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
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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.
KeywordsHIV Alcohol use Sexual risk behaviors Hazardous drinking Binge drinking Women Men who have sex with men MSM Men who have sex with women MSW
This study was funded by: NIAID CNICS R 24 AI067039 MICHAEL SAAG, NIAID: JHU CFAR P30 AI094189 BRYAN LAU, NIAAA U24 AA020801 MARY MCCAUL, NIAID UW CFAR P30 AI027757 HEIDI M. CRANE, NIAAA U01 AA020802 KAREN L. CROPSEY.
Compliance with Ethical Standards
Conflict of interest
All the authors declared that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Institutional review boards at each CNICS site approved the collection and analysis of the clinical data.
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