Skip to main content
Top
Published in: AIDS and Behavior 4/2013

01-05-2013 | Original Paper

High Prevalence of Substance Use Among Men Who have Sex with Men in Buenos Aires, Argentina: Implications for HIV Risk Behavior

Authors: Iván C. Balán, Alex Carballo-Diéguez, Curtis Dolezal, Rubén Marone, María A. Pando, Victoria Barreda, María M. Ávila

Published in: AIDS and Behavior | Issue 4/2013

Login to get access

Abstract

Five hundred gay and other men who have sex with men (G&MSM) from Buenos Aires, Argentina completed an assessment regarding substance use and sexual behavior. During the past 2 months, 78 % of participants consumed alcohol and 61 % drugs. Over 20 % of participants reporting alcohol, marijuana, cocaine sulfate, or tranquilizer use, did so daily. Heavy alcohol use was more likely among participants with greater mood reactivity (AOR = 1.64) and less likely among those who identified as gay (AOR = 0.38). Weekly drug use was less likely among older (AOR = 0.98), and gay-identified participants (AOR = 0.50), but more likely among participants with greater mood reactivity (AOR = 1.49). Drug use was correlated with unprotected anal and vaginal intercourse with men, women, and transvestites among non-gay identified participants (r = 0.22). Findings highlight the need to reduce substance use and sexual risk behavior in this population.
Literature
1.
go back to reference Colfax G, Vittinghoff E, Husnik MJ, et al. Substance use and sexual risk: a participant and episode-level analysis among a cohort of men who have sex with men. Am J Epidemiol. 2004;159(10):1002–12.CrossRefPubMed Colfax G, Vittinghoff E, Husnik MJ, et al. Substance use and sexual risk: a participant and episode-level analysis among a cohort of men who have sex with men. Am J Epidemiol. 2004;159(10):1002–12.CrossRefPubMed
2.
go back to reference Dolezal C, Carballo-Diéguez A, Nieves-Rosa LE, Diaz F. Substance use and sexual risk behavior: understanding their association among four ethnic groups of Latino men who have sex with men. J Subst Abuse. 2000;11(4):323–36.CrossRefPubMed Dolezal C, Carballo-Diéguez A, Nieves-Rosa LE, Diaz F. Substance use and sexual risk behavior: understanding their association among four ethnic groups of Latino men who have sex with men. J Subst Abuse. 2000;11(4):323–36.CrossRefPubMed
3.
go back to reference Drabble L, Midanik LT, Trocki K. Reports of alcohol consumption and alcohol-related problems among homosexual, bisexual and heterosexual respondents: results from the 2000 National Alcohol Survey. J Stud Alcohol. 2005;66(1):111–20.PubMed Drabble L, Midanik LT, Trocki K. Reports of alcohol consumption and alcohol-related problems among homosexual, bisexual and heterosexual respondents: results from the 2000 National Alcohol Survey. J Stud Alcohol. 2005;66(1):111–20.PubMed
4.
go back to reference Gilman SE, Cochran SD, Mays VM, Hughes M, Ostrow D, Kessler RC. Risk of psychiatric disorders among individuals reporting same-sex sexual partners in the national comorbidity survey. Am J Public Health. 2001;91(6):933–9.CrossRefPubMed Gilman SE, Cochran SD, Mays VM, Hughes M, Ostrow D, Kessler RC. Risk of psychiatric disorders among individuals reporting same-sex sexual partners in the national comorbidity survey. Am J Public Health. 2001;91(6):933–9.CrossRefPubMed
6.
go back to reference McCabe SE, Hughes TL, Bostwick WB, West BT, Boyd CJ. Sexual orientation, substance use behaviors and substance dependence in the United States. Addiction. 2009;104(8):1333–45.CrossRefPubMed McCabe SE, Hughes TL, Bostwick WB, West BT, Boyd CJ. Sexual orientation, substance use behaviors and substance dependence in the United States. Addiction. 2009;104(8):1333–45.CrossRefPubMed
7.
