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Alcohol misuse, risky sexual behaviors, and HIV or syphilis infections among Chinese men who have sex with men.
Drug Alcohol Depend. 2016 Nov 01; 168:239-246.DA

Abstract

BACKGROUND

Few studies have employed standardized alcohol misuse measures to assess relationships with sexual risk and HIV/syphilis infections among Chinese men who have sex with men (MSM).

METHODS

We conducted a cross-sectional study among MSM in Beijing during 2013-2014. An interviewer-administered survey was conducted to collect data on sociodemographics, high-risk behaviors, and alcohol use/misuse patterns (hazardous/binge drinking and risk of alcohol dependence) in the past 3 months using Alcohol Use Disorder Identification Test-Consumption (AUDIT-C). We defined AUDIT-C score ≥4 as recent hazardous drinkers, and drinking ≥6 standard drinks on one occasion as recent binge drinkers.

RESULTS

Of 3588 participants, 14.4% reported hazardous drinking, 16.8% reported binge drinking. Hazardous and binge drinking are both associated with these factors (p<0.05): older age, being migrants, living longer in Beijing, township/village origin, being employed, higher income, self-perceived low/no HIV risk, and sex-finding via non-Internet venues. Hazardous (vs non-hazardous) or binge (vs. non-binge) drinkers were more likely to use illicit drugs, use alcohol before sex, have multiple partnerships, pay for sex, and have condomless insertive anal intercourse. MSM who reported binge (AOR, 1.34, 95% CI, 1.02-1.77) or hazardous (AOR, 1.36, 95% CI, 1.02-1.82) drinking were more likely to be HIV-infected. MSM at high risk of current alcohol dependence (AUDIT-C ≥8) were more likely to be HIV- (AOR, 2.37, 95% CI, 1.39-4.04) or syphilis-infected (AOR, 1.96, 95% CI, 1.01-3.86).

CONCLUSIONS

Recent alcohol misuse was associated with increased sexual and HIV/syphilis risks among Chinese MSM, emphasizing the needs of implementing alcohol risk reduction programs in this population.

Authors+Show Affiliations

Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, USA.State Key Laboratory of Infectious Disease Prevention and Control (SKLID), Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Chinese Center for Disease Control and Prevention, Beijing, China.The Rory Meyers College of Nursing, New York University, New York, NY, USA.Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, USA.Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD, USA.Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI, USA.Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, USA.State Key Laboratory of Infectious Disease Prevention and Control (SKLID), Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Chinese Center for Disease Control and Prevention, Beijing, China.Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, USA; Division of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: sten.vermund@vanderbilt.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27723554

Citation

Liu, Yu, et al. "Alcohol Misuse, Risky Sexual Behaviors, and HIV or Syphilis Infections Among Chinese Men Who Have Sex With Men." Drug and Alcohol Dependence, vol. 168, 2016, pp. 239-246.
Liu Y, Ruan Y, Strauss SM, et al. Alcohol misuse, risky sexual behaviors, and HIV or syphilis infections among Chinese men who have sex with men. Drug Alcohol Depend. 2016;168:239-246.
Liu, Y., Ruan, Y., Strauss, S. M., Yin, L., Liu, H., Amico, K. R., Zhang, C., Shao, Y., Qian, H. Z., & Vermund, S. H. (2016). Alcohol misuse, risky sexual behaviors, and HIV or syphilis infections among Chinese men who have sex with men. Drug and Alcohol Dependence, 168, 239-246. https://doi.org/10.1016/j.drugalcdep.2016.09.020
Liu Y, et al. Alcohol Misuse, Risky Sexual Behaviors, and HIV or Syphilis Infections Among Chinese Men Who Have Sex With Men. Drug Alcohol Depend. 2016 Nov 1;168:239-246. PubMed PMID: 27723554.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Alcohol misuse, risky sexual behaviors, and HIV or syphilis infections among Chinese men who have sex with men. AU - Liu,Yu, AU - Ruan,Yuhua, AU - Strauss,Shiela M, AU - Yin,Lu, AU - Liu,Hongjie, AU - Amico,K Rivet, AU - Zhang,Chen, AU - Shao,Yiming, AU - Qian,Han-Zhu, AU - Vermund,Sten H, Y1 - 2016/09/30/ PY - 2016/04/26/received PY - 2016/09/21/revised PY - 2016/09/25/accepted PY - 2016/10/30/pubmed PY - 2017/10/27/medline PY - 2016/10/11/entrez KW - AUDIT-C KW - Alcohol use/misuse KW - China KW - HIV KW - Men who have sex with men KW - Sexual risk KW - Syphilis SP - 239 EP - 246 JF - Drug and alcohol dependence JO - Drug Alcohol Depend VL - 168 N2 - BACKGROUND: Few studies have employed standardized alcohol misuse measures to assess relationships with sexual risk and HIV/syphilis infections among Chinese men who have sex with men (MSM). METHODS: We conducted a cross-sectional study among MSM in Beijing during 2013-2014. An interviewer-administered survey was conducted to collect data on sociodemographics, high-risk behaviors, and alcohol use/misuse patterns (hazardous/binge drinking and risk of alcohol dependence) in the past 3 months using Alcohol Use Disorder Identification Test-Consumption (AUDIT-C). We defined AUDIT-C score ≥4 as recent hazardous drinkers, and drinking ≥6 standard drinks on one occasion as recent binge drinkers. RESULTS: Of 3588 participants, 14.4% reported hazardous drinking, 16.8% reported binge drinking. Hazardous and binge drinking are both associated with these factors (p<0.05): older age, being migrants, living longer in Beijing, township/village origin, being employed, higher income, self-perceived low/no HIV risk, and sex-finding via non-Internet venues. Hazardous (vs non-hazardous) or binge (vs. non-binge) drinkers were more likely to use illicit drugs, use alcohol before sex, have multiple partnerships, pay for sex, and have condomless insertive anal intercourse. MSM who reported binge (AOR, 1.34, 95% CI, 1.02-1.77) or hazardous (AOR, 1.36, 95% CI, 1.02-1.82) drinking were more likely to be HIV-infected. MSM at high risk of current alcohol dependence (AUDIT-C ≥8) were more likely to be HIV- (AOR, 2.37, 95% CI, 1.39-4.04) or syphilis-infected (AOR, 1.96, 95% CI, 1.01-3.86). CONCLUSIONS: Recent alcohol misuse was associated with increased sexual and HIV/syphilis risks among Chinese MSM, emphasizing the needs of implementing alcohol risk reduction programs in this population. SN - 1879-0046 UR - https://www.unboundmedicine.com/medline/citation/27723554/Alcohol_misuse_risky_sexual_behaviors_and_HIV_or_syphilis_infections_among_Chinese_men_who_have_sex_with_men_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0376-8716(16)30927-9 DB - PRIME DP - Unbound Medicine ER -