School of Medicine and Health, University College Cork, Cork, T12V821, Ireland; School of Public Health, University College Cork, Cork, T12 XF62, Ireland.
HSE Health Protection Surveillance Centre, Dublin, D01A4A3, Ireland.
Drug Alcohol Depend. 2021 Jun 1;223:108698. doi: 10.1016/j.drugalcdep.2021.108698. Epub 2021 Apr 14.
Alcohol consumption is a major public health concern in Ireland. Alcohol use disorder (AUD) disproportionately affects men who have sex with men (MSM). However, little is known about the prevalence of AUD in this group in Ireland specifically, and the characteristics of MSM who may struggle with this.
The European MSM Internet Survey 2017 was an online, self-completed, anonymous questionnaire among MSM in Ireland. Standardised questions were used to explore a variety of topics. The validated CAGE-4 questionnaire was used to screen for potential AUD, defined as a CAGE-4 score of ≥2 out of 4. Multivariable-adjusted logistic regression analysis was used to identify factors associated with potential AUD.
In total, 1793 MSM met inclusion criteria. 31 % screened positive for AUD. We observed higher odds of possible AUD among MSM who were bisexual (vs. gay/homosexual) (aOR 1.48 95 %CI 1.01-2.18), native to Ireland (vs. non-native) (aOR 1.49 95 %CI 1.12-1.96), unemployed (vs. employed) (aOR 1.80 95 %CI 1.02-3.16), had used illicit drugs in the previous year (vs. none) (cannabis only, aOR 1.74 95 %CI 1.14-2.63) (other illicit drugs, aOR 2.28 95 %CI 1.67-3.09), reported anxiety/depression (vs. none) (aOR 1.73 95 %CI 1.12-2.66), and MSM who experienced homophobic abuse (vs. never) (aOR 1.55 95 %CI 1.09-2.22). Student MSM were less likely to screen positive for AUD (vs. employed) (aOR 0.65 95 %CI 0.46-0.93).
The prevalence of AUD appears to be higher in the MSM population compared to the general male population in Ireland. Targeted interventions may be warranted to reduce the burden of AUD among MSM.
饮酒是爱尔兰的一个主要公共卫生问题。酒精使用障碍（AUD）在男男性行为者（MSM）中不成比例地更为常见。然而，目前尚不清楚爱尔兰 MSM 中 AUD 的具体流行率，也不清楚可能存在 AUD 问题的 MSM 的特征。
2017 年欧洲 MSM 互联网调查是一项针对爱尔兰 MSM 的在线、自我完成、匿名问卷调查。使用标准化问题来探讨各种主题。使用经过验证的 CAGE-4 问卷筛查潜在的 AUD，定义为 CAGE-4 评分≥4 分中的 2 分。多变量调整后的逻辑回归分析用于确定与潜在 AUD 相关的因素。
共有 1793 名 MSM 符合纳入标准。31%的人 AUD 筛查呈阳性。我们观察到，与同性恋/同性恋（aOR 1.48，95%CI 1.01-2.18）相比，双性恋（vs. 同性恋/同性恋）（aOR 1.48，95%CI 1.01-2.18）、爱尔兰本地出生（vs. 非本地出生）（aOR 1.49，95%CI 1.12-1.96）、失业（vs. 就业）（aOR 1.80，95%CI 1.02-3.16）、在过去一年中使用过非法药物（与未使用相比）（仅大麻，aOR 1.74，95%CI 1.14-2.63）（其他非法药物，aOR 2.28，95%CI 1.67-3.09）、报告焦虑/抑郁（与未报告相比）（aOR 1.73，95%CI 1.12-2.66）和经历过恐同虐待（与从未经历过相比）（aOR 1.55，95%CI 1.09-2.22）的 MSM，学生 MSM 筛查 AUD 阳性的可能性较低（与就业相比）（aOR 0.65，95%CI 0.46-0.93）。
与爱尔兰一般男性人群相比，MSM 人群中 AUD 的患病率似乎更高。可能需要有针对性的干预措施来减轻 MSM 中 AUD 的负担。