go back to reference Stall R, Paul JP, Greenwood G, et al. Alcohol use, drug use and alcohol-related problems among men who have sex with men: the urban men’s health study. Addiction. 2001;96(11):1589–601.CrossRefPubMed Stall R, Paul JP, Greenwood G, et al. Alcohol use, drug use and alcohol-related problems among men who have sex with men: the urban men’s health study. Addiction. 2001;96(11):1589–601.CrossRefPubMed
8.
go back to reference Mansergh G, Flores S, Koblin B, et al. 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. Sex Transm Infect. 2008;84(6):509–11.CrossRefPubMed Mansergh G, Flores S, Koblin B, et al. 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. Sex Transm Infect. 2008;84(6):509–11.CrossRefPubMed
9.
go back to reference Stall R, Purcell DW. Intertwining epidemics: a review of research on substance use among men who have sex with men and its connection to the AIDS epidemic. AIDS Behav. 2000;4(2):181–91.CrossRef Stall R, Purcell DW. Intertwining epidemics: a review of research on substance use among men who have sex with men and its connection to the AIDS epidemic. AIDS Behav. 2000;4(2):181–91.CrossRef
10.
go back to reference Vanable PA, McKirnan DJ, Buchbinder SP, et al. Alcohol use and high-risk sexual behavior among men who have sex with men: the effects of consumption level and partner type. Health Psychol. 2004;23(5):525–32.CrossRefPubMed Vanable PA, McKirnan DJ, Buchbinder SP, et al. Alcohol use and high-risk sexual behavior among men who have sex with men: the effects of consumption level and partner type. Health Psychol. 2004;23(5):525–32.CrossRefPubMed
11.
go back to reference Woolf SE, Maisto SA. Alcohol use and risk of HIV infection among men who have sex with men. AIDS Behav. 2009;13(4):757–82.CrossRefPubMed Woolf SE, Maisto SA. Alcohol use and risk of HIV infection among men who have sex with men. AIDS Behav. 2009;13(4):757–82.CrossRefPubMed
12.
go back to reference Elkstrand ML, Stall RD, Paul JP, Osmond DH, Coates TJ. Gay men report high rates of unprotected anal sex with partners of unknown or discordant HIV status. AIDS. 1999;13(12):1525–33.CrossRef Elkstrand ML, Stall RD, Paul JP, Osmond DH, Coates TJ. Gay men report high rates of unprotected anal sex with partners of unknown or discordant HIV status. AIDS. 1999;13(12):1525–33.CrossRef
13.
go back to reference Koblin BA, Chesney MA, Husnik MJ, et al. High-risk behaviors among men who have sex with men in 6 US cities: baseline data from the EXPLORE study. Am J Public Health. 2003;93(6):926–32.CrossRefPubMed Koblin BA, Chesney MA, Husnik MJ, et al. High-risk behaviors among men who have sex with men in 6 US cities: baseline data from the EXPLORE study. Am J Public Health. 2003;93(6):926–32.CrossRefPubMed
14.
go back to reference Ross MW, Simon Rosser BR, Bauer GR, et al. Drug use, unsafe sexual behavior, and internalized homonegativity in men who have sex with men. AIDS Behav. 2001;5(1):97–103.CrossRef Ross MW, Simon Rosser BR, Bauer GR, et al. Drug use, unsafe sexual behavior, and internalized homonegativity in men who have sex with men. AIDS Behav. 2001;5(1):97–103.CrossRef
15.
go back to reference Woody GE, Donnell D, Seage GR, et al. Non-injection substance use correlates with risky sex among men having sex with men: data from HIVNET. Drug Alcohol Depend. 1999;53(3):197–205.CrossRefPubMed Woody GE, Donnell D, Seage GR, et al. Non-injection substance use correlates with risky sex among men having sex with men: data from HIVNET. Drug Alcohol Depend. 1999;53(3):197–205.CrossRefPubMed
16.
go back to reference Klein H. Substance use and abuse among men using the Internet specifically to find partners for unprotected sex. J Psychoact Drugs. 2011;43(2):89–98.CrossRef Klein H. Substance use and abuse among men using the Internet specifically to find partners for unprotected sex. J Psychoact Drugs. 2011;43(2):89–98.CrossRef
17.
go back to reference Halkitis PN, Parsons JT, Wilton L. Barebacking among gay and bisexual men in New York City: explanations for the emergence of intentional unsafe behavior. Arch Sex Behav. 2003;32(4):351–7.CrossRefPubMed Halkitis PN, Parsons JT, Wilton L. Barebacking among gay and bisexual men in New York City: explanations for the emergence of intentional unsafe behavior. Arch Sex Behav. 2003;32(4):351–7.CrossRefPubMed
18.
go back to reference Lane T, Raymond HF, Dladla S, et al. High HIV prevalence among men who have sex with men in Soweto, South Africa: results from the Soweto men’s study. AIDS Behav. 2011;15(3):626–34.CrossRefPubMed Lane T, Raymond HF, Dladla S, et al. High HIV prevalence among men who have sex with men in Soweto, South Africa: results from the Soweto men’s study. AIDS Behav. 2011;15(3):626–34.CrossRefPubMed
19.
go back to reference Nguyen TA, Nguyen HT, Le GT, Detels R. Prevalence and risk factors associated with HIV infection among men having sex with men in Ho Chi Minh City, Vietnam. AIDS Behav. 2008;12(3):476–82.CrossRefPubMed Nguyen TA, Nguyen HT, Le GT, Detels R. Prevalence and risk factors associated with HIV infection among men having sex with men in Ho Chi Minh City, Vietnam. AIDS Behav. 2008;12(3):476–82.CrossRefPubMed
20.
go back to reference Ruan Y, Luo F, Jia Y, et al. Risk factors for syphilis and prevalence of HIV, hepatitis B and C among men who have sex with men in Beijing, China: implications for HIV prevention. AIDS Behav. 2009;13(4):663–70.CrossRefPubMed Ruan Y, Luo F, Jia Y, et al. Risk factors for syphilis and prevalence of HIV, hepatitis B and C among men who have sex with men in Beijing, China: implications for HIV prevention. AIDS Behav. 2009;13(4):663–70.CrossRefPubMed
21.
go back to reference Mansergh G, Naorat S, Jommaroeng R, et al. Inconsistent condom use with steady and casual partners and associated factors among sexually-active men who have sex with men in Bangkok, Thailand. AIDS Behav. 2006;10(6):743–51.CrossRefPubMed Mansergh G, Naorat S, Jommaroeng R, et al. Inconsistent condom use with steady and casual partners and associated factors among sexually-active men who have sex with men in Bangkok, Thailand. AIDS Behav. 2006;10(6):743–51.CrossRefPubMed
22.
go back to reference Ko NY, Koe S, Lee HC, Yen CF, Ko WC, Hsu ST (2012) Online sex-seeking, substance use, and risky behaviors in Taiwan: results from the 2010 Asia Internet MSM sex survey. Arch Sex Behav (Epub ahead of publication). doi:10.1007/s10508-012-9908-8. Ko NY, Koe S, Lee HC, Yen CF, Ko WC, Hsu ST (2012) Online sex-seeking, substance use, and risky behaviors in Taiwan: results from the 2010 Asia Internet MSM sex survey. Arch Sex Behav (Epub ahead of publication). doi:10.​1007/​s10508-012-9908-8.
23.
go back to reference Montano SM, Sanchez JL, Laguna-Torres A, et al. Prevalences, genotypes, and risk factors for HIV transmission in South America. J Acquir Immune Defic Syndr. 2005;40(1):57–64.CrossRefPubMed Montano SM, Sanchez JL, Laguna-Torres A, et al. Prevalences, genotypes, and risk factors for HIV transmission in South America. J Acquir Immune Defic Syndr. 2005;40(1):57–64.CrossRefPubMed
24.
go back to reference Bautista CT, Sanchez JL, Montano SM, et al. Seroprevalence of and risk factors for HIV-1 infection among South American men who have sex with men. Sex Transm Infect. 2004;80(6):498–504.CrossRefPubMed Bautista CT, Sanchez JL, Montano SM, et al. Seroprevalence of and risk factors for HIV-1 infection among South American men who have sex with men. Sex Transm Infect. 2004;80(6):498–504.CrossRefPubMed
25.
go back to reference Pando MA, Maulen S, Weissenbacher M, et al. High human immunodeficiency virus type 1 seroprevalence in men who have sex with men in Buenos Aires, Argentina: risk factors for infection. Int J Epidemiol. 2003;32(5):735–40.CrossRef Pando MA, Maulen S, Weissenbacher M, et al. High human immunodeficiency virus type 1 seroprevalence in men who have sex with men in Buenos Aires, Argentina: risk factors for infection. Int J Epidemiol. 2003;32(5):735–40.CrossRef
26.
go back to reference Segura M, Sosa Estani S, Marone R, et al. Buenos Aires cohort of men who have sex with men: prevalence, incidence, risk factors and molecular genotyping of HIV-1. AIDS Res Hum Retroviruses. 2007;23(11):1322–9.CrossRefPubMed Segura M, Sosa Estani S, Marone R, et al. Buenos Aires cohort of men who have sex with men: prevalence, incidence, risk factors and molecular genotyping of HIV-1. AIDS Res Hum Retroviruses. 2007;23(11):1322–9.CrossRefPubMed
28.
go back to reference Pando MA, Balán IC, Marone R, et al. HIV and other sexually transmitted infections among men who have sex with men (MSM) recruited by respondent driven sampling (RDS) in Buenos Aires, Argentina: high HIV and HPV infection. PLoS ONE. 2012;7(6):1–8.CrossRef Pando MA, Balán IC, Marone R, et al. HIV and other sexually transmitted infections among men who have sex with men (MSM) recruited by respondent driven sampling (RDS) in Buenos Aires, Argentina: high HIV and HPV infection. PLoS ONE. 2012;7(6):1–8.CrossRef
29.
go back to reference Heckathorn D. Respondent-driven sampling: a new approach to the study of hidden populations. Soc Probl. 1997;44(2):174–99.CrossRef Heckathorn D. Respondent-driven sampling: a new approach to the study of hidden populations. Soc Probl. 1997;44(2):174–99.CrossRef
30.
go back to reference Heckathorn D. Respondent-driven sampling II: deriving valid population estimates from chain-referral samples of hidden populations. Soc Probl. 2002;49(1):11–34.CrossRef Heckathorn D. Respondent-driven sampling II: deriving valid population estimates from chain-referral samples of hidden populations. Soc Probl. 2002;49(1):11–34.CrossRef
31.
go back to reference Carballo-Diéguez A, Balán I, Marone R, et al. Use of respondent driven sampling (RDS) generates a highly diverse sample of men who have sex with men MSM in Buenos Aires, Argentina. PLoS ONE. 2011;21(6):1–8. Carballo-Diéguez A, Balán I, Marone R, et al. Use of respondent driven sampling (RDS) generates a highly diverse sample of men who have sex with men MSM in Buenos Aires, Argentina. PLoS ONE. 2011;21(6):1–8.
32.
go back to reference Underwood B, Froming WJ. The mood survey: a personality measure of happy and sad moods. J Pers Assess. 1980;44(4):404–14.CrossRef Underwood B, Froming WJ. The mood survey: a personality measure of happy and sad moods. J Pers Assess. 1980;44(4):404–14.CrossRef
33.
go back to reference Volz E, Heckathorn DD. Probability based estimation theory for respondent driven sampling. J Off Stat. 2008;24(1):79–97. Volz E, Heckathorn DD. Probability based estimation theory for respondent driven sampling. J Off Stat. 2008;24(1):79–97.
34.
go back to reference Salganik MJ. Variance estimation, design effects, and sample size calculations for respondent-driven sampling. J Urban Health. 2006;83(S1):98–112.CrossRef Salganik MJ. Variance estimation, design effects, and sample size calculations for respondent-driven sampling. J Urban Health. 2006;83(S1):98–112.CrossRef
35.
go back to reference Cochran SD, Mays VM. Relation between psychiatric syndromes and behaviorally defined sexual orientation in a sample of the US population. Am J Epidemiol. 2000;151:516–23.CrossRefPubMed Cochran SD, Mays VM. Relation between psychiatric syndromes and behaviorally defined sexual orientation in a sample of the US population. Am J Epidemiol. 2000;151:516–23.CrossRefPubMed
36.
