Authors: Karin E Tobin Cui Yang Kelly King Carl A Latkin Frank C Curriero
Publish Date: 2015/11/11
Volume: 20, Issue: 3, Pages: 590-599
Abstract
Men who have sex with men MSM are the largest risk group in the US HIV epidemic and African American MSM AA MSM are disproportionately affected Substanceabusing sexual minorities warrant attention as they are at elevated risk for HIV yet are not a homogeneous risk group The purpose of this study was to use latent class analysis to identify patterns of drug and alcohol use in a sample of 359 AA MSM and examine associations with sexual risk Three classes were identified Individuals who used multiple substances polyusers 18 alcohol/marijuana users 33 and individuals who had low probability of reporting drug or problematic alcohol use 50 Results from multivariate analysis indicate that polyusers were older and more likely to report sex exchange and recent sexually transmitted infection compared to the other classes Alcohol and polyusers were more likely to report sex under the influence Identifying and defining substance use patterns can improve specification of risk groups and allocation of prevention resourcesThis research was supported by funding from the National Institute on Drug Abuse 1R03DA035696 and the National Institute on Alcohol Abuse and Alcoholism R00AA020782 The authors thank Sharif Braxton for his assistance with references and manuscript preparation
Keywords: