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 |
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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 |
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