A Review of the Literature on Event-Level Substance Use and Sexual Risk Behavior Among Men Who Have Sex with Men

In the United States, there continues to be high incidence of HIV infection among men who have sex with men (MSM), who represent 57% of new infections in 2009. While many studies report associations between non-injection substance use and sexual risk behavior among MSM, overall results are mixed. Su...

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Bibliographic Details
Published inAIDS and behavior Vol. 16; no. 6; pp. 1394 - 1410
Main Authors Vosburgh, H. Waverly, Mansergh, Gordon, Sullivan, Patrick S., Purcell, David W.
Format Journal Article
LanguageEnglish
Published Boston Springer US 01.08.2012
Springer Nature B.V
Subjects
Acquired Immune Deficiency Syndrome
Alcohol Abuse
Alcoholism - complications
Alcoholism - psychology
Drug Abuse
Gays & lesbians
Health Psychology
HIV
HIV Infections - prevention & control
Homosexuality
Homosexuality, Male - psychology
Homosexuality, Male - statistics & numerical data
Human immunodeficiency virus
Humans
Infectious Diseases
Intervention
Knowledge
Literature reviews
Male
Medicine
Medicine & Public Health
Men
Public Health
Risk
Risk factors
Risk-Taking
Sexual Behavior
Sexual Behavior - drug effects
Sexual Behavior - psychology
Substance Abuse
Substance-Related Disorders - complications
Substance-Related Disorders - psychology
Substantive Review
USA
Sexual risk
Substance
HIV
MSM
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Summary:In the United States, there continues to be high incidence of HIV infection among men who have sex with men (MSM), who represent 57% of new infections in 2009. While many studies report associations between non-injection substance use and sexual risk behavior among MSM, overall results are mixed. Summarizing these studies is difficult because researchers have used a variety of assessment periods for substance use and sexual behavior. We review the scientific literature on event-level measures, which assess substance use and sexual risk behavior immediately before or during a sexual encounter and provide the most precise link between these two behaviors. From January 2009 through March 2010, we searched four databases: Ovid (MEDLINE and PsycINFO), Web of Knowledge, and Sociofile. Across studies, results varied by substance with little within substance consistency or a lack of research except for two notable exceptions: methamphetamine and binge alcohol use. The findings underscore the importance of providing HIV risk-reduction interventions for substance-using MSM.
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ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-011-0131-8