HIV incidence is increasing among men who have sex with men (MSM) despite years of prevention education and intervention efforts. Whereas there has been considerable progress made in identifying risk factors among younger MSM, older MSM have been largely neglected. In particular, the role of alcohol and drug use in conjunction with sex has not been thoroughly studied in older MSM samples. This article reviews the small body of literature examining the association of substance abuse and risky sexual behavior in this population and provides a methodological critique of the reviewed studies. The data show that older MSM are engaging in risky sexual behavior, with the likelihood of engaging in risky sexual activities increasing with the use of alcohol and other drugs. Methodological limitations prevent strong conclusions regarding whether the sexual risk behaviors of older MSM differ from those of younger MSM, and the extent to which alcohol and drug use may differentially contribute to engagement in sexual risk-taking as a function of age. Future research is needed to clarify these associations.
"sexual risk behaviours, among MSM and other at-risk populations       , that can lead to HV infection, an epidemic that greatly affects the MSM population globally . Among people living with HIV/AIDS, alcohol use disorders (AUD) negatively impact the HIV continuum of care , including delays in HIV diagnosis , being unaware of HIV positive status , delayed linkage to HIV care  , decreased antiretroviral therapy adherence  and other HIVrelated treatment outcomes . "
"In particular, research on HIV risk among MSM points to stimulant use as a major focus for primary prevention efforts (CDC, 2007; Garofalo, Mustanski, McKirnan, Herrick, & Donenberg, 2006; Halkitis et al., 2011). Past research has highlighted the role of stimulants in behavior disinhibition, which likely contributes to increased rates of unprotected sex and HIV seroconversion (Garofalo et al., 2006; Heath et al., 2012; Ostrow et al., 2009; Stueve et al., 2002). Thus, MSM who use stimulants represent a third subgroup within the MSM population at heightened risk for HIV infection. "
[Show abstract][Hide abstract] ABSTRACT: This study compared the ability of different field and online recruitment venues to reach those at highest risk for HIV infection among HIV-negative men who have sex with men (MSM), given that some subgroups are difficult to reach, and venues vary in the demographic characteristics of the samples they yield. Compared to other venues, dating/hookup websites reached significantly higher-than-expected concentrations of White MSM aged 40 and above, including those who reported unprotected anal intercourse (UAI). Facebook was the most successful venue for the recruitment of MSM who used stimulants, including those who reported UAI. MSM who reported UAI were more likely to be recruited online. This study points to systematic variation in the samples obtained via different recruitment strategies, which should be taken into consideration when designing intervention/prevention programs targeting HIV-negative MSM.
AIDS education and prevention: official publication of the International Society for AIDS Education 02/2014; 26(1):56-67. DOI:10.1521/aeap.2014.26.1.56 · 1.51 Impact Factor
"Our finding that MSM aged 25 years and above were more likely to consume alcohol frequently is consistent with other studies from India  and developed countries [44, 45]. HIV prevention interventions in India mostly seem to reach the younger MSM population . "
[Show abstract][Hide abstract] ABSTRACT: This paper examines the association between alcohol use and HIV-related sexual risk behaviors among men who have sex with men (MSM). A cross-sectional bio-behavioral survey was conducted among 3,880 MSM, recruited using time-location cluster sampling from cruising sites in three Indian states. Nearly three-fifths of the participants reported alcohol use. Among frequent users (40 % of the sample), defined as those who consumed alcohol daily or at least once a week, 66 % were aged 25 years and above, 53 % self-identified as kothi (feminine/receptive), and 63 % consistently used condoms with male paying partners. Multivariate logistic regression demonstrated that frequent users were more likely to be aged 25 years and above, less likely to self-identify as kothi, and less likely to consistently use condoms with male paying (AOR = 0.7; 95 % CI 0.5-0.9) and male regular (AOR = 0.7; 95 % CI 0.6-0.9) partners. HIV prevention interventions for MSM need to provide tailored information on alcohol use-related sexual risk, especially for MSM in sex work and MSM with male regular partners.
AIDS and Behavior 01/2014; 18(7). DOI:10.1007/s10461-014-0699-x · 3.49 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.