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A Review of the Literature on Event-Level Substance use and Sexual Risk Behavior Among MSM


HV Vosburg, G. Mansergh, PS Sullivan, DW Purcell

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Journal Name

AIDS Behavior

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PubMed Search


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In the United States, there continues to be high incidence of HIV infection among men who have sex with men (MSM), who represent 57% of new infections in 2009. While many studies report associations between non-injection substance use and sexual risk behavior among MSM, overall results are mixed. Summarizing these studies is difficult because researchers have used a variety of assessment periods for substance use and sexual behavior. We review the scientific literature on event-level measures, which assess substance use and sexual risk behavior immediately before or during a sexual encounter and provide the most precise link between these two behaviors. From January 2009 through March 2010, we searched four databases: Ovid (MEDLINE and PsycINFO), Web of Knowledge, and Sociofile. Across studies, results varied by substance with little within substance consistency or a lack of research except for two notable exceptions: methamphetamine and binge alcohol use. The findings underscore the importance of providing HIV risk-reduction interventions for substance-using MSM.




Behavior; Intervention; MSM; Risk Reduction Counseling; Substance Abuse


Created at 2/16/2012 2:36 PM by Davis, Gregory P
Last modified at 2/16/2012 2:36 PM by Davis, Gregory P