Alcohol Use and Associated Sexual and Substance Use Behaviors Among Men Who Have Sex with Men in Moscow, Russia

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• 作者：A. L. Wirtz ; C. E. Zelaya ; C. Latkin ; R. Stall ; A. Peryshkina…
• 关键词：Men who have sex with men ; Alcohol use ; HIV ; Russian Federation ; Sexual behavior
• 刊名：AIDS and Behavior
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：20
• 期：3
• 页码：523-536
• 全文大小：437 KB
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• 作者单位：A. L. Wirtz (1) (2)
  C. E. Zelaya (2)
  C. Latkin (3)
  R. Stall (4)
  A. Peryshkina (5)
  N. Galai (2)
  V. Mogilniy (5)
  P. Dzhigun (5)
  I. Kostetskaya (5)
  C. Beyrer (2)
  
  1. Department of Emergency Medicine, Johns Hopkins Medical Institute, Baltimore, MD, USA
  2. Department of Epidemiology, Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
  3. Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
  4. Department of Behavioral and Community Health Sciences, Graduate School of Public Health University of Pittsburgh, Pittsburgh, PA, USA
  5. AIDS Infoshare, Moscow, Russian Federation
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Public Health
  Health Psychology
  Infectious Diseases
  
• 出版者：Springer Netherlands
• ISSN：1573-3254

文摘

Alcohol use is a public health problem in the Russian Federation. This study explored relationships between alcohol use and behavioral risks for HIV transmission among men who have sex with men (MSM) in Moscow, Russia. Alcohol use disorder identification test (AUDIT) scores for 1367 MSM participating in a cross-sectional survey and HIV testing were categorized to: “abstinence/low use”, “hazardous use”, “harmful use/dependency”. Multiple logistic regression models compared dependent variables for sexual and drug use behaviors across alcohol use strata. Hazardous and harmful/dependent alcohol use were significantly associated with high-risk sexual behaviors and drug use. Harmful use/dependency was associated with an increased odds of having more than five male sex partners (last 12 months; adjusted odds ratios—AOR 1.69; 95 % CI 1.25–2.27), inconsistent condom use during anal intercourse (AOR 2.19; 95 % CI 1.61–2.96) and, among those using recreational drugs, injection drug use (last month; AOR 4.38: 95 % CI 1.13–17.07) compared to abstinent/low-level users. Harmful/dependent use was marginally associated with HIV infection (AOR 1.48; 95 % CI 0.97–2.25). HIV prevention efforts for MSM in Moscow may benefit from addressing problem alcohol use to mitigate high-risk behaviors.