Historique
Périodique
Associations between substance use and sexual risk among very young men who have sex with men
(Les associations entre l'usage de substances et le risque sexuel chez de très jeunes homosexuels)
Auteur(s) :
CELENTANO, D. D. ;
VALLEROY L. A. ;
SIFAKIS, F. ;
MACKELLAR D. A. ;
HYLTON J. ;
THIEDE, H. ;
McFARLAND, W. ;
SHEHAN D. A. ;
STOYANOFF S. R. ;
LALOTA, M. ;
KOBLIN B. A. ;
KATZ, M. H. ;
TORIAN L. V. ;
Young Men's Survey Study Group
Année :
2006
Page(s) :
265-271
Langue(s) :
Français
Refs biblio. :
39
Domaine :
Plusieurs produits / Several products
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
HSH
;
CONDUITE A RISQUE
;
SEXE MASCULIN
;
VIH
;
SEXUALITE
Thésaurus géographique
ETATS-UNIS
Note générale :
Sexually Trasmitted Diseases, 2006, 33, (4), 265-271
Note de contenu :
tabl.
Résumé :
ENGLISH :
OBJECTIVE: To determine if an association exists in young men who have sex with men (MSM) between being under the influence of alcohol or drugs during sex and participation in sexual behaviors which increase the risk of human immunodeficiency virus (HIV). STUDY DESIGN: A total of 3492 young MSM were interviewed through the Young Men's Survey, an anonymous, cross-sectional, multisite, venue-based survey conducted from 1994 through 1998 at 194 public venues frequented by MSM aged 15 to 22 years in 7 US cities. RESULTS: The majority of young MSM reported both receptive and insertive anal intercourse, and of these, approximately half reported not using condoms. Report of unprotected receptive anal intercourse at least once in the prior 6 months was associated with being under the influence of alcohol (adjusted odds ratio [AOR]=1.5; 95% confidence interval [CI]=1.2-1.8), cocaine (AOR=1.6; 95% CI=1.1-2.2), amphetamines (AOR=1.5; 95% CI=1.1-2.0) or marijuana during sex (AOR=1.3; 95% CI=1.1-1.6). Report of unprotected insertive anal intercourse at least once in the prior 6 months was associated with being under the influence of alcohol (AOR=1.2; 95% CI=1.0-1.5), cocaine (AOR=1.5; 95% CI=1.1-2.0) or amphetamines (AOR=1.9; 95% CI=1.4-2.6). CONCLUSIONS: HIV prevention strategies for young MSM need to incorporate substance use risk reduction.
Affiliation :
Dept of Epidemiology, Johns Hopkins Univ. Bloomberg School of Public Health, Baltimore, Maryland 21205. Email : dcelenta@jhsph.edu
Etats-Unis. United States.
Etats-Unis. United States.
Cote :
A02686