Universidad Peruana Cayetano Heredia

Impact of alcohol use on sexual behavior among men who have sex with men and transgender women in Lima, Peru

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dc.contributor.author Herrera, M. C.
dc.contributor.author Konda, K. A.
dc.contributor.author León Sandoval, Segundo Ramos
dc.contributor.author Deiss, R.
dc.contributor.author Brown, B.
dc.contributor.author Calvo, G. M.
dc.contributor.author Salvatierra, H. J.
dc.contributor.author Caceres Palacios, Carlos Fernando
dc.contributor.author Klausner, J. D.
dc.date.accessioned 2019-02-06T14:45:35Z
dc.date.available 2019-02-06T14:45:35Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/5084
dc.description.abstract BACKGROUND: Alcohol use disorders (AUDs) may enhance the likelihood of risky sexual behaviors and the acquisition of sexually transmitted infections (STIs). Associations between AUDs with condomless anal intercourse (CAI) and STI/HIV prevalence were assessed among men who have sex with men (MSM) and transgender women (TW) in Lima, Peru. METHODS: MSM and TW were eligible to participate based on a set of inclusion criteria which characterized them as high-risk. Participants completed a bio-behavioral survey. An AUDIT score >/=8 determined AUD presence. Recent STI diagnosis included rectal gonorrhea/chlamydia, syphilis, and/or new HIV infection within 6 months. Prevalence ratios (PR) were calculated using Poisson regression. RESULTS: Among 312 MSM and 89 TW, 45% (181/401) had an AUD. Among those with an AUD, 164 (91%) were hazardous/harmful drinkers, and 17 (9%) had alcohol dependence. Higher CAI was reported by participants with an AUD vs. without, (82% vs. 72% albeit not significant). Reporting anal sex in two or more risky venues was associated with screening AUD positive vs. not (24% vs. 15%, p=0.001). There was no difference in recent STI/HIV prevalence by AUD status (32% overall). In multivariable analysis, screening AUD positive was not associated with CAI or recent STI/HIV infection. CONCLUSIONS: In our sample AUDs were not associated with CAI or new HIV infection/recent STI. However higher prevalence of CAI, alcohol use at last sex, and anal sex in risky venues among those with AUDs suggests that interventions to reduce the harms of alcohol should be aimed toward specific contexts. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Drug and Alcohol Dependence
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adolescent en_US
dc.subject Adult en_US
dc.subject Aged en_US
dc.subject Alcohol Drinking/epidemiology/psychology en_US
dc.subject Alcohol use en_US
dc.subject AUDIT en_US
dc.subject Female en_US
dc.subject HIV en_US
dc.subject HIV Infections/epidemiology en_US
dc.subject Homosexuality, Male/psychology/statistics & numerical data en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Men who have sex with men en_US
dc.subject Middle Aged en_US
dc.subject Peru en_US
dc.subject Peru/epidemiology en_US
dc.subject Prevalence en_US
dc.subject Sexual Behavior/psychology/statistics & numerical data en_US
dc.subject Sexual risk behavior en_US
dc.subject Sexually Transmitted Diseases/epidemiology en_US
dc.subject STI en_US
dc.subject Surveys and Questionnaires en_US
dc.subject Transgender Persons/psychology en_US
dc.subject Transgender women en_US
dc.subject Unsafe Sex/psychology en_US
dc.subject Young Adult en_US
dc.title Impact of alcohol use on sexual behavior among men who have sex with men and transgender women in Lima, Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.drugalcdep.2016.01.030
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.14
dc.relation.issn 1879-0046


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