Liu Yu, Ruan Yuhua, Strauss Shiela M, Yin Lu, Liu Hongjie, Amico K Rivet, Zhang Chen, Shao Yiming, Qian Han-Zhu, Vermund Sten H
Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, USA.
State Key Laboratory of Infectious Disease Prevention and Control (SKLID), Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Chinese Center for Disease Control and Prevention, Beijing, China.
Drug Alcohol Depend. 2016 Nov 1;168:239-246. doi: 10.1016/j.drugalcdep.2016.09.020. Epub 2016 Sep 30.
Few studies have employed standardized alcohol misuse measures to assess relationships with sexual risk and HIV/syphilis infections among Chinese men who have sex with men (MSM).
We conducted a cross-sectional study among MSM in Beijing during 2013-2014. An interviewer-administered survey was conducted to collect data on sociodemographics, high-risk behaviors, and alcohol use/misuse patterns (hazardous/binge drinking and risk of alcohol dependence) in the past 3 months using Alcohol Use Disorder Identification Test-Consumption (AUDIT-C). We defined AUDIT-C score ≥4 as recent hazardous drinkers, and drinking ≥6 standard drinks on one occasion as recent binge drinkers.
Of 3588 participants, 14.4% reported hazardous drinking, 16.8% reported binge drinking. Hazardous and binge drinking are both associated with these factors (p<0.05): older age, being migrants, living longer in Beijing, township/village origin, being employed, higher income, self-perceived low/no HIV risk, and sex-finding via non-Internet venues. Hazardous (vs non-hazardous) or binge (vs. non-binge) drinkers were more likely to use illicit drugs, use alcohol before sex, have multiple partnerships, pay for sex, and have condomless insertive anal intercourse. MSM who reported binge (AOR, 1.34, 95% CI, 1.02-1.77) or hazardous (AOR, 1.36, 95% CI, 1.02-1.82) drinking were more likely to be HIV-infected. MSM at high risk of current alcohol dependence (AUDIT-C ≥8) were more likely to be HIV- (AOR, 2.37, 95% CI, 1.39-4.04) or syphilis-infected (AOR, 1.96, 95% CI, 1.01-3.86).
Recent alcohol misuse was associated with increased sexual and HIV/syphilis risks among Chinese MSM, emphasizing the needs of implementing alcohol risk reduction programs in this population.
很少有研究采用标准化的酒精滥用测量方法来评估中国男男性行为者（MSM）中酒精滥用与性风险以及艾滋病毒/梅毒感染之间的关系。
2013年至2014年期间，我们在北京的男男性行为者中开展了一项横断面研究。通过访谈员实施的调查收集社会人口统计学、高危行为以及过去3个月内酒精使用/滥用模式（危险/暴饮以及酒精依赖风险）的数据，使用酒精使用障碍识别测试-消费版（AUDIT-C）。我们将AUDIT-C评分≥4定义为近期危险饮酒者，将一次饮用≥6标准杯酒定义为近期暴饮者。
在3588名参与者中，14.4%报告有危险饮酒行为，16.8%报告有暴饮行为。危险饮酒和暴饮行为均与以下因素相关（p<0.05）：年龄较大、为流动人口、在北京居住时间较长、来自乡镇/农村、有工作、收入较高、自我感觉感染艾滋病毒风险低/无风险以及通过非互联网场所寻找性伴。危险（与非危险相比）或暴饮（与非暴饮相比）饮酒者更有可能使用非法药物、在性行为前饮酒、有多个性伴、付费性行为以及有无保护插入式肛交。报告有暴饮（调整后比值比[AOR]，1.34，95%置信区间[CI]，1.02 - 1.77）或危险（AOR，
