Men who have sex with men
(MSM) are the largest risk group in the US HIV epidemic and African American
MSM (AA MSM) are disproportionately affected. Substance-abusing sexual
minorities warrant attention as they are at elevated risk for HIV, yet are not
a homogeneous risk group.
The purpose of this study was to use latent class
analysis to identify patterns of drug and alcohol use in a sample of 359 AA MSM
and examine associations with sexual risk. Three classes were identified:
Individuals who used multiple substances (poly-users) (18 %),
alcohol/marijuana users (33 %) and individuals who had low probability of
reporting drug or problematic alcohol use (50 %).
Results from
multivariate analysis indicate that poly-users were older and more likely to
report sex exchange and recent sexually transmitted infection compared to the
other classes. Alcohol and poly-users were more likely to report sex under the
influence. Identifying and defining substance use patterns can improve
specification of risk groups and allocation of prevention resources.
Purchase full article at: http://goo.gl/OuNttH
By:
- 1Department of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins University, 2213 McElderry Street, Second Floor, Baltimore, MD, USA. ktobin@jhsph.edu.
- 2Department of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins University, 2213 McElderry Street, Second Floor, Baltimore, MD, USA.
- 3Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
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