title: Drug Use and Sexual HIV Transmission Risk Among Men Who have Sex with Men and Women (MSMW), Men Who have Sex with Men only (MSMO), and Men Who have Sex with Women Only (MSWO) and the Female Partners of MSMW and MSWO: A Network Perspective.
abstract: We described drug use, sex risk, and STI/HIV among men who have sex with men and women (MSMW) and their female partners. We used the Network, Norms and HIV/STI Risk among Youth (NNAHRAY) study to evaluate drug use, sex risk, and biologically-confirmed STI/HIV in (1) MSMW and men who had sex with men only (MSMO) versus men who had sex with women only (MSWO) and (2) female partners of MSMW versus female partners of MSWO (N = 182 men, 152 women). MSMW versus MSWO had 30 to 60% increased odds of substance use, over twice the odds of multiple partnerships, and almost five times the odds of sex trade and HIV infection. Female partners of MSMW versus female partners of MSWO had approximately twice the odds of substance use and 1.5-2 times the odds of multiple partnerships and sex trade. Interventions should address STI/HIV risk among MSMW and their female partners.
authors.affiliation: Department of Epidemiology and Biostatistics, The University of Maryland, 2234FF School of Public Health, College Park, MD, 20742, USA. typhanye@umd.edu.
authors.forename: Typhanye V
authors.identifier: http://orcid.org/0000-0002-8493-5772
authors.initials: TV
authors.lastname: Dyer
authors.affiliation: Population Health, New York University School of Medicine, New York, NY, USA.
authors.forename: Maria R
authors.initials: MR
authors.lastname: Khan
authors.affiliation: National Development and Research Institutes Inc., New York, NY, USA.
authors.forename: Milagros
authors.initials: M
authors.lastname: Sandoval
authors.affiliation: Department of Epidemiology, University of Florida, Gainesville, FL, USA.
authors.forename: Abenaa
authors.initials: A
authors.lastname: Acheampong
authors.affiliation: Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA.
authors.forename: Rotrease
authors.initials: R
authors.lastname: Regan
authors.affiliation: Office of Institutional Research, Planning and Effectiveness, Emory University, Atlanta, GA, USA.
authors.forename: Melissa
authors.initials: M
authors.lastname: Bolyard
authors.affiliation: National Development and Research Institutes Inc., New York, NY, USA.
authors.forename: Pedro
authors.initials: P
authors.lastname: Mateu-Gelabert
authors.affiliation: National Development and Research Institutes Inc., New York, NY, USA.
authors.forename: Samuel R
authors.initials: SR
authors.lastname: Friedman
mesh_terms: D000293:Adolescent; D000328:Adult; D001727:Bisexuality; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology / Q000635:transmission*; D020010:Heterosexuality; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D009518:New York / Q000453:epidemiology; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior; D012747:Sexual Partners; D019966:Substance-Related Disorders / Q000150:complications / Q000453:epidemiology*; D055815:Young Adult
keywords: HIV; MSMW; Social network analysis; Substance use; Women