Binge Drinking and HIV Risk among Episodic Substance-using MSM in San Francisco
Objective: Identify contextual factors leading to binge drinking and UAI among episodic substance-using HIV-negative MSM.
Methods: In-depth interviews were conducted with 20 episodic substance-using HIV-negative MSM in San Francisco. Using NVivo qualitative software, an inductive content analysis approach was used to identify themes and patterns (such as pathways for risk behavior) among transcribed interview recordings. Inter-coder reliability was assessed among multiple coders.
Results: Participants were ethnically diverse (65% non-white) and 85% (n=17) reported UAI with concurrent binge drinking during the past 3 months. Analysis of in-depth interviews specifically with those engaging in UAI and binge drinking, revealed that men 1) face challenges navigating community normative drinking expectations, such as peer pressure to drink and “hook up” with sexual partners, 2) believe that binge drinking and episodic substance use enhance experiences of disinhibition, euphoria, and spontaneous sexual behavior, and 3) express a desire for intimacy and ability to trust anonymous partners, relying on partner-focused responsibility (an assumption that partners will disclose if HIV-positive or use a condom to protect the participant).
Conclusions: Interventions targeting reduction of sexual risk behaviors among episodic substance using HIV-negative MSM should address 1) community cultural norms around substance use and 2) interpersonal relationship and sexual scripts around partner-focused responsibility.
Learning Areas:Planning of health education strategies, interventions, and programs
Social and behavioral sciences
Define“episodic substance use” Identify how community cultural norms may contribute to substance use among episodic substance using HIV-negative MSM. Describe the role of substance use in episodic substance using HIV-negative MSM’s sexual decision making
Keyword(s): HIV Risk Behavior, Alcohol Use
Qualified on the content I am responsible for because: I am a Behavioral Scientist at the Centers for Disease Control and Prevention and I am responsible for conducting behavioral and operational research projects that develop and evaluate behavioral interventions for high-risk groups, and evaluate the efficiency, effectiveness, and sustainability of evidence-based HIV prevention program activities
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.