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. 2019 Jun;23(6):1634-1646.
doi: 10.1007/s10461-018-2337-5.

Alcohol Use Patterns and Subsequent Sexual Behaviors Among Women, Men who have Sex with Men and Men who have Sex with Women Engaged in Routine HIV Care in the United States

Heidi E Hutton  1 , Catherine R Lesko  2 , Ximin Li  3 , Carol B Thompson  3 , Bryan Lau  2 , Sonia Napravnik  4 , Kenneth H Mayer  5 , W Christopher Mathews  6 , Mary E McCaul  7 , Heidi M Crane  8 , Rob J Fredericksen  8 , Karen L Cropsey  9 , Michael Saag  10 , Katerina Christopoulos  11 , Geetanjali Chander  12
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Alcohol Use Patterns and Subsequent Sexual Behaviors Among Women, Men who have Sex with Men and Men who have Sex with Women Engaged in Routine HIV Care in the United States

Heidi E Hutton et al. AIDS Behav. 2019 Jun.

Abstract

Among people with HIV, alcohol use is associated with increased prevalence of sexual transmission behaviors. We examined associations between alcohol use in the prior year and sexual behaviors approximately six months later among 1857 women, 6752 men who have sex with men (MSM) and 2685 men who have sex with women (MSW). Any alcohol use was associated with increased risk of unsafe vaginal sex among women; anal sex and =>2 anal sex partners among MSM; and anal sex, =>2 anal or vaginal sex partners, and unsafe vaginal sex among MSW. In particular, among women >7 alcoholic drinks/week and among MSW =>5 alcoholic drinks/drinking day increased the likelihood of certain subsequent sexual behaviors. For all groups, especially women, the risk of sex under the influence of drugs/alcohol markedly increased with increases in quantity and frequency of alcohol consumption. These different patterns of drinking and sexual behaviors indicate the importance of tailored counseling messages to women, MSM and MSW.

Keywords: Alcohol use; Binge drinking; HIV; Hazardous drinking; MSM; MSW; Men who have sex with men; Men who have sex with women; Sexual risk behaviors; Women.

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Conflict of interest statement

Conflict of Interest forms have been signed and results as below:

Heidi E. Hutton,1 declares no conflict of interest

Catherine R. Lesko,2 declares no conflict of interest

Ximin Li,3 declares no conflict of interest

Carol B. Thompson,3 declares no conflict of interest

Bryan Lau,2 declares no conflict of interest

Sonia Napravnik,4 declares no conflict of interest Kenneth H. Mayer,5 declares no conflict of interest

W. Christopher Mathews,6 declares no conflict of interest

Mary E. McCaul,7 declares no conflict of interest

Heidi M. Crane,8 declares no conflict of interest

Robert J. Fredericksen,8 declares no conflict of interest

Karen L. Cropsey,9 declares no conflict of interest

Michael Saag,10 declares no conflict of interest

Katerina Christopoulos,11 declares no conflict of interest

Geetanjali Chander12 declares no conflict of interest

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