Alcohol Use Patterns and Subsequent Sexual Behaviors Among Women, Men who have Sex with Men and Men who have Sex with Women Engaged in Routine HIV Care in the United States

Heidi E. Hutton, Catherine R. Lesko, Ximin Li, Carol B. Thompson, Bryan Lau, Sonia Napravnik, Kenneth H. Mayer, W. Christopher Mathews, Mary E. McCaul, Heidi M. Crane, Rob J. Fredericksen, Karen L. Cropsey, Michael Saag, Katerina Christopoulos, Geetanjali Chander

Research output: Contribution to journalArticle

Abstract

Among people with HIV, alcohol use is associated with increased prevalence of sexual transmission behaviors. We examined associations between alcohol use in the prior year and sexual behaviors approximately six months later among 1857 women, 6752 men who have sex with men (MSM) and 2685 men who have sex with women (MSW). Any alcohol use was associated with increased risk of unsafe vaginal sex among women; anal sex and =>2 anal sex partners among MSM; and anal sex, =>2 anal or vaginal sex partners, and unsafe vaginal sex among MSW. In particular, among women >7 alcoholic drinks/week and among MSW =>5 alcoholic drinks/drinking day increased the likelihood of certain subsequent sexual behaviors. For all groups, especially women, the risk of sex under the influence of drugs/alcohol markedly increased with increases in quantity and frequency of alcohol consumption. These different patterns of drinking and sexual behaviors indicate the importance of tailored counseling messages to women, MSM and MSW.

Original languageEnglish (US)
JournalAIDS and Behavior
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Sexual Behavior
Alcohols
HIV
Unsafe Sex
Drinking Behavior
Alcohol Drinking
Drinking
Counseling
Pharmaceutical Preparations

Keywords

  • Alcohol use
  • Binge drinking
  • Hazardous drinking
  • HIV
  • Men who have sex with men
  • Men who have sex with women
  • MSM
  • MSW
  • Sexual risk behaviors
  • Women

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Alcohol Use Patterns and Subsequent Sexual Behaviors Among Women, Men who have Sex with Men and Men who have Sex with Women Engaged in Routine HIV Care in the United States. / Hutton, Heidi E.; Lesko, Catherine R.; Li, Ximin; Thompson, Carol B.; Lau, Bryan; Napravnik, Sonia; Mayer, Kenneth H.; Mathews, W. Christopher; McCaul, Mary E.; Crane, Heidi M.; Fredericksen, Rob J.; Cropsey, Karen L.; Saag, Michael; Christopoulos, Katerina; Chander, Geetanjali.

In: AIDS and Behavior, 01.01.2018.

Research output: Contribution to journalArticle

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