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 journalArticlepeer-review


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 languageEnglish (US)
Pages (from-to)46-52
Number of pages7
JournalDrug and alcohol dependence
StatePublished - Feb 1 2015


  • 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)


Dive into the research topics of 'Binge drinking and risky sexual behavior among HIV-negative and unknown HIV status men who have sex with men, 20 US cities'. Together they form a unique fingerprint.

Cite this