Abstract：
BACKGROUND:Alcohol use is an important but understudied HIV risk factor among men who have sex with men (MSM), particularly in Latin America. We studied the relationship between problem drinking and sexual risk among MSM in Lima, Peru. METHODS:We recruited 718 participants from 24 neighborhoods for a study on sexually transmitted infections and community-building among MSM. Multivariate analysis was used to identify factors independently associated with problem drinking, which was defined via the CAGE Questionnaire. RESULTS:Of 718 participants, 58% met criteria for problem drinking. In univariate analysis, problem drinkers were significantly more likely to report failing to always use condoms, use alcohol or drugs prior to their most recent sexual encounter, report a history of sexual coercion and to engage in transactional sex. Problem drinkers also reported significantly higher numbers of recent and lifetime sexual partners. In multivariate analysis, factors independently associated with problem drinking included a history of sexual coercion [OR 1.8 95%, CI 1.2-2.6], having consumed alcohol prior to the most recent sexual encounter [OR 2.1 95%, CI 1.5-2.9], receiving compensation for sex in the last six months [OR 1.6, 95% CI 1.1-2.2] or having reported a prior HIV+ test [OR 0.5, 95% CI 0.2-0.9]. DISCUSSION:We found a high prevalence of problem drinking among MSM in Lima, Peru, which was associated with increased sexual risk in our study. Of note, individuals who were already HIV-infected were less likely to be problem drinkers. Further studies and targeted interventions to reduce problem drinking among MSM are warranted.
journal_name
Drug Alcohol Dependjournal_title
Drug and alcohol dependenceauthors
Deiss RG,Clark JL,Konda KA,Leon SR,Klausner JD,Caceres CF,Coates TJdoi
10.1016/j.drugalcdep.2013.01.011subject
Has Abstractpub_date
2013-09-01 00:00:00pages
134-9issue
1-2eissn
0376-8716issn
1879-0046pii
S0376-8716(13)00024-0journal_volume
132pub_type
杂志文章abstract：BACKGROUND:Recent studies suggest that young adult participation in, and volume of, alcohol consumption has decreased. However, the evidence on trends in harmful alcohol consumption in this age group is limited. The current paper aims to examine changes over time in harmful alcohol consumption using a robust, widely em...
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更新日期：2020-09-01 00:00:00
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journal_title：Drug and alcohol dependence
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doi：10.1016/j.drugalcdep.2007.07.019
更新日期：2008-01-01 00:00:00
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pub_type： 杂志文章
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pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Drug and alcohol dependence
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doi：10.1016/j.drugalcdep.2009.04.005
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journal_title：Drug and alcohol dependence
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doi：10.1016/j.drugalcdep.2007.07.003
更新日期：2008-01-01 00:00:00
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更新日期：1981-08-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
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更新日期：2017-04-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
doi：10.1016/j.drugalcdep.2012.01.013
更新日期：2012-08-01 00:00:00
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pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1995-06-01 00:00:00
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更新日期：2016-02-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
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更新日期：1987-01-01 00:00:00
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更新日期：2003-05-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
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更新日期：2001-03-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
doi：10.1016/j.drugalcdep.2015.04.010
更新日期：2015-07-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.drugalcdep.2007.04.006
更新日期：2007-10-08 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
doi：10.1016/j.drugalcdep.2007.03.006
更新日期：2007-10-08 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.drugalcdep.2019.07.007
更新日期：2019-10-01 00:00:00
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更新日期：1997-08-25 00:00:00
