Department of Sociology & Psychology, School of Public Administration, Sichuan University, Chengdu 610065, Sichuan, China; Faculty of Psychology, Southwest University, Beibei, Chongqing, 400715, China; Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.
Faculty of Psychology, Southwest University, Beibei, Chongqing, 400715, China.
Drug Alcohol Depend. 2019 Sep 1;202:61-68. doi: 10.1016/j.drugalcdep.2019.04.006. Epub 2019 May 1.
Both alcohol use/misuse and HIV incidence are increasing among men who have sex with men (MSM) in China. Little is known about predictors of alcohol use/misuse.
An online nationwide sample (n = 1100) of MSM from mainland China was recruited between 2014 and 2015. The study objective was to examine the prevalence of a history of alcohol use and frequency of binge drinking in the previous 6 months in this population and assess their relationship with psychological and public health issues.
Nearly 62.1% of respondents reported a history of alcohol use; 30.7% were current infrequent binge drinkers; and 13.6% were current frequent binge drinkers. Adjusted logistic models showed that MSM who reported a history of alcohol use were more likely to report drug use in the previous 6 months (AOR = 1.67); higher levels of internalized homophobia (AOR = 1.49); and partial or full disclosure of their sexual orientation (AOR = 1.46). MSM engaging in current frequent binge drinking were more likely to report female sexual partners (AOR = 2.04) and drug use (AOR = 1.61) in the previous 6 months; higher levels of sexual sensation seeking (AOR = 1.68); and higher levels of homosexual stigma (AOR = 1.69). MSM who reported being unsure of their HIV status were less likely to be current frequent binge drinkers (AOR = 0.46).
A high prevalence of a history of alcohol use and binge drinking exists among Chinese MSM. Strategies that target alcohol use/misuse in this population are needed.
在中国，男男性行为者（MSM）中饮酒/滥用和艾滋病毒感染率都在上升。关于饮酒/滥用的预测因素知之甚少。
本研究于 2014 年至 2015 年期间在中国内地招募了一个在线的全国性 MSM 样本（n=1100）。研究目的是调查该人群中过去 6 个月内有饮酒史和 binge 饮酒频率的流行情况，并评估它们与心理和公共卫生问题的关系。
近 62.1%的受访者报告有饮酒史；30.7%为当前偶尔 binge 饮酒者；13.6%为当前频繁 binge 饮酒者。调整后的逻辑回归模型显示，报告有饮酒史的 MSM 更有可能在过去 6 个月内报告吸毒（AOR=1.67）；内化的恐同症水平更高（AOR=1.49）；以及部分或完全公开自己的性取向（AOR=1.46）。目前频繁 binge 饮酒的 MSM 更有可能在过去 6 个月内报告有女性性伴侣（AOR=2.04）和吸毒（AOR=1.61）；性感觉寻求水平更高（AOR=1.68）；以及同性恋耻辱感水平更高（AOR=1.69）。报告不确定 HIV 状况的 MSM 更不可能是当前频繁 binge 饮酒者（AOR=0.46）。
中国 MSM 中存在高比例的饮酒史和 binge 饮酒。需要针对该人群的饮酒/滥用问题制定策略。
