title: Factors Associated with Alcohol Use Before or During Sex Among Men Who Have Sex with Men in a Large Internet Sample from Asia.
abstract: We explored factors associated with alcohol use before or during sex among a sample of 10,861 men who have sex with men (MSM) in Asia who were recruited online for the study. Multinomial logistic regression analysis indicated that having sex under the influence of alcohol was associated with having multiple male partners, seeking partners primarily through gay bar/gym/dance party/friends, selling sex and using multiple drugs during the past 6 months, and unprotected anal sex. More efforts are needed to better assess alcohol use and misuse among MSM in Asia and understand contextual influences on alcohol use and HIV-related behaviors in order to implement culturally-specific interventions.
authors.affiliation: 1 Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health , Baltimore, Maryland.
authors.forename: Cui
authors.initials: C
authors.lastname: Yang
authors.affiliation: 2 Department of Society and Health, Center for Health Policy Studies, Faculty of Social Sciences and Humanities Mahidol University , Bangkok, Thailand .
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Guadamuz
authors.affiliation: 3 Center of Excellence for Research in AIDS, University of Malaya , Kuala Lumpur, Malaysia .
authors.forename: Sin How
authors.initials: SH
authors.lastname: Lim
authors.affiliation: 4 ICM Pharma Pte Ltd. , Singapore .
authors.forename: Stuart
authors.initials: S
authors.lastname: Koe
authors.affiliation: 5 Department of Epidemiology and Biostatistics & Global Health Sciences, University of California-San Francisco , San Francisco, California.
authors.forename: Chongyi
authors.initials: C
authors.lastname: Wei
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology* / Q000523:psychology; D019973:Alcohol-Related Disorders / Q000453:epidemiology / Q000523:psychology; D001208:Asia / Q000453:epidemiology; D001727:Bisexuality / Q000523:psychology / Q000706:statistics & numerical data; D018451:Homosexuality, Male / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D020407:Internet; D008297:Male; D047568:Unsafe Sex / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Asia; alcohol; men who have sex with men (MSM); sex