Alcohol consumption is a
significant public health concern among Latino men and Latina transgender women
who have sex with men. However, characteristics and behaviors associated with
alcohol consumption in this population, particularly in regard to the complex
influence of syndemic factors, remain understudied.
The purpose of this study
was to examine predictors of high-risk alcohol consumption (i.e. binge or heavy
drinking). Between January and March of 2014, 176 Latino men and Latina
transgender women in New York City completed an interviewer-administered
questionnaire. We developed a syndemics scale to reflect the total number of
syndemic factors – clinically significant depression, childhood sexual abuse,
intimate partner violence, and discrimination – reported by each participant.
We also carried out a multinomial logistic regression model predicting binge
and heavy drinking. Forty-seven percent of participants reported high-risk
alcohol consumption in the past 30 days (21% binge and 26% heavy).
Approximately 16% of participants reported no syndemic factors, 27% reported
one factor, 39% reported two factors, and 18% reported three or four.
In the
multinomial logistic regression model, our syndemic factors scale was not
significantly associated with binge drinking. However, participants who
reported three or four factors were significantly more likely to report heavy
drinking. In addition, having multiple sexual partners was associated with an
increased risk of binge and heavy drinking; involvement in a same-sex
relationship was associated with binge drinking.
Further work is needed to
develop effective prevention intervention approaches for high-risk alcohol
consumption within this population.
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By: Omar Martineza*, Elwin Wub, Ethan C. Levinec, Miguel Muñoz-Laboyd, Joseph Spadafinoe, Brian Dodgef, Scott D. Rhodesg,Javier López Riosh, Hugo Ovejeroi, Eva M. Moyaj, Silvia Chavez Barayj, Alex Carballo-Diéguezh & M. Isabel Fernandezk
- a Temple University School of Social Work, Philadelphia, PA, USA;
- b School of Social Work at Columbia University, New York, NY, USA;
- c Department College of Liberal Arts at Temple University, Philadelphia, PA, USA;
- d College of Public Health at Temple University, Philadelphia, PA, USA;
- e Bureau of Public Health Statistics, Phoenix, AZ, USA;
- f School of Public Health at Indiana University – Bloomington, Bloomington, IN, USA;
- g Wake Forest School of Medicine, Winston-Salem, NC, USA;
- h HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute and Columbia University, New York, NY, USA;
- i Lutheran Family Health Center, Brooklyn, NY, USA;
- j School of Social Work at the University of Texas at El Paso, El Paso, TX, USA;
- k Department of Public Health at Nova Southeastern University, Fort Lauderdale, FL, USA
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