title: Alcohol and drug use in the context of anal sex and other factors associated with sexually transmitted infections: results from a multi-city study of high-risk men who have sex with men in the USA.
abstract: Men who have sex with men (MSM) who use alcohol and drugs are at especially high risk for sexually transmitted infections (STIs); more information is needed about associated factors to improve risk reduction. We assessed reported STIs and demographic and event-level alcohol and drug use characteristics associated with STIs in a diverse, multi-city study in the USA of MSM who use substances. Improved risk reduction efforts are needed for this group as well as some initiatives tailored to men who are HIV positive, younger and use drugs (not alcohol) in the context of anal sex.
authors.affiliation: CDC Divison of HIV/AIDS Prevention, 1600 Clifton Rd, Mailstop E37, Atlanta 30333, USA. gcm2@cdc.gov
authors.forename: G
authors.initials: G
authors.lastname: Mansergh
authors.forename: S
authors.initials: S
authors.lastname: Flores
authors.forename: B
authors.initials: B
authors.lastname: Koblin
authors.forename: S
authors.initials: S
authors.lastname: Hudson
authors.forename: D
authors.initials: D
authors.lastname: McKirnan
authors.forename: G N
authors.initials: GN
authors.lastname: Colfax
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology* / Q000523:psychology; D004522:Educational Status; D018451:Homosexuality, Male / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000523:psychology; D019966:Substance-Related Disorders / Q000453:epidemiology*; D014481:United States / Q000453:epidemiology; D047568:Unsafe Sex / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult