Associations between substance use and sexual risk among very young men who have sex with men

David D. Celentano, Linda A. Valleroy, Frangiscos Sifakis, Duncan A. Mackellar, John Hylton, Hanne Thiede, Willi Mcfarland, Douglas A. Shehan, Susan R. Stoyanoff, Marlene Lalota, Beryl A. Koblin, Mitchell H. Katz, Lucia V. Torian

Research output: Contribution to journalArticle

Abstract

Objective: To determine if an association exists in young men who have sex with men (MSM) between being under the influence of alcohol or drugs during sex and participation in sexual behaviors which increase the risk of human immunodeficiency virus (HIV). Study Design: A total of 3492 young MSM were interviewed through the Young Men's Survey, an anonymous, cross-sectional, multisite, venue-based survey conducted from 1994 through 1998 at 194 public venues frequented by MSM aged 15 to 22 years in 7 US cities. Results: The majority of young MSM reported both receptive and insertive anal intercourse, and of these, approximately half reported not using condoms. Report of unprotected receptive anal intercourse at least once in the prior 6 months was associated with being under the influence of alcohol (adjusted odds ratio [AOR] = 1.5; 95% confidence interval [CI] = 1.2-1.8), cocaine (AOR = 1.6; 95% CI = 1.1-2.2), amphetamines (AOR = 1.5; 95% CI = 1.1-2.0) or marijuana during sex (AOR = 1.3; 95% CI = 1.1-1.6). Report of unprotected insertive anal intercourse at least once in the prior 6 months was associated with being under the influence of alcohol (AOR = 1.2; 95% CI = 1.0-1.5), cocaine (AOR = 1.5; 95% CI = 1.1-2.0) or amphetamines (AOR = 1.9; 95% CI = 1.4-2.6). Conclusions: HIV prevention strategies for young MSM need to incorporate substance use risk reduction.

Original languageEnglish (US)
Pages (from-to)265-271
Number of pages7
JournalSexually transmitted diseases
Volume33
Issue number4
DOIs
StatePublished - Apr 1 2006

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)
  • Infectious Diseases

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    Celentano, D. D., Valleroy, L. A., Sifakis, F., Mackellar, D. A., Hylton, J., Thiede, H., Mcfarland, W., Shehan, D. A., Stoyanoff, S. R., Lalota, M., Koblin, B. A., Katz, M. H., & Torian, L. V. (2006). Associations between substance use and sexual risk among very young men who have sex with men. Sexually transmitted diseases, 33(4), 265-271. https://doi.org/10.1097/01.olq.0000187207.10992.4e