Binge drinking and risky sexual behavior among HIV-negative and unknown HIV status men who have sex with men, 20 US cities

NHBS Study Group

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: Men who have sex with men (MSM) represent over half of new HIV infections in the United States. It is important to understand the factors associated with engaging in risky sexual behavior to develop effective prevention interventions. Binge drinking (≥5 drinks on ≥1 occasion) is the most common form of excessive alcohol consumption. This study examines the relationship between binge drinking and sexual risk behaviors among MSM who are current drinkers and who were either HIV-negative or unaware of their HIV status. Methods: Using the 2011 National HIV Behavioral Surveillance system and multivariable Poisson models with robust error estimates, we assessed the association between binge drinking and sexual risk behaviors among current drinkers. Prevalence ratios (PR) and 95% confidence intervals (CI) are presented. Results: Overall, 85% of MSM were current drinkers, and 59% of MSM who drank reported ≥1 episode of binge drinking in the preceding 30 days. In multivariable models, binge drinking was associated with condomless anal intercourse (CAI) at last sex with an HIV-positive or unknown status partner (receptive: PR 1.3, 95% CI 1.1-1.6; insertive: PR 1.2, 95% CI 1.0-1.4), having exchanged sex for money or drugs at last sex (PR: 1.4, 95% CI 1.1-1.7), having concurrent partners in the past year (PR: 1.1, 95% CI 1.1-1.2), and having more CAI partners in the past year (PR: 1.2, 95% CI 1.0-1.4) compared to non-binge drinkers. Conclusions: Evidence-based strategies for reducing binge drinking could help reduce risky sexual behavior among MSM.

Original languageEnglish (US)
Pages (from-to)46-52
Number of pages7
JournalDrug and Alcohol Dependence
Volume147
DOIs
StatePublished - Feb 1 2015
Externally publishedYes

Fingerprint

Binge Drinking
Sexual Behavior
HIV
Confidence Intervals
Alcohols
Risk-Taking
Pharmaceutical Preparations
Sex Ratio
Alcohol Drinking
HIV Infections

Keywords

  • Anal intercourse
  • Binge drinking
  • HIV
  • Men who have sex with men
  • Risky sex behaviors

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Toxicology
  • Pharmacology
  • Pharmacology (medical)

Cite this

Binge drinking and risky sexual behavior among HIV-negative and unknown HIV status men who have sex with men, 20 US cities. / NHBS Study Group.

In: Drug and Alcohol Dependence, Vol. 147, 01.02.2015, p. 46-52.

Research output: Contribution to journalArticle

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title = "Binge drinking and risky sexual behavior among HIV-negative and unknown HIV status men who have sex with men, 20 US cities",
abstract = "Background: Men who have sex with men (MSM) represent over half of new HIV infections in the United States. It is important to understand the factors associated with engaging in risky sexual behavior to develop effective prevention interventions. Binge drinking (≥5 drinks on ≥1 occasion) is the most common form of excessive alcohol consumption. This study examines the relationship between binge drinking and sexual risk behaviors among MSM who are current drinkers and who were either HIV-negative or unaware of their HIV status. Methods: Using the 2011 National HIV Behavioral Surveillance system and multivariable Poisson models with robust error estimates, we assessed the association between binge drinking and sexual risk behaviors among current drinkers. Prevalence ratios (PR) and 95{\%} confidence intervals (CI) are presented. Results: Overall, 85{\%} of MSM were current drinkers, and 59{\%} of MSM who drank reported ≥1 episode of binge drinking in the preceding 30 days. In multivariable models, binge drinking was associated with condomless anal intercourse (CAI) at last sex with an HIV-positive or unknown status partner (receptive: PR 1.3, 95{\%} CI 1.1-1.6; insertive: PR 1.2, 95{\%} CI 1.0-1.4), having exchanged sex for money or drugs at last sex (PR: 1.4, 95{\%} CI 1.1-1.7), having concurrent partners in the past year (PR: 1.1, 95{\%} CI 1.1-1.2), and having more CAI partners in the past year (PR: 1.2, 95{\%} CI 1.0-1.4) compared to non-binge drinkers. Conclusions: Evidence-based strategies for reducing binge drinking could help reduce risky sexual behavior among MSM.",
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author = "{NHBS Study Group} and Hess, {Kristen L.} and Chavez, {Pollyanna R.} and Dafna Kanny and Elizabeth DiNenno and Amy Lansky and Gabriela Paz-Bailey and Jennifer Taus-sig and Robert Gern and Tamika Hoyte and Laura Salazar and Jianglan White and Jeff Todd and Greg Bautista and Colin Flynn and Frangiscos Sifakis and Danielle German and Debbie Isenberg and Maura Driscoll and Elizabeth Hurwitz and Miminos and Rose Doherty and Chris Wittke and Nikhil Prachand and Nanette Benbow and Sharon Melville and Praveen Pannala and Richard Yeager and Aaron Sayegh and Jim Dyer and Shane Sheu and Alicia Novoa and Mark Thrun and Alia Al-Tayyib and Ralph Wilmoth and Emily Higgins and Vivian Griffin and Eve Mokotoff and Karen MacMaster and Marcia Wolverton and Jan Risser and Hafeez Rehman and Paige Padgett and Trista Bingham and Sey, {Ekow Kwa} and Marlene LaLota and Lisa Metsch and Forrest, {David W} and Dano Beck and Gabriel Cardenas and Chris Nemeth",
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T1 - Binge drinking and risky sexual behavior among HIV-negative and unknown HIV status men who have sex with men, 20 US cities

