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Prevalence and correlates of hazardous alcohol consumption and binge drinking among men who have sex with men (MSM) in San Francisco.
PLoS One. 2018; 13(8):e0202170.Plos

Abstract

OBJECTIVES

To describe heavy alcohol use patterns and correlates in a diverse sample of MSM.

METHODS

We used respondent-driven sampling (RDS) to enroll 252 alcohol-using MSM in San Francisco from March 2015-July 2017. We examined heavy alcohol use patterns and conducted RDS-adjusted multivariable analyses to characterize correlates of hazardous alcohol consumption and binge drinking.

RESULTS

RDS-adjusted prevalence of weekly and at least weekly binge drinking was 24.9% and 19.3%, respectively. Hazardous consumption was common; prevalence of mid- and high-levels of hazardous drinking was 11.4% and 29.9%, respectively. In multivariable analyses, identifying as Hispanic/Latino or mixed/other race; being moderately or extremely interested in reducing alcohol use; ever receiving alcohol treatment; using ecstasy; reporting syphilis diagnosis; and having more than 5 male partners were independently associated with hazardous alcohol consumption. Less hazardous consumption was associated with having a bachelor's degree or completing post-graduate studies; and not being in a relationship. Reporting chlamydia infection; being somewhat, moderately or extremely interested in reducing alcohol use; and having multiple male sex partners were associated with higher odds of at least weekly binge drinking. Lower odds of binge drinking were associated with completing post-graduate studies. Moreover, for the outcomes of hazardous alcohol consumption and binge-drinking, we observed significant interaction effects between race/ethnicity and interest in reducing alcohol, past receipt of alcohol treatment, use of ecstasy, syphilis diagnosis, and number of male partners.

CONCLUSION

Among alcohol-using MSM in San Francisco, heavy drinking patterns were common and independently associated with greater number of male sexual partners and sexually transmitted infections (STI). Moreover, significant racial/ethnic and socioeconomic disparities related to heavy alcohol use were observed and race/ethnicity modified the effect of the risk factors associated with these outcomes. These findings underscore the need to develop more MSM-specific interventions that jointly address heavy alcohol use and HIV/STI risk, as well as culturally-tailored and targeted strategies to alleviate health disparities.

Authors+Show Affiliations

Center for Public Health Research, San Francisco Department of Public Health, San Francisco, California, United States of America. Department of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, California, United States of America.Center for Public Health Research, San Francisco Department of Public Health, San Francisco, California, United States of America. School of Public Health, University of California Berkeley, Berkeley, California, United States of America.The Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Maryland, United States of America.Center for Public Health Research, San Francisco Department of Public Health, San Francisco, California, United States of America.Center for Public Health Research, San Francisco Department of Public Health, San Francisco, California, United States of America.Center for Public Health Research, San Francisco Department of Public Health, San Francisco, California, United States of America.Center for Public Health Research, San Francisco Department of Public Health, San Francisco, California, United States of America. School of Public Health, University of California Berkeley, Berkeley, California, United States of America.Center for Public Health Research, San Francisco Department of Public Health, San Francisco, California, United States of America. Division of HIV, ID & Global Medicine, University of California, San Francisco, California, United States of America.Center for Public Health Research, San Francisco Department of Public Health, San Francisco, California, United States of America. Department of Epidemiology and Biostatistics, School of Medicine, University of California San Francisco, San Francisco, California, United States of America.Department of Epidemiology, Rutgers School of Public Health, Piscataway, New Jersey, United States of America.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

