Binge drinking and risky sexual behavior among HIV-negative and unknown HIV status men who have sex with men, 20 US cities

Kristen L. Hess; Pollyanna R. Chavez; Dafna Kanny; Elizabeth DiNenno; Amy Lansky; Gabriela Paz-Bailey; Jennifer Taus-sig; Robert Gern; Tamika Hoyte; Laura Salazar; Jianglan White; Jeff Todd; Greg Bautista; Colin Flynn; Frangiscos Sifakis; Danielle German; Debbie Isenberg; Maura Driscoll; Elizabeth Hurwitz; [No Value] Miminos; Rose Doherty; Chris Wittke; Nikhil Prachand; Nanette Benbow; Sharon Melville; Praveen Pannala; Richard Yeager; Aaron Sayegh; Jim Dyer; Shane Sheu; Alicia Novoa; Mark Thrun; Alia Al-Tayyib; Ralph Wilmoth; Emily Higgins; Vivian Griffin; Eve Mokotoff; Karen MacMaster; Marcia Wolverton; Jan Risser; Hafeez Rehman; Paige Padgett; Trista Bingham; Ekow Kwa Sey; Marlene LaLota; Lisa Metsch; David Forrest; Dano Beck; Gabriel Cardenas; Chris Nemeth; Bridget J. Anderson; Carol Ann Watson; Lou Smith; William T. Robinson; DeAnn A. Gruber; Narquis Barak; Chris Murrill; Alan Neaigus; Samuel Jenness; Holly Hagan; Kathleen H. Reilly; Travis Wendel; Helene Cross; Barbara Bolden; Sally D'Errico; Afework Wogayehu; Henry Godette; Kathleen A. Brady; Althea Kirkland; Andrea Sifferman; Vanessa Miguelino-Keasling; Al Velasco; Veronica Tovar; H. Fisher Raymond; Sandra Miranda De León; Yadira Rolón-Colón; Melissa Marzan; Maria Courogen; Tom Jaenicke; Hanne Thiede; Richard Burt; Yujiang Jia; Jenevieve Opoku; Marie Sansone; Tiffany West; Manya Magnus; Irene Kuo

doi:10.1016/j.drugalcdep.2014.12.013

Binge drinking and risky sexual behavior among HIV-negative and unknown HIV status men who have sex with men, 20 US cities

Kristen L. Hess, Pollyanna R. Chavez, Dafna Kanny, Elizabeth DiNenno, Amy Lansky, Gabriela Paz-Bailey, Jennifer Taus-sig, Robert Gern, Tamika Hoyte, Laura Salazar, Jianglan White, Jeff Todd, Greg Bautista, Colin Flynn, Frangiscos Sifakis, Danielle German, Debbie Isenberg, Maura Driscoll, Elizabeth Hurwitz, [No Value] MiminosRose Doherty, Chris Wittke, Nikhil Prachand, Nanette Benbow, Sharon Melville, Praveen Pannala, Richard Yeager, Aaron Sayegh, Jim Dyer, Shane Sheu, Alicia Novoa, Mark Thrun, Alia Al-Tayyib, Ralph Wilmoth, Emily Higgins, Vivian Griffin, Eve Mokotoff, Karen MacMaster, Marcia Wolverton, Jan Risser, Hafeez Rehman, Paige Padgett, Trista Bingham, Ekow Kwa Sey, Marlene LaLota, Lisa Metsch, David Forrest, Dano Beck, Gabriel Cardenas, Chris Nemeth, Bridget J. Anderson, Carol Ann Watson, Lou Smith, William T. Robinson, DeAnn A. Gruber, Narquis Barak, Chris Murrill, Alan Neaigus, Samuel Jenness, Holly Hagan, Kathleen H. Reilly, Travis Wendel, Helene Cross, Barbara Bolden, Sally D'Errico, Afework Wogayehu, Henry Godette, Kathleen A. Brady, Althea Kirkland, Andrea Sifferman, Vanessa Miguelino-Keasling, Al Velasco, Veronica Tovar, H. Fisher Raymond, Sandra Miranda De León, Yadira Rolón-Colón, Melissa Marzan, Maria Courogen, Tom Jaenicke, Hanne Thiede, Richard Burt, Yujiang Jia, Jenevieve Opoku, Marie Sansone, Tiffany West, Manya Magnus, Irene Kuo

