Alcohol use among Chinese men who have sex with men: an epidemiological survey and meta-analysis.
The HIV/AIDS epidemic among Chinese men who have sex with men (MSM) has become a significant public health concern. Knowledge of alcohol consumption in this population is limited. In this study, 1,155 Chinese MSM were surveyed to assess alcohol use and its correlates. A meta-analysis was also performed to aggregate pooled prevalence of current alcohol use. MSM who were unmarried (aOR: 1.87; 95% CI: 1.29-2.71) or unemployed/retired (aOR: 2.77; 95% CI: 1.73-4.45) were more likely to drink alcohol more than once per week. MSM who consumed alcohol more than once per week were more likely to use drug (P < 0.01), have sex with women (P < 0.01), have unprotected insertive (P = 0.04) or receptive (P = 0.03) anal sex with men, have more than 10 lifetime male sex partners (P < 0.01), predominantly practice insertive anal sex (P < 0.01), and trade sex for money (P < 0.01). Pooled overall alcohol use prevalence was 32%. Pooled prevalence for MSM who drank alcohol more than once per week and who drank alcohol before sex with male partners was 23%. Our findings provide the basis for further exploring the alcohol-HIV association and developing risk reduction interventions.
Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, TN 37203, USA.
Yu
0000-0002-2515-4431
Y
Liu
Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, TN 37203, USA ; Division of Epidemiology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN 37203, USA.
Han-Zhu
0000-0003-2785-2628
HZ
Qian
State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Beijing 102206, China.
Yuhua
Y
Ruan
Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, TN 37203, USA.
Lu
L
Yin
Medical Library of Chinese People's Liberation Army, Beijing 100039, China.
Juntao
J
Ma
Department of Public Health, College of Health and Human Services, Western Kentucky University, Bowling Green, KY 42101, USA.
Kapil
K
Dahiya
Department of Public Health, College of Health and Human Services, Western Kentucky University, Bowling Green, KY 42101, USA.
Wensheng
W
Fan
State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Beijing 102206, China.
Yiming
Y
Shao
Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, TN 37203, USA ; Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN 37203, USA.
Sten H
SH
Vermund
D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology*; D000438:Alcohols / Q000009:adverse effects*; D044466:Asian People; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000453:epidemiology; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D015995:Prevalence; D012306:Risk; D012725:Sexual Behavior; D012747:Sexual Partners
D000438:Alcohols