Drinking settings, alcohol consumption, and sexual risk behavior among gay men.
Drinking settings, alcohol consumption, and sexual risk behavior among gay men.
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DOI：
10.1016/j.addbeh.2012.11.011
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发表时间：
2013-03
影响因子：
4.4
通讯作者：
Rosser, B. R. Simon
中科院分区：
文献类型：
--
作者：
Jones-Webb, Rhonda;Smolenski, Derek;Brady, Sonya;Wilkerson, Michael;Rosser, B. R. Simon
我们试图：1）描述美国16个大都市统计区（MSA）中男性同性恋者（MSM）饮酒的环境或环境组; 2）调查某些饮酒环境或环境组是否与较高水平的饮酒，问题饮酒和性风险行为相关。潜类分析被用来开发我们的饮酒环境的措施。最终的潜在类别模型由四个不同的类别组成，这些类别捕获了MSM饮酒的典型环境：“家庭”、“社交”、“酒吧/社交”和“一般”饮酒者（即，所有的饮料）。回归模型显示，“一般”饮酒者比“社交”饮酒者更有可能频繁酗酒。与“社交”饮酒者相比，一般饮酒者也更有可能与在酒吧和其他场所遇到的男性进行无保护肛交（UAIMP）和UAIMP（例如，私人聚会，浴室）而陶醉。评估饮酒环境可能是一种手段，以确定谁是在频繁，大量饮酒和相关的性风险行为的风险更大的男男性接触者。
We sought to 1) describe the settings or groups of settings where men who have sex with men (MSM) consume alcohol in 16 U.S. metropolitan statistical areas (MSA); and 2) investigate whether certain drinking settings or groups of settings are associated with higher levels of alcohol consumption, problem drinking, and sexual risk behavior. Latent class analysis was used to develop our measure of drinking settings. The final latent class model consisted of four distinct classes which captured the typical settings where MSM consumed alcohol: “home” “social,” “bar/social,” and “general” drinkers (i.e., drinks in all settings). Regression models showed that “general” drinkers were more likely than “social” drinkers to engage in frequent heavy drinking. Compared to `social' drinkers, general drinkers were also more likely to engage in unprotected anal intercourse (UAIMP) and UAIMP with men met in bars and other venues (e.g., private parties, bath houses) while intoxicated. Assessment of drinking settings may be a means of identifying MSM who are at greater risk for frequent, heavy drinking and related sexual risk behavior.
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