AU - NHBS Study Group

AU - Hess, Kristen L.

AU - Chavez, Pollyanna R.

AU - Kanny, Dafna

AU - DiNenno, Elizabeth

AU - Lansky, Amy

AU - Paz-Bailey, Gabriela

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AU - Gern, Robert

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AU - Salazar, Laura

AU - White, Jianglan

AU - Todd, Jeff

AU - Bautista, Greg

AU - Flynn, Colin

AU - Sifakis, Frangiscos

AU - German, Danielle

AU - Isenberg, Debbie

AU - Driscoll, Maura

AU - Hurwitz, Elizabeth

AU - Miminos,

AU - Doherty, Rose

AU - Wittke, Chris

AU - Prachand, Nikhil

AU - Benbow, Nanette

AU - Melville, Sharon

AU - Pannala, Praveen

AU - Yeager, Richard

AU - Sayegh, Aaron

AU - Dyer, Jim

AU - Sheu, Shane

AU - Novoa, Alicia

AU - Thrun, Mark

AU - Al-Tayyib, Alia

AU - Wilmoth, Ralph

AU - Higgins, Emily

AU - Griffin, Vivian

AU - Mokotoff, Eve

AU - MacMaster, Karen

AU - Wolverton, Marcia

AU - Risser, Jan

AU - Rehman, Hafeez

AU - Padgett, Paige

AU - Bingham, Trista

AU - Sey, Ekow Kwa

AU - LaLota, Marlene

AU - Metsch, Lisa

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AU - Beck, Dano

AU - Cardenas, Gabriel

AU - Nemeth, Chris

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N2 - Background: Men who have sex with men (MSM) represent over half of new HIV infections in the United States. It is important to understand the factors associated with engaging in risky sexual behavior to develop effective prevention interventions. Binge drinking (≥5 drinks on ≥1 occasion) is the most common form of excessive alcohol consumption. This study examines the relationship between binge drinking and sexual risk behaviors among MSM who are current drinkers and who were either HIV-negative or unaware of their HIV status. Methods: Using the 2011 National HIV Behavioral Surveillance system and multivariable Poisson models with robust error estimates, we assessed the association between binge drinking and sexual risk behaviors among current drinkers. Prevalence ratios (PR) and 95% confidence intervals (CI) are presented. Results: Overall, 85% of MSM were current drinkers, and 59% of MSM who drank reported ≥1 episode of binge drinking in the preceding 30 days. In multivariable models, binge drinking was associated with condomless anal intercourse (CAI) at last sex with an HIV-positive or unknown status partner (receptive: PR 1.3, 95% CI 1.1-1.6; insertive: PR 1.2, 95% CI 1.0-1.4), having exchanged sex for money or drugs at last sex (PR: 1.4, 95% CI 1.1-1.7), having concurrent partners in the past year (PR: 1.1, 95% CI 1.1-1.2), and having more CAI partners in the past year (PR: 1.2, 95% CI 1.0-1.4) compared to non-binge drinkers. Conclusions: Evidence-based strategies for reducing binge drinking could help reduce risky sexual behavior among MSM.

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KW - Anal intercourse

KW - Binge drinking

KW - HIV

KW - Men who have sex with men

KW - Risky sex behaviors

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