30118495

Citation

Santos, Glenn-Milo, et al. "Prevalence and Correlates of Hazardous Alcohol Consumption and Binge Drinking Among Men Who Have Sex With Men (MSM) in San Francisco." PloS One, vol. 13, no. 8, 2018, pp. e0202170.
Santos GM, Rowe C, Hern J, et al. Prevalence and correlates of hazardous alcohol consumption and binge drinking among men who have sex with men (MSM) in San Francisco. PLoS One. 2018;13(8):e0202170.
Santos, G. M., Rowe, C., Hern, J., Walker, J. E., Ali, A., Ornelaz, M., Prescott, M., Coffin, P., McFarland, W., & Raymond, H. F. (2018). Prevalence and correlates of hazardous alcohol consumption and binge drinking among men who have sex with men (MSM) in San Francisco. PloS One, 13(8), e0202170. https://doi.org/10.1371/journal.pone.0202170
Santos GM, et al. Prevalence and Correlates of Hazardous Alcohol Consumption and Binge Drinking Among Men Who Have Sex With Men (MSM) in San Francisco. PLoS One. 2018;13(8):e0202170. PubMed PMID: 30118495.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and correlates of hazardous alcohol consumption and binge drinking among men who have sex with men (MSM) in San Francisco. AU - Santos,Glenn-Milo, AU - Rowe,Christopher, AU - Hern,Jaclyn, AU - Walker,John E, AU - Ali,Arsheen, AU - Ornelaz,Marcial, AU - Prescott,Maximo, AU - Coffin,Phillip, AU - McFarland,Willi, AU - Raymond,H Fisher, Y1 - 2018/08/17/ PY - 2017/08/16/received PY - 2018/07/30/accepted PY - 2018/8/18/entrez PY - 2018/8/18/pubmed PY - 2019/2/13/medline SP - e0202170 EP - e0202170 JF - PloS one JO - PLoS One VL - 13 IS - 8 N2 - OBJECTIVES: To describe heavy alcohol use patterns and correlates in a diverse sample of MSM. METHODS: We used respondent-driven sampling (RDS) to enroll 252 alcohol-using MSM in San Francisco from March 2015-July 2017. We examined heavy alcohol use patterns and conducted RDS-adjusted multivariable analyses to characterize correlates of hazardous alcohol consumption and binge drinking. RESULTS: RDS-adjusted prevalence of weekly and at least weekly binge drinking was 24.9% and 19.3%, respectively. Hazardous consumption was common; prevalence of mid- and high-levels of hazardous drinking was 11.4% and 29.9%, respectively. In multivariable analyses, identifying as Hispanic/Latino or mixed/other race; being moderately or extremely interested in reducing alcohol use; ever receiving alcohol treatment; using ecstasy; reporting syphilis diagnosis; and having more than 5 male partners were independently associated with hazardous alcohol consumption. Less hazardous consumption was associated with having a bachelor's degree or completing post-graduate studies; and not being in a relationship. Reporting chlamydia infection; being somewhat, moderately or extremely interested in reducing alcohol use; and having multiple male sex partners were associated with higher odds of at least weekly binge drinking. Lower odds of binge drinking were associated with completing post-graduate studies. Moreover, for the outcomes of hazardous alcohol consumption and binge-drinking, we observed significant interaction effects between race/ethnicity and interest in reducing alcohol, past receipt of alcohol treatment, use of ecstasy, syphilis diagnosis, and number of male partners. CONCLUSION: Among alcohol-using MSM in San Francisco, heavy drinking patterns were common and independently associated with greater number of male sexual partners and sexually transmitted infections (STI). Moreover, significant racial/ethnic and socioeconomic disparities related to heavy alcohol use were observed and race/ethnicity modified the effect of the risk factors associated with these outcomes. These findings underscore the need to develop more MSM-specific interventions that jointly address heavy alcohol use and HIV/STI risk, as well as culturally-tailored and targeted strategies to alleviate health disparities. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/30118495/Prevalence_and_correlates_of_hazardous_alcohol_consumption_and_binge_drinking_among_men_who_have_sex_with_men__MSM__in_San_Francisco_ L2 - https://dx.plos.org/10.1371/journal.pone.0202170 DB - PRIME DP - Unbound Medicine ER -