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- Title
HIV Risk Among Substance-Using Men Who Have Sex with Men and Women (MSMW): Findings from South Florida.
- Authors
Friedman, M.; Kurtz, Steven; Buttram, Mance; Wei, Chongyi; Silvestre, Anthony; Stall, Ron
- Abstract
Compared with men who have sex with men only (MSMO), men who have sex with men and women (MSMW) consistently report higher rates of two HIV risk behaviors: transactional sex (TS) and concurrent substance use and sex (CSS). Within MSMW, little is known about how synergistic epidemics ('syndemics') affect TS and CSS. Using a sample of substance-using MSM ( n = 515) in South Florida, we compared TS and CSS among MSMO and MSMW; examined whether, within MSMW ( n = 86), TS and CSS predict unprotected anal intercourse with partners of serodiscordant/unknown HIV status (SU-UAI); and tested whether syndemics predict TS and CSS. MSMW reported higher rates of engaging in both TS and CSS (AOR = 1.7; 95 % CI 1.0-3.0). Within MSMW, engagement in both TS and CSS predicted SU-UAI (AOR = 3.3; 95 % CI 1.2-9.6); and syndemics predicted TS and CSS involvement ( p < 0.01). Substance-using MSMW may benefit from interventions targeting TS, CSS, and background syndemics.
- Subjects
FLORIDA; HIV infection risk factors; ANALYSIS of variance; BISEXUALITY; CHI-squared test; CONFIDENCE intervals; EPIDEMIOLOGY; INTERVIEWING; MEN'S health; QUESTIONNAIRES; RESEARCH funding; RISK-taking behavior; T-test (Statistics); DATA analysis; MULTIPLE regression analysis; SECONDARY analysis; DRUG abusers; DATA analysis software; DESCRIPTIVE statistics
- Publication
AIDS & Behavior, 2014, Vol 18, Issue 1, p111
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-013-0495-z