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Moderating Effect of Age on the Association Between Alcohol Use and Sexual Risk in MSM: Evidence for Elevated Risk Among Younger MSM

AIDS and Behavior volume 17, pages 1746–1754 (2013)Cite this article

Abstract

Men who have sex with men (MSM) are substantially impacted by HIV/AIDS in the United States. Alcohol use is frequently studied as a predictor of sexual risk in MSM, but findings for this association have been mixed. Developmental differences in this effect may help to explain equivocal findings. 143 MSM (analytic sample 137) ages 16–40 completed weekly diaries of sexual encounters and associated situational factors for 12 weeks. Analyses were conducted with Hierarchical Linear Modeling. Alcohol use before sex was not associated with sexual risk across all participants. Participant age moderated this effect; alcohol use before sex was associated with increased odds of sexual risk in younger MSM only. These analyses expand on previous findings by utilizing a wider age range than most prior studies and adjusting for the effects of several theoretically-selected covariates. Young MSM are an important group to target for addressing alcohol use in the context of sexual behavior.

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Acknowledgments

This project was funded by a National Research Service Award (NRSA) provided by the National Institute of Mental Health (F31MH088942; PI: Newcomb). Additional funding for participant incentives came from a supplemental dissertation grant from the Chicago Developmental Center for AIDS Research (D-CFAR; PI: Newcomb). The content is solely the responsibility of the author and does not necessarily represent the official views of the National Institute of Mental Health or the Chicago Developmental Center for AIDS Research. Drs. Brian Mustanski and Michelle Birkett, both of Northwestern University, provided helpful comments during the preparation of this manuscript.

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  1. Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, 625 N. Michigan Ave., Suite 2700, Chicago, IL, 60611, US

    Michael E. Newcomb

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Correspondence to Michael E. Newcomb.

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Newcomb, M.E. Moderating Effect of Age on the Association Between Alcohol Use and Sexual Risk in MSM: Evidence for Elevated Risk Among Younger MSM. AIDS Behav 17, 1746–1754 (2013). https://doi.org/10.1007/s10461-013-0470-8

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Keywords

  • HIV/AIDS
  • Sexual risk
  • Alcohol
  • Developmental differences