Alcohol Use and Associated Sexual and Substance Use Behaviors Among Men Who Have Sex with Men in Moscow, Russia.

Alcohol use is a public health problem in the Russian Federation. This study explored relationships between alcohol use and behavioral risks for HIV transmission among men who have sex with men (MSM) in Moscow, Russia. Alcohol use disorder identification test (AUDIT) scores for 1367 MSM participatin...

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Publicado en:AIDS & Behavior Vol. 20; no. 3; pp. 523 - 537
Autores principales: Wirtz, A., Zelaya, C., Latkin, C., Stall, R., Peryshkina, A., Galai, N., Mogilniy, V., Dzhigun, P., Kostetskaya, I., Beyrer, C.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Mar2016
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Alcohol Use and Associated Sexual and Substance Use Behaviors Among Men Who Have Sex with Men in Moscow, Russia.
      aug:
        au:
          Wirtz, A.
          Zelaya, C.
          Latkin, C.
          Stall, R.
          Peryshkina, A.
          Galai, N.
          Mogilniy, V.
          Dzhigun, P.
          Kostetskaya, I.
          Beyrer, C.
        affil: Department of Epidemiology, Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore USA
      sug:
        subj:
          Men Who Have Sex With Men Russia
          Alcohol Abuse
          Unsafe Sex In Adulthood
          HIV Infections Risk Factors
          Human
          Russia
          Adult
          Male
          Adult: 19-44 years
          Male
      ab: Alcohol use is a public health problem in the Russian Federation. This study explored relationships between alcohol use and behavioral risks for HIV transmission among men who have sex with men (MSM) in Moscow, Russia. Alcohol use disorder identification test (AUDIT) scores for 1367 MSM participating in a cross-sectional survey and HIV testing were categorized to: 'abstinence/low use', 'hazardous use', 'harmful use/dependency'. Multiple logistic regression models compared dependent variables for sexual and drug use behaviors across alcohol use strata. Hazardous and harmful/dependent alcohol use were significantly associated with high-risk sexual behaviors and drug use. Harmful use/dependency was associated with an increased odds of having more than five male sex partners (last 12 months; adjusted odds ratios-AOR 1.69; 95 % CI 1.25-2.27), inconsistent condom use during anal intercourse (AOR 2.19; 95 % CI 1.61-2.96) and, among those using recreational drugs, injection drug use (last month; AOR 4.38: 95 % CI 1.13-17.07) compared to abstinent/low-level users. Harmful/dependent use was marginally associated with HIV infection (AOR 1.48; 95 % CI 0.97-2.25). HIV prevention efforts for MSM in Moscow may benefit from addressing problem alcohol use to mitigate high-risk behaviors.
      pubtype: Academic Journal
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    language: English
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