse (CAI) at last sex with an HIV-positive or unknown status partner (receptive: PR 1.3, 95% CI 1.1-1.6; insertive: PR 1.2, 95% CI 1.0-1.4), having exchanged sex for money or drugs at last sex (PR: 1.4, 95% CI 1.1-1.7), having concurrent partners in the past year (PR: 1.1, 95% CI 1.1-1.2), and having more CAI partners in the past year (PR: 1.2, 95% CI 1.0-1.4) compared to non-binge drinkers. ; Conclusions ; Evidence-based strategies for reducing binge drinking could help reduce risky sexual behavior among MSM.
• Subjects:
  • Adolescent
  • Adult
  • Binge Drinking
  • Cities
  • HIV Infections
  • HIV Seronegativity
  • Homosexuality, Male
  • Humans
  • Male
  • Middle Aged
  More +
• Keywords:
  • binge drinking
  • men who have sex with men
  • anal intercourse
  • risky sex behaviors
  • HIV
• Source:
  Drug Alcohol Depend. 147:46-52
• Pubmed ID:
  25555622
• Pubmed Central ID:
  PMC4579526
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/ ; P30 AI073961/AI/NIAID NIH HHSUnited States/ ; P30 MH043520/MH/NIMH NIH HHSUnited States/
• Place as Subject:
  United States
• Volume:
  147
• Download URL:
  https://stacks.cdc.gov/view/cdc/34574/cdc_34574_DS1.pdf
• File Type:
  [PDF - 218.33 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:a596a5bbe5ecc35cdeed9c07d3667228e955f9723ea3091394130380195e96ab