Alcohol use predicts sexual risk behavior with HIV-negative or partners of unknown status among young HIV-positive men who have sex with men

作者：Bruce, Douglas^*; Kahana, Shoshana; Harper, Gary W; Fernandez, M Isabel

来源：AIDS Care-Psychological and Socio-Medical Aspects of AIDS/HIV, 2013, 25(5): 559-565.

DOI：10.1080/09540121.2012.720363

• MSM
• HIV-positive
• youth
• alcohol
• sexual risk behavior
• secondary prevention

Although the relationship between substance use and heightened sexual risk behaviors have been documented in samples of young men who have sex with men (YMSM) and HIV-positive adult men who have sex with men (MSM), there is a dearth of research on the role of substance use in the sexual risk behaviors of HIV-positive YMSM. We examined associations between alcohol and other drug use with sexual risk behaviors among a sample of HIV-positive YMSM (N=200). There were no significant predictors of either receptive or insertive unprotected anal intercourse (UAI) with HIV-positive partners among the substance use variables. Failure to use a condom after drinking alcohol (=2.00, p<0.01) was significantly associated with insertive UAI with HIV-negative partners or partners of unknown status. Failure to use a condom after drinking alcohol (=1.36, p<0.05) and age (=0.35, p<0.05) were significantly associated with receptive UAI with HIV-negative partners or partners of unknown status. Findings from this article underscore the role of alcohol in facilitating UAI among HIV-positive YMSM and their HIV-negative and status-unknown partners.

• 出版日期2013-5-1
• 单位东南大学