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; 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; NHBS Study Group

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, 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, NHBS Study Group

^*Corresponding author for this work

Psychiatry and Behavioral Sciences

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

56 Scopus citations

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

Funding

This work was funded by a cooperative agreement between the Health Departments of the 20 US cities in the study and the Centers for Disease Control and Prevention (CDC) (Funding Opportunity Announcement #PS11-001). Data collection was conducted by the funded sites in accordance with a standardized protocol developed by CDC. Analysis of NHBS data and preparation of this manuscript were performed by CDC staff. This research was also supported in part by an appointment to the Research Participation Program at the Centers for Disease Control and Prevention administered by the Oak Ridge Institute for Science and Education (ORISE) through an interagency agreement between the U.S. Department of Energy and CDC. ORISE had no role in the preparation of the manuscript.

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)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.drugalcdep.2014.12.013

Cite this

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., ... NHBS Study Group (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

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

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 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 {NHBS Study Group}",

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",

issn = "0376-8716",

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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, 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 & NHBS Study Group 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

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,

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 - NHBS Study Group

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

DO - 10.1016/j.drugalcdep.2014.12.013

M3 - Article

C2 - 25555622

AN - SCOPUS:84920971069

SN - 0376-8716

VL - 147

SP - 46

EP - 52

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

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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