Sexual Risk Behaviors and Substance Use Among Alcohol Abusing HIV-Positive Men Who Have Sex With Men

An ethnically diverse sample (79.0% men of color) of HIV seropositive (HIV+) men who have sex with men (MSM) with alcohol use disorders from the New York City metropolitan area was recruited from a variety of settings frequented by such men. Data were collected using quantitative assessments and cal...

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Bibliographic Details
Published in:Journal of psychoactive drugs 2005-03, Vol.37 (1), p.27-36
Main Authors: Parsons, Jeffrey T., Kutnick, Alexandra H., Halkitis, Perry N., Punzalan, Joseph C., Carbonari, Joseph P.
Format: Article
Language:English
Subjects:
Addictive behaviors
Adult
Adult and adolescent clinical studies
alcohol
Alcoholism - complications
Alcoholism - epidemiology
Alcoholism and acute alcohol poisoning
Biological and medical sciences
Fundamental and applied biological sciences. Psychology
HIV
HIV Infections - complications
HIV Infections - epidemiology
HIV-1
Homosexuality, Male
Humans
Male
Medical sciences
men who have sex with men
Middle Aged
Psychoanalysis
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk-Taking
Sexual Behavior
sexual risk behaviors
substance use
Substance-Related Disorders - complications
Substance-Related Disorders - epidemiology
Toxicology
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Summary:An ethnically diverse sample (79.0% men of color) of HIV seropositive (HIV+) men who have sex with men (MSM) with alcohol use disorders from the New York City metropolitan area was recruited from a variety of settings frequented by such men. Data were collected using quantitative assessments and calendar based techniques at the baseline assessment of a longitudinal study assessing the relationship between alcohol and substance use and sexual risk behaviors as well as alcohol use and HIV disease progression. Data were selected on a sample of 253 HIV+ MSM (mean age = 38.55, SD = 6.73). Of these, the majority of participants (80.2%, n = 203) reported engaging in sexual behaviors with casual partners. In terms of sexual behaviors that put partners at greatest risk for HIV transmission, unprotected anal insertive intercourse was most likely to occur with unknown status casual partners (46.8%, n = 95) than with either HIV negative casual partners (19.2%, n = 39) or with HIV+ casual partners (40.8%, n = 83). Further, bivariate analyses indicated significant relationships between the use of several substances and sexual behaviors that put partners at greatest risk for HIV transmission, as well as a significant positive relationship between drinks per drinking day and viral load.
ISSN:0279-1072
2159-9777
DOI:10.1080/02791072.2005.10399746