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Substance Use Patterns of Gay and Bisexual Men in the Momentum Health Study.
Roth, Eric Abella; Cui, Zishan; Wang, Lu; Armstrong, Heather L; Rich, Ashleigh J; Lachowsky, Nathan J; Sereda, Paul; Card, Kiffer G; Jollimore, Jody; Howard, Terry; Olarewaju, Gbolahan; Moore, David M; Hogg, Robert S.
Afiliación
  • Roth EA; 1 Department of Anthropology, University of Victoria, Victoria, BC, Canada.
  • Cui Z; 2 British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
  • Wang L; 2 British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
  • Armstrong HL; 2 British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
  • Rich AJ; 3 Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
  • Lachowsky NJ; 2 British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
  • Sereda P; 2 British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
  • Card KG; 4 School of Public Health and Social Policy, University of Victoria, Victoria, BC, Canada.
  • Jollimore J; 2 British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
  • Howard T; 2 British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
  • Olarewaju G; 5 Faculty of Health Sciences, Simon Fraser University, Vancouver, BC, Canada.
  • Moore DM; 6 Executive Director, Community Based Research Centre for Gay Men's Health, Vancouver, BC, Canada.
  • Hogg RS; 7 Community Advisory Board, Momentum Health Study, Vancouver, BC, Canada.
Am J Mens Health ; 12(5): 1759-1773, 2018 09.
Article en En | MEDLINE | ID: mdl-30024296
Research with male sexual minorities frequently combines gay and bisexual men as Men Who Have Sex with Men or Gay and Bisexual Men. When analyzed separately, bisexual men consistently feature negative health differentials, exemplified by higher substance use levels. This interpretation is not clear-cut because studies may combine bisexual men and women, use different dimensions of sexual orientation to define bisexuality, and/or not consider number of sexual partners as a possible confounding factor. This study conducted separate bivariate and multivariate analyses comparing gay to bisexual Momentum Study participants based on self-identity, sexual attraction, and sexual behavior, while controlling for number of sexual partners and sociodemographic, psychosocial, and sexual behavior measures. The study hypothesized that, regardless of definition, bisexual men feature higher substance use levels compared to gay men. Bivariate analyses revealed significantly higher ( p < .05) use among bisexual men for multiple substances in all samples. Nonprescription stimulants and heroin were significant in all multivariate logistic regression models. In contrast, all bisexual samples reported lower use of erectile dysfunction drugs and poppers, substances associated with anal sex among gay men. Subsequent analysis linked these results to lower levels of anal sex in all bisexual samples. Bivariate analyses also revealed that bisexual men featured significantly lower educational levels, annual incomes, and Social Support Scales scores and higher Anxiety and Depression Sub-Scale Scores. In summary, findings revealed bisexual men's distinctive substance use, sexual behavior, psychosocial, and sociodemographic profiles, and are important for tailoring specific health programs for bisexual men.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bisexualidad / Homosexualidad Masculina / Trastornos Relacionados con Sustancias / Salud del Hombre Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Am J Mens Health Asunto de la revista: SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2018 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bisexualidad / Homosexualidad Masculina / Trastornos Relacionados con Sustancias / Salud del Hombre Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Am J Mens Health Asunto de la revista: SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2018 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos