Associations between substance use and sexual risk among very young men who have sex with men
Autor: | David D. Celentano, Hanne Thiede, Douglas Shehan, Duncan A. MacKellar, Marlene LaLota, Frangiscos Sifakis, Mitchell H. Katz, Susan Stoyanoff, Linda A. Valleroy, Lucia V. Torian, Willi McFarland, Beryl A. Koblin, John B. Hylton |
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Rok vydání: | 2006 |
Předmět: |
Microbiology (medical)
Sexually transmitted disease Adult Male Adolescent Substance-Related Disorders media_common.quotation_subject Sexual Behavior Population HIV Infections Dermatology Men who have sex with men Risk Factors Surveys and Questionnaires medicine Disease Transmission Infectious Humans Homosexuality Risk factor Homosexuality Male education media_common education.field_of_study business.industry Illicit Drugs Public Health Environmental and Occupational Health Age Factors Odds ratio medicine.disease Confidence interval United States Substance abuse Infectious Diseases business Demography |
Zdroj: | Sexually transmitted diseases. 33(4) |
ISSN: | 0148-5717 |
Popis: | The objective was to determine if an association exists in young men who have sex with men (MSM) between being under the influence of alcohol or drugs during sex and participation in sexual behaviors which increase the risk of human immunodeficiency virus (HIV). A total of 3492 young MSM were interviewed through the Young Mens Survey an anonymous cross-sectional multisite venue-based survey conducted from 1994 through 1998 at 194 public venues frequented by MSM aged 15 to 22 years in 7 US cities. The majority of young MSM reported both receptive and insertive anal intercourse and of these approximately half reported not using condoms. Report of unprotected receptive anal intercourse at least once in the prior 6 months was associated with being under the influence of alcohol (adjusted odds ratio [AOR] = 1.5; 95% confidence interval [CI] = 1.2-1.8) cocaine (AOR = 1.6; 95% CI = 1.1-2.2) amphetamines (AOR = 1.5; 95% CI = 1.1-2.0) or marijuana during sex (AOR = 1.3; 95% CI = 1.1-1.6). Report of unprotected insertive anal intercourse at least once in the prior 6 months was associated with being under the influence of alcohol (AOR = 1.2; 95% CI = 1.0-1.5) cocaine (AOR = 1.5; 95% CI = 1.1-2.0) or amphetamines (AOR = 1.9; 95% CI = 1.4-2.6). HIV prevention strategies for young MSM need to incorporate substance use risk reduction. (authors) |
Databáze: | OpenAIRE |
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