Top

Published in:

01-12-2013

Differences in Substance Use, Psychosocial Characteristics and HIV-Related Sexual Risk Behavior Between Black Men Who Have Sex with Men Only (BMSMO) and Black Men Who Have Sex with Men and Women (BMSMW) in Six US Cities

Authors: Typhanye P. Dyer, Rotrease Regan, Leo Wilton, Nina T. Harawa, San San Ou, Lei Wang, Steve Shoptaw

Published in: Journal of Urban Health | Issue 6/2013

Abstract

We assessed associations in substance use, psychosocial characteristics, and HIV-related sexual risk behaviors, comparing characteristics of Black men who only have sex with other men only (BMSMO; n = 839) to Black men who have sex with men and women (BMSMW; n = 590). The study analyzed baseline data from the HIV Prevention Trials Network Brothers Study (HPTN 061), a feasibility study of a multi-component intervention for Black MSM in six US cities. Bivariate analyses compared BMSMO to BMSMW along demographics, substance use, psychosocial characteristics, and HIV-related sexual risk behaviors. Logistic regression models then assessed multivariable associations between being BMSMW and the odds of engaging in HIV-related sexual risk behaviors. Adjusted analyses revealed that BMSMW remained more likely to have unprotected anal intercourse while under the influence of alcohol (AOR: 1.45; 95 % CI:1.11–1.90) and were more likely to receive money/drugs for sex (AOR: 2.11; 95 % CI:1.48–3.03), compared to BMSMO. Substance use is an important factor to be considered when developing risk-reduction interventions for BMSMW. Structural interventions that address factors that may contribute to exchange sex among these men are also warranted.

Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report. 2010; 21.

Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. Atlanta, GD 2009 2011.

An M, Han X, Xu J, et al. Reconstituting the epidemic history of HIV strain CRF01_AE among men who have sex with men (MSM) in Liaoning, Northeastern China: implications for the expanding epidemic among MSM in China. J Virol. 2012; 86(22): 12402–12406.PubMedCrossRef

An Q, Prejean J, Hall HI. Racial disparity in US diagnoses of acquired immune deficiency syndrome, 2000–2009. Am J Prev Med. 2012; 43(5): 461–466.PubMedCrossRef

Millett GA, Crowley JS, Koh H, et al. A way forward: the national HIV/AIDS strategy and reducing HIV incidence in the United States. JAIDS J Acquire Immun Defic Syndr. 2010; 55: S144.CrossRef

Millett GA, Peterson JL, Flores SA, et al. Comparisons of disparities and risks of HIV infection in black and other men who have sex with men in Canada, UK, and USA: a meta-analysis. Lancet. 2012; 380(9839): 341–348.PubMedCrossRef

Millett GA, Malebranche D, Peterson JL. HIV/AIDS prevention research among Black men who have sex with men: current progress and future directions. In: Meyer IH, Northridge ME, eds. The health of sexual minorities. New York: Springer; 2007: 539–565. ISBN 978-0-387-28871-0.CrossRef

Wilton L, Herbst JH, Coury-Doniger P, et al. Efficacy of an HIV/STI prevention intervention for black men who have sex with men: findings from the many men, many voices (3MV) Project. AIDS Behav. 2009; 13(3): 532–544.PubMedCrossRef

Dyer TP, Shoptaw S, Guadamuz TE, et al. Application of syndemic theory to black men who have sex with men in the Multicenter AIDS Cohort Study. J Urban Health. 2012; 89(4): 697–708.PubMedCrossRef

10.

Millett GA, Flores SA, Peterson JL, Bakeman R. Explaining disparities in HIV infection among black and white men who have sex with men: a meta-analysis of HIV risk behaviors. AIDS. 2007; 21(15): 2083–2091.PubMedCrossRef

11.

Williams JK, Wyatt GE, Resell J, Peterson J, Asuan-O’Brien A. Psychosocial issues among gay-and non-gay-identifying HIV-seropositive African American and Latino MSM. Cult Divers Ethn Minor Psychol. 2004; 10(3): 268.CrossRef

12.

Jeffries WL, Marks G, Lauby J, Murrill CS, Millett GA. Homophobia is associated with sexual behavior that increases risk of acquiring and transmitting HIV infection among black men who have sex with men. AIDS Behav. 2013; 17(4): 1442–1453.PubMedCrossRef

13.

