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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 MR, Kurtz SP, Buttram ME, Wei C, Silvestre AJ, Stall R.

Network Affiliation

Other

Organization

 

Journal Name

AIDS and Behavior

Publication Date

5/8/2013

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/23653091

Link to full-text

 

PMID

23653091

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.

Keywords

 

Topic

Behavior; MSM; Serodiscordant Couples; Substance Abuse; Women

Attachments

Created at 5/10/2013 12:52 PM by Davis, Gregory P
Last modified at 5/10/2013 12:52 PM by Davis, Gregory P