Alcohol Use Patterns and Subsequent Sexual Behaviors Among Women, Men who have Sex with Men and Men who have Sex with Women Engaged in Routine HIV Care in the United States

Heidi E. Hutton; Catherine R. Lesko; Ximin Li; Carol B. Thompson; Bryan Lau; Sonia Napravnik; Kenneth H. Mayer; W. Christopher Mathews; Mary E. McCaul; Heidi M. Crane; Rob J. Fredericksen; Karen L. Cropsey; Michael Saag; Katerina Christopoulos; Geetanjali Chander

doi:10.1007/s10461-018-2337-5

Alcohol Use Patterns and Subsequent Sexual Behaviors Among Women, Men who have Sex with Men and Men who have Sex with Women Engaged in Routine HIV Care in the United States

Heidi E. Hutton, Catherine R. Lesko, Ximin Li, Carol B. Thompson, Bryan Lau, Sonia Napravnik, Kenneth H. Mayer, W. Christopher Mathews, Mary E. McCaul, Heidi M. Crane, Rob J. Fredericksen, Karen L. Cropsey, Michael Saag, Katerina Christopoulos, Geetanjali Chander

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

Among people with HIV, alcohol use is associated with increased prevalence of sexual transmission behaviors. We examined associations between alcohol use in the prior year and sexual behaviors approximately six months later among 1857 women, 6752 men who have sex with men (MSM) and 2685 men who have sex with women (MSW). Any alcohol use was associated with increased risk of unsafe vaginal sex among women; anal sex and =>2 anal sex partners among MSM; and anal sex, =>2 anal or vaginal sex partners, and unsafe vaginal sex among MSW. In particular, among women >7 alcoholic drinks/week and among MSW =>5 alcoholic drinks/drinking day increased the likelihood of certain subsequent sexual behaviors. For all groups, especially women, the risk of sex under the influence of drugs/alcohol markedly increased with increases in quantity and frequency of alcohol consumption. These different patterns of drinking and sexual behaviors indicate the importance of tailored counseling messages to women, MSM and MSW.

Original language	English (US)
Pages (from-to)	1634-1646
Number of pages	13
Journal	AIDS and behavior
Volume	23
Issue number	6
DOIs	https://doi.org/10.1007/s10461-018-2337-5
State	Published - Jun 15 2019

Keywords

Alcohol use
Binge drinking
HIV
Hazardous drinking
MSM
MSW
Men who have sex with men
Men who have sex with women
Sexual risk behaviors
Women

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-018-2337-5

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Hutton, H. E., Lesko, C. R., Li, X., Thompson, C. B., Lau, B., Napravnik, S., Mayer, K. H., Mathews, W. C., McCaul, M. E., Crane, H. M., Fredericksen, R. J., Cropsey, K. L., Saag, M., Christopoulos, K., & Chander, G. (2019). Alcohol Use Patterns and Subsequent Sexual Behaviors Among Women, Men who have Sex with Men and Men who have Sex with Women Engaged in Routine HIV Care in the United States. AIDS and behavior, 23(6), 1634-1646. https://doi.org/10.1007/s10461-018-2337-5

Hutton, HE , Lesko, CR , Li, X, Thompson, CB, Lau, B, Napravnik, S, Mayer, KH, Mathews, WC, McCaul, ME, Crane, HM, Fredericksen, RJ, Cropsey, KL, Saag, M, Christopoulos, K & Chander, G 2019, 'Alcohol Use Patterns and Subsequent Sexual Behaviors Among Women, Men who have Sex with Men and Men who have Sex with Women Engaged in Routine HIV Care in the United States', AIDS and behavior, vol. 23, no. 6, pp. 1634-1646. https://doi.org/10.1007/s10461-018-2337-5

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abstract = "Among people with HIV, alcohol use is associated with increased prevalence of sexual transmission behaviors. We examined associations between alcohol use in the prior year and sexual behaviors approximately six months later among 1857 women, 6752 men who have sex with men (MSM) and 2685 men who have sex with women (MSW). Any alcohol use was associated with increased risk of unsafe vaginal sex among women; anal sex and =>2 anal sex partners among MSM; and anal sex, =>2 anal or vaginal sex partners, and unsafe vaginal sex among MSW. In particular, among women >7 alcoholic drinks/week and among MSW =>5 alcoholic drinks/drinking day increased the likelihood of certain subsequent sexual behaviors. For all groups, especially women, the risk of sex under the influence of drugs/alcohol markedly increased with increases in quantity and frequency of alcohol consumption. These different patterns of drinking and sexual behaviors indicate the importance of tailored counseling messages to women, MSM and MSW.",

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AU - Lau, Bryan

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AU - Mayer, Kenneth H.

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AU - McCaul, Mary E.

AU - Crane, Heidi M.

AU - Fredericksen, Rob J.

AU - Cropsey, Karen L.

AU - Saag, Michael

AU - Christopoulos, Katerina

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N2 - Among people with HIV, alcohol use is associated with increased prevalence of sexual transmission behaviors. We examined associations between alcohol use in the prior year and sexual behaviors approximately six months later among 1857 women, 6752 men who have sex with men (MSM) and 2685 men who have sex with women (MSW). Any alcohol use was associated with increased risk of unsafe vaginal sex among women; anal sex and =>2 anal sex partners among MSM; and anal sex, =>2 anal or vaginal sex partners, and unsafe vaginal sex among MSW. In particular, among women >7 alcoholic drinks/week and among MSW =>5 alcoholic drinks/drinking day increased the likelihood of certain subsequent sexual behaviors. For all groups, especially women, the risk of sex under the influence of drugs/alcohol markedly increased with increases in quantity and frequency of alcohol consumption. These different patterns of drinking and sexual behaviors indicate the importance of tailored counseling messages to women, MSM and MSW.

AB - Among people with HIV, alcohol use is associated with increased prevalence of sexual transmission behaviors. We examined associations between alcohol use in the prior year and sexual behaviors approximately six months later among 1857 women, 6752 men who have sex with men (MSM) and 2685 men who have sex with women (MSW). Any alcohol use was associated with increased risk of unsafe vaginal sex among women; anal sex and =>2 anal sex partners among MSM; and anal sex, =>2 anal or vaginal sex partners, and unsafe vaginal sex among MSW. In particular, among women >7 alcoholic drinks/week and among MSW =>5 alcoholic drinks/drinking day increased the likelihood of certain subsequent sexual behaviors. For all groups, especially women, the risk of sex under the influence of drugs/alcohol markedly increased with increases in quantity and frequency of alcohol consumption. These different patterns of drinking and sexual behaviors indicate the importance of tailored counseling messages to women, MSM and MSW.

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Alcohol Use Patterns and Subsequent Sexual Behaviors Among Women, Men who have Sex with Men and Men who have Sex with Women Engaged in Routine HIV Care in the United States

Abstract

Keywords

ASJC Scopus subject areas

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