Alcohol Use and HIV Risk Within Social Networks of MSM Sex Workers in the Dominican Republic

Diane Tan, Ian W. Holloway, Jennifer Gildner, Juan C. Jauregui, Rafael Garcia Alvarez, Vincent Guilamo-Ramos

Research output: Contribution to journalArticlepeer-review


To examine how alcohol-related HIV risk behaviors within MSM sex workers’ social networks (SN) may be associated with individual risk behaviors, respondent-driven and venue-based sampling were used to collect demographic, behavioral and SN characteristics among MSM sex workers in Santo Domingo and Boca Chica (N = 220). The majority of participants reported problem drinking (71.0%) or alcohol use at their last sexual encounter (71.4%). Self-reported problem drinking was associated with SN characteristics (at least one member who recently got drunk aOR = 7.5, no religious/spiritual adviser aOR = 3.0, non-sexual network density aOR = 0.9), while self-reported alcohol use at last sex was associated with individual (drug use at last sex aOR = 4.4) and SN characteristics (at least one member with previous HIV/STI testing aOR = 4.7). Dominican MSM sex workers reported high alcohol use, which may increase their risk for HIV. A better understanding of SN factors associated with individual risk behaviors can help guide appropriate intervention development.

Original languageEnglish (US)
Pages (from-to)216-227
Number of pages12
JournalAIDS and Behavior
StatePublished - Nov 1 2017


  • Alcohol use
  • Dominican Republic
  • Human immunodeficiency virus
  • Sex work
  • Social networks

ASJC Scopus subject areas

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


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