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Social and Behavioral Correlates of Sexually Transmitted Infections among Men who Have Sex with Men who Use Alcohol in the San Francisco Bay Area.
Am J Mens Health. 2021 May-Jun; 15(3):15579883211026830.AJ

Abstract

The risk of acquiring sexually transmitted infections (STIs) among men who have sex with men (MSM) is driven by various socio-behavioral factors. From 2015-2017, 247 MSM ≥ 18 years-old who reported alcohol use in the past year, were recruited into a cross-sectional study in San Francisco. Participants completed a survey assessing socio-demographics, substance use and treatment, sexual behaviors, HIV status and self-reported STI diagnosis in the past 6 months. Multivariable logistic regression models stratified by HIV status were used to identify the correlates of STIs. Of 247 MSM, the prevalence of bacterial STIs were: gonorrhea (12.9%), chlamydia (9.3%) and syphilis (6.0%). Among 177 MSM living without HIV, factors significantly associated with recent STI diagnosis were: current pre-exposure prophylaxis (PrEP) use (aOR = 3.53, 95% CI: 1.42-8.75, p ≤ .01), popper use during sex in the past 6 months (aOR = 3.16, 95% CI = 1.34-7.47, p ≤ .01) and a history of alcohol treatment (aOR = 0.17, 95% CI = 0.04-0.68, p = .01). Also, in a sensitivity analysis (removing PrEP), any receptive condomless anal sex was independently associated with recent STI diagnosis (aOR = 2.86, 95% CI = 1.15-7.08, p = .02). Among 70 MSM living with HIV, factors significantly associated with recent STI diagnosis were: White race/ethnicity (adjusted odds ratio [aOR] = 7.36, 95% confidence interval [CI] = 1.48-36.62, p = .01), younger age (aOR = 0.90, 95% CI: 0.84-0.97, p < .01) and a higher number of male sexual partners in the past 6 months (aOR = 1.03, 95% CI = 1.00-1.06, p = .02). Sexual health interventions that address the unique needs of MSM living with and without HIV who use alcohol in San Francisco are needed to reduce STI acquisition and transmission.

Authors+Show Affiliations

Department of Community Health Systems, School of Nursing, University of California, San Francisco, CA, USA.Center for AIDS Prevention Studies, University of California, San Francisco, CA, USA.Center for AIDS Prevention Studies, University of California, San Francisco, CA, USA.Department of Community Health Systems, School of Nursing, University of California, San Francisco, CA, USA.Center for Public Health Research, San Francisco Department of Public Health, San Francisco, CA, USA.Department of Community Health Systems, School of Nursing, University of California, San Francisco, CA, USA. Center for Public Health Research, San Francisco Department of Public Health, San Francisco, CA, USA.

Pub Type(s)

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

Language

eng

PubMed ID

34134567

Citation

Jain, Jennifer P., et al. "Social and Behavioral Correlates of Sexually Transmitted Infections Among Men Who Have Sex With Men Who Use Alcohol in the San Francisco Bay Area." American Journal of Men's Health, vol. 15, no. 3, 2021, p. 15579883211026830.
Jain JP, Gyamerah AO, Baguso GN, et al. Social and Behavioral Correlates of Sexually Transmitted Infections among Men who Have Sex with Men who Use Alcohol in the San Francisco Bay Area. Am J Mens Health. 2021;15(3):15579883211026830.
Jain, J. P., Gyamerah, A. O., Baguso, G. N., Dawson-Rose, C., Ikeda, J., & Santos, G. M. (2021). Social and Behavioral Correlates of Sexually Transmitted Infections among Men who Have Sex with Men who Use Alcohol in the San Francisco Bay Area. American Journal of Men's Health, 15(3), 15579883211026830. https://doi.org/10.1177/15579883211026830
Jain JP, et al. Social and Behavioral Correlates of Sexually Transmitted Infections Among Men Who Have Sex With Men Who Use Alcohol in the San Francisco Bay Area. Am J Mens Health. 2021 May-Jun;15(3):15579883211026830. PubMed PMID: 34134567.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Social and Behavioral Correlates of Sexually Transmitted Infections among Men who Have Sex with Men who Use Alcohol in the San Francisco Bay Area. AU - Jain,Jennifer P, AU - Gyamerah,Akua O, AU - Baguso,Glenda N, AU - Dawson-Rose,Carol, AU - Ikeda,Janet, AU - Santos,Glenn-Milo, PY - 2021/6/17/entrez PY - 2021/6/18/pubmed PY - 2021/10/16/medline KW - HIV and other sexually transmitted infections KW - Men who have sex with men who use alcohol KW - PrEP KW - and receptive condomless anal sex. KW - poppers SP - 15579883211026830 EP - 15579883211026830 JF - American journal of men's health JO - Am J Mens Health VL - 15 IS - 3 N2 - The risk of acquiring sexually transmitted infections (STIs) among men who have sex with men (MSM) is driven by various socio-behavioral factors. From 2015-2017, 247 MSM ≥ 18 years-old who reported alcohol use in the past year, were recruited into a cross-sectional study in San Francisco. Participants completed a survey assessing socio-demographics, substance use and treatment, sexual behaviors, HIV status and self-reported STI diagnosis in the past 6 months. Multivariable logistic regression models stratified by HIV status were used to identify the correlates of STIs. Of 247 MSM, the prevalence of bacterial STIs were: gonorrhea (12.9%), chlamydia (9.3%) and syphilis (6.0%). Among 177 MSM living without HIV, factors significantly associated with recent STI diagnosis were: current pre-exposure prophylaxis (PrEP) use (aOR = 3.53, 95% CI: 1.42-8.75, p ≤ .01), popper use during sex in the past 6 months (aOR = 3.16, 95% CI = 1.34-7.47, p ≤ .01) and a history of alcohol treatment (aOR = 0.17, 95% CI = 0.04-0.68, p = .01). Also, in a sensitivity analysis (removing PrEP), any receptive condomless anal sex was independently associated with recent STI diagnosis (aOR = 2.86, 95% CI = 1.15-7.08, p = .02). Among 70 MSM living with HIV, factors significantly associated with recent STI diagnosis were: White race/ethnicity (adjusted odds ratio [aOR] = 7.36, 95% confidence interval [CI] = 1.48-36.62, p = .01), younger age (aOR = 0.90, 95% CI: 0.84-0.97, p < .01) and a higher number of male sexual partners in the past 6 months (aOR = 1.03, 95% CI = 1.00-1.06, p = .02). Sexual health interventions that address the unique needs of MSM living with and without HIV who use alcohol in San Francisco are needed to reduce STI acquisition and transmission. SN - 1557-9891 UR - https://www.unboundmedicine.com/medline/citation/34134567/Social_and_Behavioral_Correlates_of_Sexually_Transmitted_Infections_among_Men_who_Have_Sex_with_Men_who_Use_Alcohol_in_the_San_Francisco_Bay_Area_ L2 - https://journals.sagepub.com/doi/10.1177/15579883211026830?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -