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Substance Use and HIV Risk Behavior among Men Who Have Sex with Men: The Role of Sexual Compulsivity |
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| Authors: | Sarah E. Woolf-King Thomas M. Rice Hong-Ha M. Truong William J. Woods Roy C. Jerome Adam W. Carrico |
| Affiliation: | 1. Department of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco, 50 Beale St., Suite 1300, San Francisco, CA, 94105, USA 2. Department of Environmental Health Sciences, Safe Transportation Research and Education Center, University of California, Berkeley, Berkeley, USA 3. Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1428 Madison Ave, New York, NY, 10029, USA 4. Department of Community Health Systems, School of Nursing, University of California, San Francisco, San Francisco, USA |
| Abstract: | The relationship between substance use, sexual compulsivity and sexual risk behavior was assessed with a probability-based sample of men who have sex with men (MSM). Stimulant, poppers, erectile dysfunction medication (EDM), alcohol use, and sexual compulsivity were independently associated with higher odds of engaging in any serodiscordant unprotected anal intercourse (SDUAI). The association of sexual compulsivity with SDUAI was moderated by poppers and EDM use. Behavioral interventions are needed to optimize biomedical prevention of HIV among substance using MSM. |
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