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Men who have sex with men (MSM) represent over half of new HIV infections in the United States. It is important to understand the factors associated with engaging in risky sexual behavior to develop effective prevention interventions. Binge drinking (≥5 drinks on ≥1 occasion) is the most common form of excessive alcohol consumption. This study examines the relationship between binge drinking and sexual risk behaviors among MSM who are current drinkers and who were either HIV-negative or unaware of their HIV status. Methods: Using the 2011 National HIV Behavioral Surveillance system and multivariable Poisson models with robust error estimates, we assessed the association between binge drinking and sexual risk behaviors among current drinkers. Prevalence ratios (PR) and 95% confidence intervals (CI) are presented. Results: Overall, 85% of MSM were current drinkers, and 59% of MSM who drank reported ≥1 episode of binge drinking in the preceding 30 days. In multivariable models, binge drinking was associated with condomless anal intercourse (CAI) at last sex with an HIV-positive or unknown status partner (receptive: PR 1.3, 95% CI 1.1-1.6; insertive: PR 1.2, 95% CI 1.0-1.4), having exchanged sex for money or drugs at last sex (PR: 1.4, 95% CI 1.1-1.7), having concurrent partners in the past year (PR: 1.1, 95% CI 1.1-1.2), and having more CAI partners in the past year (PR: 1.2, 95% CI 1.0-1.4) compared to non-binge drinkers. Conclusions: Evidence-based strategies for reducing binge drinking could help reduce risky sexual behavior among MSM.

Original language	English (US)
Pages (from-to)	46-52
Number of pages	7
Journal	Drug and alcohol dependence
Volume	147
DOIs	https://doi.org/10.1016/j.drugalcdep.2014.12.013
State	Published - Feb 1 2015

Keywords

Anal intercourse
Binge drinking
HIV
Men who have sex with men
Risky sex behaviors

ASJC Scopus subject areas

Toxicology
Pharmacology
Psychiatry and Mental health
Pharmacology (medical)

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10.1016/j.drugalcdep.2014.12.013

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Hess, K. L., Chavez, P. R., Kanny, D., DiNenno, E., Lansky, A., Paz-Bailey, G., Taus-sig, J., Gern, R., Hoyte, T., Salazar, L., White, J., Todd, J., Bautista, G., Flynn, C., Sifakis, F., German, D., Isenberg, D., Driscoll, M., Hurwitz, E., ... Kuo, I. (2015). Binge drinking and risky sexual behavior among HIV-negative and unknown HIV status men who have sex with men, 20 US cities. Drug and alcohol dependence, 147, 46-52. https://doi.org/10.1016/j.drugalcdep.2014.12.013

