Liu Yu, Qian Han-Zhu, Ruan Yuhua, Yin Lu, Ma Juntao, Dahiya Kapil, Fan Wensheng, Shao Yiming, Vermund Sten H
Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, TN 37203, USA.
Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, TN 37203, USA ; Division of Epidemiology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN 37203, USA.
Biomed Res Int. 2014;2014:414381. doi: 10.1155/2014/414381. Epub 2014 Mar 11.
The HIV/AIDS epidemic among Chinese men who have sex with men (MSM) has become a significant public health concern. Knowledge of alcohol consumption in this population is limited. In this study, 1,155 Chinese MSM were surveyed to assess alcohol use and its correlates. A meta-analysis was also performed to aggregate pooled prevalence of current alcohol use. MSM who were unmarried (aOR: 1.87; 95% CI: 1.29-2.71) or unemployed/retired (aOR: 2.77; 95% CI: 1.73-4.45) were more likely to drink alcohol more than once per week. MSM who consumed alcohol more than once per week were more likely to use drug (P < 0.01), have sex with women (P < 0.01), have unprotected insertive (P = 0.04) or receptive (P = 0.03) anal sex with men, have more than 10 lifetime male sex partners (P < 0.01), predominantly practice insertive anal sex (P < 0.01), and trade sex for money (P < 0.01). Pooled overall alcohol use prevalence was 32%. Pooled prevalence for MSM who drank alcohol more than once per week and who drank alcohol before sex with male partners was 23%. Our findings provide the basis for further exploring the alcohol-HIV association and developing risk reduction interventions.
中国男男性行为者(MSM)中的艾滋病毒/艾滋病流行已成为一个重大的公共卫生问题。对这一人群饮酒情况的了解有限。在本研究中,对1155名中国男男性行为者进行了调查,以评估饮酒情况及其相关因素。还进行了一项荟萃分析,以汇总当前饮酒的合并患病率。未婚的男男性行为者(调整后的比值比:1.87;95%置信区间:1.29 - 2.71)或失业/退休的男男性行为者(调整后的比值比:2.77;95%置信区间:1.73 - 4.45)每周饮酒超过一次的可能性更大。每周饮酒超过一次的男男性行为者更有可能使用毒品(P < 0.01)、与女性发生性行为(P < 0.01)、与男性进行无保护的插入式(P = 0.04)或接受式(P = 0.03)肛交、一生中拥有超过10个男性性伴侣(P < 0.01)、主要进行插入式肛交(P < 0.01)以及以性换钱(P < 0.01)。合并后的总体饮酒患病率为32%。每周饮酒超过一次且在与男性伴侣发生性行为前饮酒的男男性行为者的合并患病率为23%。我们的研究结果为进一步探索酒精与艾滋病毒的关联以及制定降低风险的干预措施提供了依据。