Binge drinking concurrent with anal intercourse and condom use among men who have sex with men.
Binge drinking concurrent with anal intercourse and condom use among men who have sex with men.
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与男性发生性关系的男性中的肛交和避孕套的使用同时饮酒。
DOI：
10.1080/09540121.2016.1191616
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发表时间：
2016-12
期刊：
影响因子：
1.7
通讯作者：
Santos GM
中科院分区：
文献类型：
--
作者：
Rowe C;Liou T;Vittinghoff E;Coffin PO;Santos GM
男男性行为者（MSM）是美国受艾滋病毒影响最严重的人口群体。全球协会的研究表明，酗酒的MSM更有可能从事危险的性行为，而日常和事件层面的分析将酗酒与特定日期和特定性接触期间的性风险行为联系起来。尽管有这样坚实的研究基础，但没有研究考察过情境性暴饮（即与性活动同时发生的暴饮）的频率与较长时间内累积的性风险之间的关系。我们使用多变量逻辑回归分析评估情境性酗酒（即酗酒同时发生肛交）与无安全套肛交之间的关系，并在加利福尼亚州旧金山弗朗西斯科中进行横断面样本分析。情境性暴饮的频率与CAI呈正相关（1 ~ 5次与从不：校正比值比= 2.78，95%CI = 1.01-7.63; 6 ~ 10次与从不：6.19，1.27-30.22; 10次以上与从不：11.88，1.31-107.60）。通过填补方法上的空白和补充现有的全球和事件层面的分析，这种积极的情境关系加强了酗酒和性风险之间的联系，提高了现有文献的可比性，并进一步表明，旨在预防艾滋病毒和减少酗酒的双重战略的整合可能是必要的。
Men who have sex with men (MSM) are the demographic group most severely affected by HIV in the USA. Global association studies have shown that MSM who binge drink are more likely to engage in risky sexual behaviors and day- and event-level analyses have linked binge drinking to sexual risk behavior on specific days and during specific sexual encounters. Despite this strong foundation of research, no studies have examined the association between the frequency of situational binge drinking (i.e. binge drinking concurrent with sexual activity) and aggregated sexual risk over periods of longer duration. We used multivariable logistic regression to assess the relationship between situational binge drinking (i.e. binge drinking concurrent with anal intercourse) and condomless anal intercourse and among a cross-sectional sample of 124 MSM in San Francisco, CA. There was a positive relationship between frequency of situational binge drinking and CAI (1 to 5 times vs. never: adjusted odds ratio = 2.78, 95% CI = 1.01-7.63; 6 to 10 times vs. never: 6.19, 1.27-30.22; more than 10 times vs. never: 11.88, 1.31-107.60). By filling a methodological gap and complementing existing global and event-level analyses, this positive situational relationship strengthens the evidence linking binge drinking and sexual risk, enhances the comparability of the existing literature, and further suggests that the integration of dual strategies that aim to prevent HIV and reduce binge drinking may be warranted.
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影响因子：
5.9
作者：
Morgenstern, Jon;Kuerbis, Alexis N.;Chen, Andrew C.;Kahler, Christopher W.;Bux, Donald A., Jr.;Kranzler, Henry R.
通讯作者：
Kranzler, Henry R.
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作者：
Velasquez, Mary M.;von Sternberg, Kirk;Parsons, Jeffrey T.
通讯作者：
Parsons, Jeffrey T.
影响因子：
4.4
作者：
Folch, Cinta;Esteve, Anna;Casabona, Jordi
通讯作者：
Casabona, Jordi