Hess, KL, Chavez, PR, Kanny, D, DiNenno, E, Lansky, A, Paz-Bailey, G, Taus-sig, J, Gern, R, Hoyte, T, Salazar, L, White, J, Todd, J, Bautista, G, Flynn, C, Sifakis, F, German, D, Isenberg, D, Driscoll, M, Hurwitz, E, Miminos, NV, Doherty, R, Wittke, C, Prachand, N, Benbow, N, Melville, S, Pannala, P, Yeager, R, Sayegh, A, Dyer, J, Sheu, S, Novoa, A, Thrun, M, Al-Tayyib, A, Wilmoth, R, Higgins, E, Griffin, V, Mokotoff, E, MacMaster, K, Wolverton, M, Risser, J, Rehman, H, Padgett, P, Bingham, T, Sey, EK, LaLota, M, Metsch, L, Forrest, D, Beck, D, Cardenas, G, Nemeth, C, Anderson, BJ, Watson, CA, Smith, L, Robinson, WT, Gruber, DA, Barak, N, Murrill, C, Neaigus, A, Jenness, S, Hagan, H, Reilly, KH, Wendel, T, Cross, H, Bolden, B, D'Errico, S, Wogayehu, A, Godette, H, Brady, KA, Kirkland, A, Sifferman, A, Miguelino-Keasling, V, Velasco, A, Tovar, V, Raymond, HF, De León, SM, Rolón-Colón, Y, Marzan, M, Courogen, M, Jaenicke, T, Thiede, H, Burt, R, Jia, Y, Opoku, J, Sansone, M, West, T, Magnus, M & Kuo, I 2015, 'Binge drinking and risky sexual behavior among HIV-negative and unknown HIV status men who have sex with men, 20 US cities', Drug and alcohol dependence, vol. 147, pp. 46-52. https://doi.org/10.1016/j.drugalcdep.2014.12.013

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abstract = "Background: Men who have sex with men (MSM) represent over half of new HIV infections in the United States. It is important to understand the factors associated with engaging in risky sexual behavior to develop effective prevention interventions. Binge drinking (≥5 drinks on ≥1 occasion) is the most common form of excessive alcohol consumption. This study examines the relationship between binge drinking and sexual risk behaviors among MSM who are current drinkers and who were either HIV-negative or unaware of their HIV status. Methods: Using the 2011 National HIV Behavioral Surveillance system and multivariable Poisson models with robust error estimates, we assessed the association between binge drinking and sexual risk behaviors among current drinkers. Prevalence ratios (PR) and 95% confidence intervals (CI) are presented. Results: Overall, 85% of MSM were current drinkers, and 59% of MSM who drank reported ≥1 episode of binge drinking in the preceding 30 days. In multivariable models, binge drinking was associated with condomless anal intercourse (CAI) at last sex with an HIV-positive or unknown status partner (receptive: PR 1.3, 95% CI 1.1-1.6; insertive: PR 1.2, 95% CI 1.0-1.4), having exchanged sex for money or drugs at last sex (PR: 1.4, 95% CI 1.1-1.7), having concurrent partners in the past year (PR: 1.1, 95% CI 1.1-1.2), and having more CAI partners in the past year (PR: 1.2, 95% CI 1.0-1.4) compared to non-binge drinkers. Conclusions: Evidence-based strategies for reducing binge drinking could help reduce risky sexual behavior among MSM.",

keywords = "Anal intercourse, Binge drinking, HIV, Men who have sex with men, Risky sex behaviors",

author = "Hess, {Kristen L.} and Chavez, {Pollyanna R.} and Dafna Kanny and Elizabeth DiNenno and Amy Lansky and Gabriela Paz-Bailey and Jennifer Taus-sig and Robert Gern and Tamika Hoyte and Laura Salazar and Jianglan White and Jeff Todd and Greg Bautista and Colin Flynn and Frangiscos Sifakis and Danielle German and Debbie Isenberg and Maura Driscoll and Elizabeth Hurwitz and Miminos, {[No Value]} and Rose Doherty and Chris Wittke and Nikhil Prachand and Nanette Benbow and Sharon Melville and Praveen Pannala and Richard Yeager and Aaron Sayegh and Jim Dyer and Shane Sheu and Alicia Novoa and Mark Thrun and Alia Al-Tayyib and Ralph Wilmoth and Emily Higgins and Vivian Griffin and Eve Mokotoff and Karen MacMaster and Marcia Wolverton and Jan Risser and Hafeez Rehman and Paige Padgett and Trista Bingham and Sey, {Ekow Kwa} and Marlene LaLota and Lisa Metsch and David Forrest and Dano Beck and Gabriel Cardenas and Chris Nemeth and Anderson, {Bridget J.} and Watson, {Carol Ann} and Lou Smith and Robinson, {William T.} and Gruber, {DeAnn A.} and Narquis Barak and Chris Murrill and Alan Neaigus and Samuel Jenness and Holly Hagan and Reilly, {Kathleen H.} and Travis Wendel and Helene Cross and Barbara Bolden and Sally D'Errico and Afework Wogayehu and Henry Godette and Brady, {Kathleen A.} and Althea Kirkland and Andrea Sifferman and Vanessa Miguelino-Keasling and Al Velasco and Veronica Tovar and Raymond, {H. Fisher} and {De Le{\'o}n}, {Sandra Miranda} and Yadira Rol{\'o}n-Col{\'o}n and Melissa Marzan and Maria Courogen and Tom Jaenicke and Hanne Thiede and Richard Burt and Yujiang Jia and Jenevieve Opoku and Marie Sansone and Tiffany West and Manya Magnus and Irene Kuo",

