Drug and Alcohol Use with Condomless Anal Sex among Men Who Have Sex with Men in Melbourne, Australia: A Retrospective Data Analysis from 2011 to 2017

被引:2
|
作者
Hardy, Christopher [1 ,2 ]
Fairley, Christopher K. [1 ,2 ]
Ong, Jason J. [1 ,2 ]
Vodstrcil, Lenka A. [1 ,2 ]
Bradshaw, Catriona S. [1 ,2 ]
Snow, Anthony [1 ]
Chow, Eric P. F. [1 ,2 ,3 ]
机构
[1] Alfred Hlth, Melbourne Sexual Hlth Ctr, 580 Swanston St, Melbourne, Vic 3053, Australia
[2] Monash Univ, Cent Clin Sch, Melbourne, Vic 3004, Australia
[3] Univ Melbourne, Ctr Epidemiol & Biostat, Melbourne Sch Populat & Global Hlth, Melbourne, Vic 3053, Australia
基金
澳大利亚国家健康与医学研究理事会; 英国医学研究理事会;
关键词
Sexual health; Recreational drugs; Condom; Sexual practices; Pre-exposure prophylaxis; Substance; RISK BEHAVIOR; SUBSTANCE USE; HIV; CONSUMPTION; PREVENTION; GENDER; MSM;
D O I
10.1007/s10508-021-01966-1
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Rises in condomless anal sex among men who have sex with men (MSM) have been reported over the last decade but there is less certainty about the role that drugs, alcohol, play in this change. We examined the changes in drug and alcohol use among 22,255 MSM reporting condomless anal sex at Melbourne Sexual Health Centre in 2011-2017. There was a 7% annual increase in using drugs before and/or during condomless anal sex but a 3% annual reduction in condomless anal sex while drunk. MSM taking PrEP were more likely to report condomless anal sex with drug use (AOR: 1.21; 95%CI: 1.07-1.37) and alcohol use (AOR: 1.29; 95%CI: 1.14-1.46) compared with MSM not taking PrEP.
引用
收藏
页码:2497 / 2507
页数:11
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