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Impact of alcohol use on sexual behavior among men who have sex with men and transgender women in Lima, Peru

Identifieur interne : 001B67 ( Pmc/Corpus ); précédent : 001B66; suivant : 001B68

Impact of alcohol use on sexual behavior among men who have sex with men and transgender women in Lima, Peru

Auteurs : Mc Herrera ; Ka Konda ; Sr Leon ; R. Deiss ; B. Brown ; G. Calvo ; Hj Salvatierra ; Cf Caceres ; Jd Klausner

Source :

RBID : PMC:4807690

Abstract

Background

Alcohol use disorders (AUDs) may enhance the likelihood of risky sexual behaviors and the acquisition of sexually transmitted infections (STIs). Associations between AUDs with condomless anal intercourse (CAI) and STI/HIV prevalence were assessed among men who have sex with men (MSM) and transgender women (TW) in Lima, Peru.

Methods

MSM and TW were eligible to participate based on a set of inclusion criteria which characterized them as high-risk. Participants completed a bio-behavioral survey. An AUDIT score ≥8 determined AUD presence. Recent STI diagnosis included rectal gonorrhea/chlamydia, syphilis, and/or new HIV infection within 6 months. Prevalence ratios (PR) were calculated using Poisson regression.

Results

Among 312 MSM and 89 TW, 45% (181/401) had an AUD. Among those with an AUD, 164 (91%) were hazardous/harmful drinkers, and 17 (9%) had alcohol dependence. Higher CAI was reported by participants with an AUD vs. without, (82% vs. 72% albeit not significant). Reporting anal sex in two or more risky venues was associated with screening AUD positive vs. not (24% vs. 15%, p=0.001). There was no difference in recent STI/HIV prevalence by AUD status (32% overall). In multivariable analysis, screening AUD positive was not associated with CAI or recent STI/HIV infection.

Conclusions

In our sample AUDs were not associated with CAI or new HIV infection/recent STI. However higher prevalence of CAI, alcohol use at last sex, and anal sex in risky venues among those with AUDs suggests that interventions to reduce the harms of alcohol should be aimed toward specific contexts.


Url:
DOI: 10.1016/j.drugalcdep.2016.01.030
PubMed: 26896169
PubMed Central: 4807690

Links to Exploration step

PMC:4807690

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<p id="P1">Alcohol use disorders (AUDs) may enhance the likelihood of risky sexual behaviors and the acquisition of sexually transmitted infections (STIs). Associations between AUDs with condomless anal intercourse (CAI) and STI/HIV prevalence were assessed among men who have sex with men (MSM) and transgender women (TW) in Lima, Peru.</p>
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<title>Methods</title>
<p id="P2">MSM and TW were eligible to participate based on a set of inclusion criteria which characterized them as high-risk. Participants completed a bio-behavioral survey. An AUDIT score ≥8 determined AUD presence. Recent STI diagnosis included rectal gonorrhea/chlamydia, syphilis, and/or new HIV infection within 6 months. Prevalence ratios (PR) were calculated using Poisson regression.</p>
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<title>Conclusions</title>
<p id="P4">In our sample AUDs were not associated with CAI or new HIV infection/recent STI. However higher prevalence of CAI, alcohol use at last sex, and anal sex in risky venues among those with AUDs suggests that interventions to reduce the harms of alcohol should be aimed toward specific contexts.</p>
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<underline>Corresponding Author:</underline>
Maria Christina Herrera,
<underline>Permanent Address:</underline>
358 Grape Hollow Road, Holmes, NY 12531,
<email>mch2123@columbia.edu</email>
,
<underline>Phone:</underline>
+1 845-494-2259</corresp>
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<pmc-comment>elocation-id from pubmed: 10.1016/j.drugalcdep.2016.01.030</pmc-comment>
<abstract>
<sec id="S1">
<title>Background</title>
<p id="P1">Alcohol use disorders (AUDs) may enhance the likelihood of risky sexual behaviors and the acquisition of sexually transmitted infections (STIs). Associations between AUDs with condomless anal intercourse (CAI) and STI/HIV prevalence were assessed among men who have sex with men (MSM) and transgender women (TW) in Lima, Peru.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">MSM and TW were eligible to participate based on a set of inclusion criteria which characterized them as high-risk. Participants completed a bio-behavioral survey. An AUDIT score ≥8 determined AUD presence. Recent STI diagnosis included rectal gonorrhea/chlamydia, syphilis, and/or new HIV infection within 6 months. Prevalence ratios (PR) were calculated using Poisson regression.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Among 312 MSM and 89 TW, 45% (181/401) had an AUD. Among those with an AUD, 164 (91%) were hazardous/harmful drinkers, and 17 (9%) had alcohol dependence. Higher CAI was reported by participants with an AUD vs. without, (82% vs. 72% albeit not significant). Reporting anal sex in two or more risky venues was associated with screening AUD positive vs. not (24% vs. 15%, p=0.001). There was no difference in recent STI/HIV prevalence by AUD status (32% overall). In multivariable analysis, screening AUD positive was not associated with CAI or recent STI/HIV infection.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">In our sample AUDs were not associated with CAI or new HIV infection/recent STI. However higher prevalence of CAI, alcohol use at last sex, and anal sex in risky venues among those with AUDs suggests that interventions to reduce the harms of alcohol should be aimed toward specific contexts.</p>
</sec>
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