note = "Publisher Copyright: {\textcopyright} 2014.",

year = "2015",

month = feb,

day = "1",

doi = "10.1016/j.drugalcdep.2014.12.013",

language = "English (US)",

volume = "147",

pages = "46--52",

journal = "Drug and alcohol dependence",

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TY - JOUR

T1 - Binge drinking and risky sexual behavior among HIV-negative and unknown HIV status men who have sex with men, 20 US cities

AU - Hess, Kristen L.

AU - Chavez, Pollyanna R.

AU - Kanny, Dafna

AU - DiNenno, Elizabeth

AU - Lansky, Amy

AU - Paz-Bailey, Gabriela

AU - Taus-sig, Jennifer

AU - Gern, Robert

AU - Hoyte, Tamika

AU - Salazar, Laura

AU - White, Jianglan

AU - Todd, Jeff

AU - Bautista, Greg

AU - Flynn, Colin

AU - Sifakis, Frangiscos

AU - German, Danielle

AU - Isenberg, Debbie

AU - Driscoll, Maura

AU - Hurwitz, Elizabeth

AU - Miminos, [No Value]

AU - Doherty, Rose

AU - Wittke, Chris

AU - Prachand, Nikhil

AU - Benbow, Nanette

AU - Melville, Sharon

AU - Pannala, Praveen

AU - Yeager, Richard

AU - Sayegh, Aaron

AU - Dyer, Jim

AU - Sheu, Shane

AU - Novoa, Alicia

AU - Thrun, Mark

AU - Al-Tayyib, Alia

AU - Wilmoth, Ralph

AU - Higgins, Emily

AU - Griffin, Vivian

AU - Mokotoff, Eve

AU - MacMaster, Karen

AU - Wolverton, Marcia

AU - Risser, Jan

AU - Rehman, Hafeez

AU - Padgett, Paige

AU - Bingham, Trista

AU - Sey, Ekow Kwa

AU - LaLota, Marlene

AU - Metsch, Lisa

AU - Forrest, David

AU - Beck, Dano

AU - Cardenas, Gabriel

AU - Nemeth, Chris

AU - Anderson, Bridget J.

AU - Watson, Carol Ann

AU - Smith, Lou

AU - Robinson, William T.

AU - Gruber, DeAnn A.

AU - Barak, Narquis

AU - Murrill, Chris

AU - Neaigus, Alan

AU - Jenness, Samuel

AU - Hagan, Holly

AU - Reilly, Kathleen H.

AU - Wendel, Travis

AU - Cross, Helene

AU - Bolden, Barbara

AU - D'Errico, Sally

AU - Wogayehu, Afework

AU - Godette, Henry

AU - Brady, Kathleen A.

