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Alcohol use and binge drinking among men who have sex with men in China: Prevalence and correlates.
Drug Alcohol Depend. 2019 09 01; 202:61-68.DA

Abstract

BACKGROUND

Both alcohol use/misuse and HIV incidence are increasing among men who have sex with men (MSM) in China. Little is known about predictors of alcohol use/misuse.

METHODS

An online nationwide sample (n = 1100) of MSM from mainland China was recruited between 2014 and 2015. The study objective was to examine the prevalence of a history of alcohol use and frequency of binge drinking in the previous 6 months in this population and assess their relationship with psychological and public health issues.

RESULTS

Nearly 62.1% of respondents reported a history of alcohol use; 30.7% were current infrequent binge drinkers; and 13.6% were current frequent binge drinkers. Adjusted logistic models showed that MSM who reported a history of alcohol use were more likely to report drug use in the previous 6 months (AOR = 1.67); higher levels of internalized homophobia (AOR = 1.49); and partial or full disclosure of their sexual orientation (AOR = 1.46). MSM engaging in current frequent binge drinking were more likely to report female sexual partners (AOR = 2.04) and drug use (AOR = 1.61) in the previous 6 months; higher levels of sexual sensation seeking (AOR = 1.68); and higher levels of homosexual stigma (AOR = 1.69). MSM who reported being unsure of their HIV status were less likely to be current frequent binge drinkers (AOR = 0.46).

CONCLUSIONS

A high prevalence of a history of alcohol use and binge drinking exists among Chinese MSM. Strategies that target alcohol use/misuse in this population are needed.

Authors+Show Affiliations

Department of Sociology & Psychology, School of Public Administration, Sichuan University, Chengdu 610065, Sichuan, China; Faculty of Psychology, Southwest University, Beibei, Chongqing, 400715, China; Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.Faculty of Psychology, Southwest University, Beibei, Chongqing, 400715, China. Electronic address: zhengy@swu.edu.cn.Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31319361

Citation

Xu, Wenjian, et al. "Alcohol Use and Binge Drinking Among Men Who Have Sex With Men in China: Prevalence and Correlates." Drug and Alcohol Dependence, vol. 202, 2019, pp. 61-68.
Xu W, Zheng Y, Wiginton JM, et al. Alcohol use and binge drinking among men who have sex with men in China: Prevalence and correlates. Drug Alcohol Depend. 2019;202:61-68.
Xu, W., Zheng, Y., Wiginton, J. M., & Kaufman, M. R. (2019). Alcohol use and binge drinking among men who have sex with men in China: Prevalence and correlates. Drug and Alcohol Dependence, 202, 61-68. https://doi.org/10.1016/j.drugalcdep.2019.04.006
Xu W, et al. Alcohol Use and Binge Drinking Among Men Who Have Sex With Men in China: Prevalence and Correlates. Drug Alcohol Depend. 2019 09 1;202:61-68. PubMed PMID: 31319361.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Alcohol use and binge drinking among men who have sex with men in China: Prevalence and correlates. AU - Xu,Wenjian, AU - Zheng,Yong, AU - Wiginton,John Mark, AU - Kaufman,Michelle R, Y1 - 2019/05/01/ PY - 2018/09/04/received PY - 2019/04/21/revised PY - 2019/04/28/accepted PY - 2019/7/19/pubmed PY - 2020/3/27/medline PY - 2019/7/19/entrez KW - Alcohol use KW - Binge drinking KW - China KW - HIV KW - Men who have sex with men KW - Minority stress KW - Sensation seeking SP - 61 EP - 68 JF - Drug and alcohol dependence JO - Drug Alcohol Depend VL - 202 N2 - BACKGROUND: Both alcohol use/misuse and HIV incidence are increasing among men who have sex with men (MSM) in China. Little is known about predictors of alcohol use/misuse. METHODS: An online nationwide sample (n = 1100) of MSM from mainland China was recruited between 2014 and 2015. The study objective was to examine the prevalence of a history of alcohol use and frequency of binge drinking in the previous 6 months in this population and assess their relationship with psychological and public health issues. RESULTS: Nearly 62.1% of respondents reported a history of alcohol use; 30.7% were current infrequent binge drinkers; and 13.6% were current frequent binge drinkers. Adjusted logistic models showed that MSM who reported a history of alcohol use were more likely to report drug use in the previous 6 months (AOR = 1.67); higher levels of internalized homophobia (AOR = 1.49); and partial or full disclosure of their sexual orientation (AOR = 1.46). MSM engaging in current frequent binge drinking were more likely to report female sexual partners (AOR = 2.04) and drug use (AOR = 1.61) in the previous 6 months; higher levels of sexual sensation seeking (AOR = 1.68); and higher levels of homosexual stigma (AOR = 1.69). MSM who reported being unsure of their HIV status were less likely to be current frequent binge drinkers (AOR = 0.46). CONCLUSIONS: A high prevalence of a history of alcohol use and binge drinking exists among Chinese MSM. Strategies that target alcohol use/misuse in this population are needed. SN - 1879-0046 UR - https://www.unboundmedicine.com/medline/citation/31319361/Alcohol_use_and_binge_drinking_among_men_who_have_sex_with_men_in_China:_Prevalence_and_correlates_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0376-8716(18)30508-8 DB - PRIME DP - Unbound Medicine ER -