CAHSS Faculty Articles
HIV Risk among Substance-Using Men Who Have Sex with Men and Women (MSMW): Findings from South Florida
ORCID ID
0000-0002-5001-7391, 0000-0002-4424-5523, 0000-0002-3104-6699, 0000-0002-4741-4396
ResearcherID
H-3010-2014
Publication Title
AIDS and Behavior
ISSN
1090-7165
Publication Date
1-1-2014
Abstract
Compared with men who have sex with men only (MSMO), men who have sex with men and women (MSMW) consistently report higher rates of two HIV risk behaviors: transactional sex (TS) and concurrent substance use and sex (CSS). Within MSMW, little is known about how synergistic epidemics ("syndemics") affect TS and CSS. Using a sample of substance-using MSM (n = 515) in South Florida, we compared TS and CSS among MSMO and MSMW; examined whether, within MSMW (n = 86), TS and CSS predict unprotected anal intercourse with partners of serodiscordant/unknown HIV status (SU-UAI); and tested whether syndemics predict TS and CSS. MSMW reported higher rates of engaging in both TS and CSS (AOR = 1.7; 95 % CI 1.0-3.0). Within MSMW, engagement in both TS and CSS predicted SU-UAI (AOR = 3.3; 95 % CI 1.2-9.6); and syndemics predicted TS and CSS involvement (p < 0.01). Substance-using MSMW may benefit from interventions targeting TS, CSS, and background syndemics.
DOI
10.1007/s10461-013-0495-z
Volume
18
Issue
1
First Page
111
Last Page
119
NSUWorks Citation
Friendman, M. R., Kurtz, S. P., Buttram, M. E., Wei, C., Silvestre, A. J., & Stall, R. (2014). HIV Risk among Substance-Using Men Who Have Sex with Men and Women (MSMW): Findings from South Florida. AIDS and Behavior, 18 (1), 111-119. https://doi.org/10.1007/s10461-013-0495-z
