Sexual Risk Behaviors and Substance Use Among Alcohol Abusing HIV-positive Men Who Have Sex with Men

Overview

Journal J Psychoactive Drugs

Specialties Pharmacology
Psychiatry

Date 2005 May 27

PMID 15916249

Citations 26

Authors

Jeffrey T Parsons

Alexandra H Kutnick

Perry N Halkitis

Joseph C Punzalan

Joseph P Carbonari

Affiliations

Soon will be listed here.

Abstract

An ethnically diverse sample (79.0% men of color) of HIV seropositive (HIV+) men who have sex with men (MSM) with alcohol use disorders from the New York City metropolitan area was recruited from a variety of settings frequented by such men. Data were collected using quantitative assessments and calendar based techniques at the baseline assessment of a longitudinal study assessing the relationship between alcohol and substance use and sexual risk behaviors as well as alcohol use and HIV disease progression. Data were selected on a sample of 253 HIV+ MSM (mean age = 38.55, SD = 6.73). Of these, the majority of participants (80.2%, n=203) reported engaging in sexual behaviors with casual partners. In terms of sexual behaviors that put partners at greatest risk for HIV transmission, unprotected anal insertive intercourse was most likely to occur with unknown status casual partners (46.8%, n=95) than with either HIV negative casual partners (19.2%, n=39) or with HIV+ casual partners (40.8%, n=83). Further, bivariate analyses indicated significant relationships between the use of several substances and sexual behaviors that put partners at greatest risk for HIV transmission, as well as a significant positive relationship between drinks per drinking day and viral load.

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References

Brown G, Rundell J, McManis S, Kendall S, Zachary R, Temoshok L . Prevalence of psychiatric disorders in early stages of HIV infection. Psychosom Med. 1992; 54(5):588-601. DOI: 10.1097/00006842-199209000-00006. View

Bagasra O, Kajdacsy-Balla A, LISCHNER H, Pomerantz R . Alcohol intake increases human immunodeficiency virus type 1 replication in human peripheral blood mononuclear cells. J Infect Dis. 1993; 167(4):789-97. DOI: 10.1093/infdis/167.4.789. View

Bolton R, Vincke J, Mak R, Dennehy E . Alcohol and risky sex: in search of an elusive connection. Med Anthropol. 1992; 14(2-4):323-63. DOI: 10.1080/01459740.1992.9966077. View

Rosenberger P, Bornstein R, Nasrallah H, Para M, Whitaker C, Fass R . Psychopathology in human immunodeficiency virus infection: lifetime and current assessment. Compr Psychiatry. 1993; 34(3):150-8. DOI: 10.1016/0010-440x(93)90041-2. View

Leigh B, Stall R . Substance use and risky sexual behavior for exposure to HIV. Issues in methodology, interpretation, and prevention. Am Psychol. 1993; 48(10):1035-45. PMC: 2585544. DOI: 10.1037//0003-066x.48.10.1035. View

Brodie C, Domenico J, Gelfand E . Ethanol inhibits early events in T-lymphocyte activation. Clin Immunol Immunopathol. 1994; 70(2):129-36. DOI: 10.1006/clin.1994.1020. View

Balla A, LISCHNER H, Pomerantz R, Bagasra O . Human studies on alcohol and susceptibility to HIV infection. Alcohol. 1994; 11(2):99-103. DOI: 10.1016/0741-8329(94)90050-7. View

Marks G, Ruiz M, Richardson J, Reed D, Mason H, Sotelo M . Anal intercourse and disclosure of HIV infection among seropositive gay and bisexual men. J Acquir Immune Defic Syndr (1988). 1994; 7(8):866-9. View

Fong I, Read S, Wainberg M, Chia W, Major C . Alcoholism and rapid progression to AIDS after seroconversion. Clin Infect Dis. 1994; 19(2):337-8. DOI: 10.1093/clinids/19.2.337. View

10.

Summers J, Zisook S, Atkinson J, Sciolla A, Whitehall W, Brown S . Psychiatric morbidity associated with acquired immune deficiency syndrome-related grief resolution. J Nerv Ment Dis. 1995; 183(6):384-9. DOI: 10.1097/00005053-199506000-00006. View

11.

Lefevre F, OLeary B, Moran M, Mossar M, Yarnold P, Martin G . Alcohol consumption among HIV-infected patients. J Gen Intern Med. 1995; 10(8):458-60. DOI: 10.1007/BF02599920. View

12.

Bagasra O, Bachman S, Jew L, Tawadros R, Cater J, Boden G . Increased human immunodeficiency virus type 1 replication in human peripheral blood mononuclear cells induced by ethanol: potential immunopathogenic mechanisms. J Infect Dis. 1996; 173(3):550-8. DOI: 10.1093/infdis/173.3.550. View

13.

Crosby G, Stall R, Paul J, Barrett D, Midanik L . Condom use among gay/bisexual male substance abusers using the timeline follow-back method. Addict Behav. 1996; 21(2):249-57. DOI: 10.1016/0306-4603(96)00055-x. View

14.

Kalichman S, Heckman T, Kelly J . Sensation seeking as an explanation for the association between substance use and HIV-related risky sexual behavior. Arch Sex Behav. 1996; 25(2):141-54. DOI: 10.1007/BF02437933. View

15.

Pol S, Artru P, Thepot V, Berthelot P, Nalpas B . Improvement of the CD4 cell count after alcohol withdrawal in HIV-positive alcoholic patients. AIDS. 1996; 10(11):1293-4. DOI: 10.1097/00002030-199609000-00019. View

16.

Sobell L, Brown J, Leo G, Sobell M . The reliability of the Alcohol Timeline Followback when administered by telephone and by computer. Drug Alcohol Depend. 1996; 42(1):49-54. DOI: 10.1016/0376-8716(96)01263-x. View

17.

HOFF C, Stall R, Paul J, Acree M, Daigle D, Phillips K . Differences in sexual behavior among HIV discordant and concordant gay men in primary relationships. J Acquir Immune Defic Syndr Hum Retrovirol. 1997; 14(1):72-8. DOI: 10.1097/00042560-199701010-00012. View

18.

Wang J, Liang B, Watson R . Alcohol consumption alters cytokine release during murine AIDS. Alcohol. 1997; 14(2):155-9. DOI: 10.1016/s0741-8329(97)83138-2. View

19.

Dew M, Becker J, Sanchez J, Caldararo R, Lopez O, Wess J . Prevalence and predictors of depressive, anxiety and substance use disorders in HIV-infected and uninfected men: a longitudinal evaluation. Psychol Med. 1997; 27(2):395-409. DOI: 10.1017/s0033291796004552. View

20.

Kalichman S, Kelly J, Rompa D . Continued high-risk sex among HIV seropositive gay and bisexual men seeking HIV prevention services. Health Psychol. 1997; 16(4):369-73. DOI: 10.1037//0278-6133.16.4.369. View