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The associations of binge alcohol use with HIV/STI risk and diagnosis among heterosexual African American men.
Drug Alcohol Depend. 2009 Apr 01; 101(1-2):101-6.DA

Abstract

BACKGROUND

Studies on the mechanisms of the association between illicit drug use and HIV/STI provide important insight into why there are disproportionate rates of HIV/STI among heterosexual African American men; far less work has been conducted to examine the associations between binge alcohol use and HIV/STI risks in this population.

OBJECTIVE

To assess whether binge alcohol use is associated with risky sexual behaviors and recent HIV/STI diagnosis among heterosexual African American men reporting multiple sex partners in the past year.

METHODS

Participants (n=672) were heterosexually active African American men age 18-65 years recruited from urban health centers and clinics in Boston, MA, and who participated in a health survey. Logistic regression analyses were used to assess associations between past 30 day binge drinking and the following outcome variables: unprotected sex, six or more sex partners in the past year, sex trade involvement, and past 6 month HIV/STI diagnosis. Analyses were adjusted to control demographics, incarceration history, illicit drug use, and injection drug use.

RESULTS

Significant associations were observed between binge alcohol use and unprotected vaginal sex with non-main female partners (AOR=1.7, 95% CI=1.2-2.3), unprotected anal sex with non-main female partners (AOR=2.3, 95% CI=1.4-4.0), sex trade involvement (AOR=2.1, 95% CI=1.3-3.5), and recent HIV/STI diagnosis (AOR=1.9; 95% CI=1.05-3.6).

CONCLUSION

Heterosexual African American men engaging in binge alcohol use may be at increased risk for HIV/STI; findings support the need for integrating alcohol risk reduction into HIV prevention programs targeting this population.

Authors+Show Affiliations

Social Behavioral Sciences Department, Boston University School of Public Health, Boston, MA 02118, USA. anitaraj@bu.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

19117698

Citation

Raj, Anita, et al. "The Associations of Binge Alcohol Use With HIV/STI Risk and Diagnosis Among Heterosexual African American Men." Drug and Alcohol Dependence, vol. 101, no. 1-2, 2009, pp. 101-6.
Raj A, Reed E, Santana MC, et al. The associations of binge alcohol use with HIV/STI risk and diagnosis among heterosexual African American men. Drug Alcohol Depend. 2009;101(1-2):101-6.
Raj, A., Reed, E., Santana, M. C., Walley, A. Y., Welles, S. L., Horsburgh, C. R., Flores, S. A., & Silverman, J. G. (2009). The associations of binge alcohol use with HIV/STI risk and diagnosis among heterosexual African American men. Drug and Alcohol Dependence, 101(1-2), 101-6. https://doi.org/10.1016/j.drugalcdep.2008.11.008
Raj A, et al. The Associations of Binge Alcohol Use With HIV/STI Risk and Diagnosis Among Heterosexual African American Men. Drug Alcohol Depend. 2009 Apr 1;101(1-2):101-6. PubMed PMID: 19117698.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The associations of binge alcohol use with HIV/STI risk and diagnosis among heterosexual African American men. AU - Raj,Anita, AU - Reed,Elizabeth, AU - Santana,M Christina, AU - Walley,Alexander Y, AU - Welles,Seth L, AU - Horsburgh,C Robert, AU - Flores,Stephen A, AU - Silverman,Jay G, Y1 - 2008/12/30/ PY - 2008/05/06/received PY - 2008/11/10/revised PY - 2008/11/10/accepted PY - 2009/1/2/entrez PY - 2009/1/2/pubmed PY - 2009/5/22/medline SP - 101 EP - 6 JF - Drug and alcohol dependence JO - Drug Alcohol Depend VL - 101 IS - 1-2 N2 - BACKGROUND: Studies on the mechanisms of the association between illicit drug use and HIV/STI provide important insight into why there are disproportionate rates of HIV/STI among heterosexual African American men; far less work has been conducted to examine the associations between binge alcohol use and HIV/STI risks in this population. OBJECTIVE: To assess whether binge alcohol use is associated with risky sexual behaviors and recent HIV/STI diagnosis among heterosexual African American men reporting multiple sex partners in the past year. METHODS: Participants (n=672) were heterosexually active African American men age 18-65 years recruited from urban health centers and clinics in Boston, MA, and who participated in a health survey. Logistic regression analyses were used to assess associations between past 30 day binge drinking and the following outcome variables: unprotected sex, six or more sex partners in the past year, sex trade involvement, and past 6 month HIV/STI diagnosis. Analyses were adjusted to control demographics, incarceration history, illicit drug use, and injection drug use. RESULTS: Significant associations were observed between binge alcohol use and unprotected vaginal sex with non-main female partners (AOR=1.7, 95% CI=1.2-2.3), unprotected anal sex with non-main female partners (AOR=2.3, 95% CI=1.4-4.0), sex trade involvement (AOR=2.1, 95% CI=1.3-3.5), and recent HIV/STI diagnosis (AOR=1.9; 95% CI=1.05-3.6). CONCLUSION: Heterosexual African American men engaging in binge alcohol use may be at increased risk for HIV/STI; findings support the need for integrating alcohol risk reduction into HIV prevention programs targeting this population. SN - 1879-0046 UR - https://www.unboundmedicine.com/medline/citation/19117698/The_associations_of_binge_alcohol_use_with_HIV/STI_risk_and_diagnosis_among_heterosexual_African_American_men_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0376-8716(08)00394-3 DB - PRIME DP - Unbound Medicine ER -