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AIDS Behav. 2019 Jun;23(6):1634-1646. 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.

Author information

1
Department of Psychiatry, Johns Hopkins University School of Medicine, Meyer 3-147, 600 N. Wolfe St, Baltimore, MD, 21287, USA. hhutton@jhmi.edu.
2
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
3
Biostatics Center, Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
4
Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, USA.
5
Department of Global Health and Population, Harvard School of Public Health, Boston, USA.
6
Department of Medicine, University of California, San Diego, San Diego, USA.
7
Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, USA.
8
Department of Medicine, University of Washington School of Medicine, Seattle, USA.
9
Department of Psychiatry, University of Alabama School of Medicine, Birmingham, USA.
10
Department of Medicine, University of Alabama School of Medicine, Birmingham, USA.
11
Department of Medicine, University of California, San Francisco School of Medicine, San Francisco, USA.
12
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

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.

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

PMID:
30443807
DOI:
10.1007/s10461-018-2337-5

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