AU - Kirkland, Althea

AU - Sifferman, Andrea

AU - Miguelino-Keasling, Vanessa

AU - Velasco, Al

AU - Tovar, Veronica

AU - Raymond, H. Fisher

AU - De León, Sandra Miranda

AU - Rolón-Colón, Yadira

AU - Marzan, Melissa

AU - Courogen, Maria

AU - Jaenicke, Tom

AU - Thiede, Hanne

AU - Burt, Richard

AU - Jia, Yujiang

AU - Opoku, Jenevieve

AU - Sansone, Marie

AU - West, Tiffany

AU - Magnus, Manya

AU - Kuo, Irene

PY - 2015/2/1

Y1 - 2015/2/1

N2 - Background: Men who have sex with men (MSM) represent over half of new HIV infections in the United States. It is important to understand the factors associated with engaging in risky sexual behavior to develop effective prevention interventions. Binge drinking (≥5 drinks on ≥1 occasion) is the most common form of excessive alcohol consumption. This study examines the relationship between binge drinking and sexual risk behaviors among MSM who are current drinkers and who were either HIV-negative or unaware of their HIV status. Methods: Using the 2011 National HIV Behavioral Surveillance system and multivariable Poisson models with robust error estimates, we assessed the association between binge drinking and sexual risk behaviors among current drinkers. Prevalence ratios (PR) and 95% confidence intervals (CI) are presented. Results: Overall, 85% of MSM were current drinkers, and 59% of MSM who drank reported ≥1 episode of binge drinking in the preceding 30 days. In multivariable models, binge drinking was associated with condomless anal intercourse (CAI) at last sex with an HIV-positive or unknown status partner (receptive: PR 1.3, 95% CI 1.1-1.6; insertive: PR 1.2, 95% CI 1.0-1.4), having exchanged sex for money or drugs at last sex (PR: 1.4, 95% CI 1.1-1.7), having concurrent partners in the past year (PR: 1.1, 95% CI 1.1-1.2), and having more CAI partners in the past year (PR: 1.2, 95% CI 1.0-1.4) compared to non-binge drinkers. Conclusions: Evidence-based strategies for reducing binge drinking could help reduce risky sexual behavior among MSM.

AB - Background: Men who have sex with men (MSM) represent over half of new HIV infections in the United States. It is important to understand the factors associated with engaging in risky sexual behavior to develop effective prevention interventions. Binge drinking (≥5 drinks on ≥1 occasion) is the most common form of excessive alcohol consumption. This study examines the relationship between binge drinking and sexual risk behaviors among MSM who are current drinkers and who were either HIV-negative or unaware of their HIV status. Methods: Using the 2011 National HIV Behavioral Surveillance system and multivariable Poisson models with robust error estimates, we assessed the association between binge drinking and sexual risk behaviors among current drinkers. Prevalence ratios (PR) and 95% confidence intervals (CI) are presented. Results: Overall, 85% of MSM were current drinkers, and 59% of MSM who drank reported ≥1 episode of binge drinking in the preceding 30 days. In multivariable models, binge drinking was associated with condomless anal intercourse (CAI) at last sex with an HIV-positive or unknown status partner (receptive: PR 1.3, 95% CI 1.1-1.6; insertive: PR 1.2, 95% CI 1.0-1.4), having exchanged sex for money or drugs at last sex (PR: 1.4, 95% CI 1.1-1.7), having concurrent partners in the past year (PR: 1.1, 95% CI 1.1-1.2), and having more CAI partners in the past year (PR: 1.2, 95% CI 1.0-1.4) compared to non-binge drinkers. Conclusions: Evidence-based strategies for reducing binge drinking could help reduce risky sexual behavior among MSM.

KW - Anal intercourse

KW - Binge drinking

KW - HIV

KW - Men who have sex with men

KW - Risky sex behaviors

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U2 - 10.1016/j.drugalcdep.2014.12.013

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AN - SCOPUS:84920971069

SN - 0376-8716

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JO - Drug and alcohol dependence

JF - Drug and alcohol dependence

ER -

Binge drinking and risky sexual behavior among HIV-negative and unknown HIV status men who have sex with men, 20 US cities

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