Wilton L. Correlates of substance use in relation to sexual behavior in black gay and bisexual men: implications for HIV prevention. J Black Psychol. 2008; 34(1): 70–93.CrossRef

14.

Meyer IH, Ouellette SC, Haile R, McFarlane TA. “We’d be free”: narratives of life without homophobia, racism, or sexism. Sex Res Soc Policy. 2011; 8(3): 204–214.CrossRef

15.

Alvy LM, McKirnan DJ, Mansergh G, et al. Depression is associated with sexual risk among men who have sex with men, but is mediated by cognitive escape and self-efficacy. AIDS Behav. 2011; 15(6): 1171–1179.PubMedCrossRef

16.

Parsons JT, Grov C, Golub SA. Sexual compulsivity, co-occurring psychosocial health problems, and HIV risk among gay and bisexual men: further evidence of a syndemic. Am J Public Health. 2012; 102(1): 156–162.PubMedCrossRef

17.

Gorbach PM, Murphy R, Weiss RE, Hucks-Ortiz C, Shoptaw S. Bridging sexual boundaries: men who have sex with men and women in a street-based sample in Los Angeles. J Urban Health. 2009; 86: 63–76.PubMedCrossRef

18.

Mayer KH, Colfax G, Guzman R. Club drugs and HIV infection: a review. Clin Infect Dis. 2006; 42(10): 1463–1469.CrossRef

19.

Plankey MW, Ostrow DG, Stall R, et al. The relationship between methamphetamine and popper use and risk of HIV seroconversion in the multicenter AIDS cohort study. JAIDS J Acquire Immun Defic Syndr. 2007; 45(1): 85.CrossRef

20.

Bruce D, Kahana S, Harper GW, Fernández MI, ATN. Alcohol use predicts sexual risk behavior with HIV-negative or partners of unknown status among young HIV-positive men who have sex with men. AIDS Care. 2013; 25(5): 559–565.PubMedCrossRef

21.

Vosburgh HW, Mansergh G, Sullivan PS, Purcell DW. A review of the literature on event-level substance use and sexual risk behavior among men who have sex with men. AIDS Behav. 2012; 16(6): 1394–1410.PubMedCrossRef

22.

Mimiaga MJ, Reisner SL, Fontaine YM, et al. Walking the line: stimulant use during sex and HIV risk behavior among Black urban MSM. Drug Alcohol Depend. 2010; 110(1): 30.PubMedCrossRef

23.

Washington TA, Brocato J. Exploring the perspectives of substance abusing black men who have sex with men and women in addiction treatment programs a need for a human sexuality educational model for addiction professionals. Am J Men’s Health. 2011; 5(5): 402–412.CrossRef

24.

Harawa NT, Williams JK, Ramamurthi HC, Manago C, Avina S, Jones M. Sexual behavior, sexual identity, and substance abuse among low-income bisexual and non-gay-identifying African American men who have sex with men. Arch Sex Behav. 2008; 37(5): 748–762.PubMedCrossRef

25.

Operario D, Smith CD, Arnold E, Kegeles S. Sexual risk and substance use behaviors among African American men who have sex with men and women. AIDS Behav. 2011; 15(3): 576–583.PubMedCrossRef

26.

Harawa NT, Greenland S, Bingham TA, et al. Associations of race/ethnicity with HIV prevalence and HIV-related behaviors among young men who have sex with men in seven urban centers in the United States. JAIDS J Acquire Immun Defic Syndr. 2004; 35(5): 526.CrossRef

27.

Kalichman S, Gore-Felton C, Benotsch E, Cage M, Rompa D. Trauma symptoms, sexual behaviors, and substance abuse: correlates of childhood sexual abuse and HIV risks among men who have sex with men. J Child Sex Abus. 2004; 13(1): 1–15.PubMedCrossRef

28.

Harawa NT, McCuller WJ, Chavers C, Janson M. HIV risk behaviors among Black/African American and Hispanic/Latina female partners of men who have sex with men and women. AIDS Behav. 2013; 17(3): 848–855.PubMedCrossRef

29.

Penniman Dyer T, Regan R, Pacek L, Khan MR. Disproportionate social vulnerability and hiv risk among men who have sex with men and women (MSMW) in the United States. (Under Review) Archives of Sexual Behavior.

30.

Shoptaw S, Weiss RE, Munjas B, et al. Homonegativity, substance use, sexual risk behaviors, and HIV status in poor and ethnic men who have sex with men in Los Angeles. J Urban Health. 2009; 86: 77–92.PubMedCrossRef

31.

Murphy RD, Gorbach PM, Weiss RE, Hucks-Ortiz C, Shoptaw SJ. Seroadaptation in a sample of very poor Los Angeles area men who have sex with men. AIDS Behav. 2013; 17(5): 1862–1872.PubMedCrossRef

32.

Naimi TS, Brewer RD, Mokdad A, Denny C, Serdula MK, Marks JS. Binge drinking among US adults. JAMA. 2003; 289(1): 70–75.PubMedCrossRef

33.

Herek GM, Cogan JC, Gillis JR, Glunt EK. Correlates of internalized homophobia in a community sample of lesbians and gay men. J-Gay Lesbian Med Assoc. 1998; 2: 17–26.

34.

Radloff LS. The CES-D Scale. Appl Psychol Meas. 1977; 1(3): 385–401.CrossRef

35.

Sherbourne CD, Stewart AL. The MOS social support survey. Soc Sci Med. 1991; 32(6): 705–714.PubMedCrossRef

36.

SAS Institute, SAS Publishing. SAS 9.3 Output delivery system: user’s guide: SAS Institute; 2011.

37.

Buttram ME, Kurtz SP, Surratt HL. Substance use and sexual risk mediated by social support among black men. J Community Health. 2013; 38(1): 62–69.PubMedCrossRef

38.

Mimiaga MJ, Reisner SL, Bland S, et al. Health system and personal barriers resulting in decreased utilization of HIV and STD testing services among at-risk black men who have sex with men in Massachusetts. AIDS Patient Care STDs. 2009; 23(10): 825–835.PubMedCrossRef

39.

Boone MR, Cook SH, Wilson P. Substance use and sexual risk behavior in HIV-positive men who have sex with men: an episode-level analysis. AIDS Behav. 2013; 17(5): 1883–1887.PubMedCrossRef

40.

Centers for Disease Control and Prevention. Diagnosis of HIV infection and AIDS in the United States and dependent areas. HIV/AIDS Surveillance Report. 2010; 22.

41.

McFarland W, Chen Y-H, Raymond HF, et al. HIV seroadaptation among individuals, within sexual dyads, and by sexual episodes, men who have sex with men, San Francisco, 2008. AIDS Care. 2011; 23(3): 261–268.PubMedCrossRef

42.

U.S. Census Bureau. The American Community—Blacks: 2004. 2004.

Title: Differences in Substance Use, Psychosocial Characteristics and HIV-Related Sexual Risk Behavior Between Black Men Who Have Sex with Men Only (BMSMO) and Black Men Who Have Sex with Men and Women (BMSMW) in Six US Cities
Authors: Typhanye P. Dyer
Rotrease Regan
Leo Wilton
Nina T. Harawa
San San Ou
Lei Wang
Steve Shoptaw
Publication date: 01-12-2013
Publisher: Springer US
Published in: Journal of Urban Health / Issue 6/2013
Print ISSN: 1099-3460
Electronic ISSN: 1468-2869
DOI: https://doi.org/10.1007/s11524-013-9811-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Differences in Substance Use, Psychosocial Characteristics and HIV-Related Sexual Risk Behavior Between Black Men Who Have Sex with Men Only (BMSMO) and Black Men Who Have Sex with Men and Women (BMSMW) in Six US Cities

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2013

Inequalities in Noncommunicable Disease Mortality in the Ten Largest Japanese Cities

An International Comparative Public Health Analysis of Sex Trafficking of Women and Girls in Eight Cities: Achieving a More Effective Health Sector Response

Police Officers’ and Paramedics’ Experiences with Overdose and Their Knowledge and Opinions of Washington State’s Drug Overdose–Naloxone–Good Samaritan Law

Prevalence of Hypertension among Urban Slum Dwellers in Lagos, Nigeria

Studying and Addressing Urban Immigrant Restaurant Worker Health and Safety in San Francisco’s Chinatown District: A CBPR Case Study

Norms, Attitudes, and Sex Behaviors among Women with Incarcerated Main Partners