Prevalence and correlates of hazardous alcohol consumption and binge drinking among men who have sex with men (MSM) in San Francisco

Autor: H. Fisher Raymond, John E. Walker, Phillip O. Coffin, Willi McFarland, Glenn-Milo Santos, Marcial Ornelaz, Arsheen Ali, Christopher Rowe, Maximo Robert Prescott, Jaclyn Hern
Přispěvatelé: Liu, Yu
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Bacterial Diseases
Male
Ecstasy
Psychological intervention
Ethnic group
Social Sciences
lcsh:Medicine
Underage Drinking
Treponematoses
Oral and gastrointestinal
Chlamydia Infection
Men who have sex with men
Health Risk Behaviors
Sexual and Gender Minorities
Alcohol Use and Health
0302 clinical medicine
Sociology
Medicine and Health Sciences
Prevalence
030212 general & internal medicine
Aetiology
lcsh:Science
Cancer
Pediatric
Alcohol Consumption
Schools
Multidisciplinary
Pharmaceutics
Substance Abuse
Homosexuality
Middle Aged
Health equity
3. Good health
Stroke
Alcoholism
Sexual Partners
Infectious Diseases
Behavioral Pharmacology
HIV/AIDS
social and economic factors
0305 other medical science
Infection
Alcohol-Related Disorders
Research Article
Neglected Tropical Diseases
Adult
Alcohol Drinking
Adolescent
General Science & Technology
Urology
Sexually Transmitted Diseases
Men WHO Have Sex with Men
Binge drinking
Sexual and Gender Minorities (SGM/LGBT*)
Education
03 medical and health sciences
Young Adult
Drug Therapy
Clinical Research
2.3 Psychological
Recreational Drug Use
Environmental health
Behavioral and Social Science
medicine
Humans
Syphilis
Homosexuality
Male

Socioeconomic status
Nutrition
Pharmacology
Mdma
030505 public health
Genitourinary Infections
business.industry
Prevention
lcsh:R
Biology and Life Sciences
Tropical Diseases
medicine.disease
Diet
Cross-Sectional Studies
Good Health and Well Being
People and Places
Sexually Transmitted Infections
Population Groupings
San Francisco
lcsh:Q
business
Sexuality Groupings
Zdroj: PLoS ONE, Vol 13, Iss 8, p e0202170 (2018)
PloS one, vol 13, iss 8
PLoS ONE
ISSN: 1932-6203
Popis: Author(s): Santos, Glenn-Milo; Rowe, Christopher; Hern, Jaclyn; Walker, John E; Ali, Arsheen; Ornelaz, Marcial; Prescott, Maximo; Coffin, Phillip; McFarland, Willi; Raymond, H Fisher | Abstract: OBJECTIVES:To describe heavy alcohol use patterns and correlates in a diverse sample of MSM. METHODS:We used respondent-driven sampling (RDS) to enroll 252 alcohol-using MSM in San Francisco from March 2015-July 2017. We examined heavy alcohol use patterns and conducted RDS-adjusted multivariable analyses to characterize correlates of hazardous alcohol consumption and binge drinking. RESULTS:RDS-adjusted prevalence of weekly and at least weekly binge drinking was 24.9% and 19.3%, respectively. Hazardous consumption was common; prevalence of mid- and high-levels of hazardous drinking was 11.4% and 29.9%, respectively. In multivariable analyses, identifying as Hispanic/Latino or mixed/other race; being moderately or extremely interested in reducing alcohol use; ever receiving alcohol treatment; using ecstasy; reporting syphilis diagnosis; and having more than 5 male partners were independently associated with hazardous alcohol consumption. Less hazardous consumption was associated with having a bachelor's degree or completing post-graduate studies; and not being in a relationship. Reporting chlamydia infection; being somewhat, moderately or extremely interested in reducing alcohol use; and having multiple male sex partners were associated with higher odds of at least weekly binge drinking. Lower odds of binge drinking were associated with completing post-graduate studies. Moreover, for the outcomes of hazardous alcohol consumption and binge-drinking, we observed significant interaction effects between race/ethnicity and interest in reducing alcohol, past receipt of alcohol treatment, use of ecstasy, syphilis diagnosis, and number of male partners. CONCLUSION:Among alcohol-using MSM in San Francisco, heavy drinking patterns were common and independently associated with greater number of male sexual partners and sexually transmitted infections (STI). Moreover, significant racial/ethnic and socioeconomic disparities related to heavy alcohol use were observed and race/ethnicity modified the effect of the risk factors associated with these outcomes. These findings underscore the need to develop more MSM-specific interventions that jointly address heavy alcohol use and HIV/STI risk, as well as culturally-tailored and targeted strategies to alleviate health disparities.
Databáze: OpenAIRE