go back to reference Mays VM, Cochran SD. Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. Am J Public Health. 2001;91:1869–76.CrossRefPubMed Mays VM, Cochran SD. Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. Am J Public Health. 2001;91:1869–76.CrossRefPubMed
37.
38.
go back to reference Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003;129:674–97.CrossRefPubMed Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003;129:674–97.CrossRefPubMed
39.
go back to reference Kim EJ, Creswell J, GuardadoME et al (2012) Correlates of bisexual behaviors among men who have sex with men in El Salvador. AIDS Behav (Epub ahead of publication). doi:10.1007/s10461-012-0152-y. Kim EJ, Creswell J, GuardadoME et al (2012) Correlates of bisexual behaviors among men who have sex with men in El Salvador. AIDS Behav (Epub ahead of publication). doi:10.​1007/​s10461-012-0152-y.
40.
go back to reference Cochran BN, Peavy KM, Cauce AM. Substance abuse treatment providers’ explicit and implicit attitudes regarding sexual minorities. J Homosexual. 2007;53(3):181–207.CrossRef Cochran BN, Peavy KM, Cauce AM. Substance abuse treatment providers’ explicit and implicit attitudes regarding sexual minorities. J Homosexual. 2007;53(3):181–207.CrossRef
41.
go back to reference Kaufman JS, Carlozzi AF, Boswell DL, Barnes LLB, Wheeler-Scruggs K, Levy PA. Factors influencing therapist selection among gays, lesbians and bisexuals. Couns Psychol Q. 1997;10(2):287–97.CrossRef Kaufman JS, Carlozzi AF, Boswell DL, Barnes LLB, Wheeler-Scruggs K, Levy PA. Factors influencing therapist selection among gays, lesbians and bisexuals. Couns Psychol Q. 1997;10(2):287–97.CrossRef
42.
go back to reference Liddle BJ. Gay and lesbian clients’ selection of therapists and utilization of therapy. Psychother Theory Res Pract Train. 1997;34(1):11–8.CrossRef Liddle BJ. Gay and lesbian clients’ selection of therapists and utilization of therapy. Psychother Theory Res Pract Train. 1997;34(1):11–8.CrossRef
43.
go back to reference Senreich E. Are specialized LGBT program components helpful for gay and bisexual men in substance abuse treatment? Subst Use Misuse. 2010;45(7–8):1077–96.CrossRefPubMed Senreich E. Are specialized LGBT program components helpful for gay and bisexual men in substance abuse treatment? Subst Use Misuse. 2010;45(7–8):1077–96.CrossRefPubMed
45.
go back to reference Kumta S, Lurie M, Weitzen S, et al. Bisexuality, sexual risk taking, and HIV prevalence among men who have sex with men accessing voluntary counseling and testing services in Mumbai, India. J Acquir Immune Defic Syndr. 2010;53(2):227–33.CrossRefPubMed Kumta S, Lurie M, Weitzen S, et al. Bisexuality, sexual risk taking, and HIV prevalence among men who have sex with men accessing voluntary counseling and testing services in Mumbai, India. J Acquir Immune Defic Syndr. 2010;53(2):227–33.CrossRefPubMed
46.
go back to reference Tabet SR, de Moya EA, Holmes KK, et al. Sexual behaviors and risk factors for HIV infection among men who have sex with men in the Dominican Republic. AIDS. 1996;10(2):201–6.CrossRefPubMed Tabet SR, de Moya EA, Holmes KK, et al. Sexual behaviors and risk factors for HIV infection among men who have sex with men in the Dominican Republic. AIDS. 1996;10(2):201–6.CrossRefPubMed
Metadata
Title
High Prevalence of Substance Use Among Men Who have Sex with Men in Buenos Aires, Argentina: Implications for HIV Risk Behavior
Authors
Iván C. Balán
Alex Carballo-Diéguez
Curtis Dolezal
Rubén Marone
María A. Pando
Victoria Barreda
María M. Ávila
Publication date
01-05-2013
Publisher
Springer US
Published in
AIDS and Behavior / Issue 4/2013
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-012-0377-9

Other articles of this Issue 4/2013

AIDS and Behavior 4/2013 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine