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HIV Risk and Protective Factors in the Context of Alcohol and Substance Use During Pride.
Shuper, Paul A; MacLachlan, Duncan J; Joharchi, Narges; Guimond, Tim H; Maxwell, John; Adam, Barry D.
Afiliación
  • Shuper PA; Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 33 Russell Street, Toronto, ON, M5S 2S1, Canada. paul.shuper@camh.ca.
  • MacLachlan DJ; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada. paul.shuper@camh.ca.
  • Joharchi N; AIDS Committee of Toronto, Toronto, Canada.
  • Guimond TH; Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 33 Russell Street, Toronto, ON, M5S 2S1, Canada.
  • Maxwell J; St. Michael's Hospital, Toronto, Canada.
  • Adam BD; Department of Psychiatry, University of Toronto, Toronto, Canada.
AIDS Behav ; 22(9): 2797-2806, 2018 Sep.
Article en En | MEDLINE | ID: mdl-29680936
This investigation sought to identify HIV-risk and -protective factors among men-who-have-sex-with-men (MSM) who engaged in anal sex following alcohol or substance use during an international Pride Festival. MSM attending World Pride were surveyed regarding (1) alcohol, substance use, and sex during the past 24 h; and (2) HIV-risk and -protective factors. Valid data were provided by 1123 MSM. Anal sex was reported by 195 MSM, among whom the majority (n = 105) consumed alcohol or substances prior to sex. Among MSM aware of their HIV status who consumed alcohol or substances prior to sex (n = 99), those who engaged in serodiscordant condomless anal sex (n = 22) were more likely to be HIV+ (AOR = 10.14, 95% CI 1.48-69.35); report multiple sex partners (AOR = 9.05, 95% CI 1.70-48.12); and possess lower condom efficacy (AOR = 0.47, 95% CI 0.23-0.93) and social support (AOR = 0.08, 95% CI 0.01-0.46). Bolstering condom negotiation skills and social support could potentially reduce HIV acquisition/transmission-risk behavior, even when under the influence of alcohol or substances.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Consumo de Bebidas Alcohólicas / Infecciones por VIH / Homosexualidad Masculina / Trastornos Relacionados con Sustancias / Sexo Inseguro / Factores Protectores / Aniversarios y Eventos Especiales Tipo de estudio: Etiology_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adolescent / Adult / Aged / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: AIDS Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2018 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Consumo de Bebidas Alcohólicas / Infecciones por VIH / Homosexualidad Masculina / Trastornos Relacionados con Sustancias / Sexo Inseguro / Factores Protectores / Aniversarios y Eventos Especiales Tipo de estudio: Etiology_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adolescent / Adult / Aged / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: AIDS Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2018 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos