Alcohol Use Patterns and Subsequent Sexual Behaviors Among Women, Men who have Sex with Men and Men who have Sex with Women Engaged in Routine HIV Care in the United States

被引：14

作者：

Hutton, Heidi E. ^{[1
]}

Lesko, Catherine R. ^{[2
]}

Li, Ximin ^{[3
]}

Thompson, Carol B. ^{[3
]}

Lau, Bryan ^{[2
]}

Napravnik, Sonia ^{[4
]}

Mayer, Kenneth H. ^{[5
]}

Mathews, W. Christopher ^{[6
]}

McCaul, Mary E. ^{[7
]}

Crane, Heidi M. ^{[8
]}

Fredericksen, Rob J. ^{[8
]}

Cropsey, Karen L. ^{[9
]}

Saag, Michael ^{[10
]}

Christopoulos, Katerina ^{[11
]}

Chander, Geetanjali ^{[12
]}

机构：

[1] Johns Hopkins Univ, Sch Med, Dept Psychiat, Meyer 3-147,600 N Wolfe St, Baltimore, MD 21287 USA

[2] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA

[3] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Biostat, Ctr Biostat, Baltimore, MD USA

[4] Univ N Carolina, Sch Med, Dept Med, Chapel Hill, NC 27515 USA

[5] Harvard Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA USA

[6] Univ Calif San Diego, Dept Med, San Diego, CA 92103 USA

[7] Johns Hopkins Univ, Sch Med, Dept Psychiat, Baltimore, MD 21205 USA

[8] Univ Washington, Sch Med, Dept Med, Seattle, WA 98195 USA

[9] Univ Alabama Birmingham, Sch Med, Dept Psychiat, Birmingham, AL USA

[10] Univ Alabama Birmingham, Sch Med, Dept Med, Birmingham, AL USA

[11] Univ Calif San Francisco, Sch Med, Dept Med, San Francisco, CA USA

[12] Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA

来源：

AIDS AND BEHAVIOR | 2019年 / 23卷 / 06期

关键词：

HIV; Alcohol use; Sexual risk behaviors; Hazardous drinking; Binge drinking; Women; Men who have sex with men; MSM; Men who have sex with women; MSW; SCREENING-TEST ASSIST; AIDS-RESEARCH-NETWORK; RISK BEHAVIORS; SUBSTANCE USE; ANTIRETROVIRAL THERAPY; DRINKING TRAJECTORIES; TRANSMISSION RISK; INFECTED PATIENTS; HEAVY DRINKING; DAILY DIARY;

D O I：

10.1007/s10461-018-2337-5

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Among people with HIV, alcohol use is associated with increased prevalence of sexual transmission behaviors. We examined associations between alcohol use in the prior year and sexual behaviors approximately six months later among 1857 women, 6752 men who have sex with men (MSM) and 2685 men who have sex with women (MSW). Any alcohol use was associated with increased risk of unsafe vaginal sex among women; anal sex and =>2 anal sex partners among MSM; and anal sex, =>2 anal or vaginal sex partners, and unsafe vaginal sex among MSW. In particular, among women >7 alcoholic drinks/week and among MSW =>5 alcoholic drinks/drinking day increased the likelihood of certain subsequent sexual behaviors. For all groups, especially women, the risk of sex under the influence of drugs/alcohol markedly increased with increases in quantity and frequency of alcohol consumption. These different patterns of drinking and sexual behaviors indicate the importance of tailored counseling messages to women, MSM and MSW.

引用

页码：1634 / 1646

页数：13

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