142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Examining Diversity Across MSM Alcohol Use Outlets to Inform HIV Prevention

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Wednesday, November 19, 2014 : 11:15 AM - 11:30 AM

Danielle German, PhD, MPH , Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Christine Powell , Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Colin Flynn , Center for HIV Surveillance, Epidemiology and Evaluation, Maryland Department of Health and Mental Hygiene, Baltimore, MD
Introduction: HIV prevalence and risk behavior tends to be higher among MSM who attend alcohol use venues, but there is little research on the diversity that exists across venues. This limits design of appropriate and acceptable interventions in these settings.

Methods: Cross-sectional study of 502 Baltimore MSM recruited using time location sampling August-December 2011, including socio-behavioral data and HIV testing. Descriptive statistics and case study analysis examined HIV and STI prevalence, demographic and behavioral characteristics, socioeconomic vulnerability, and service utilization by recruitment venue for possible variation and identifiable patterns.

Results: 387 eligible MSM were recruited from 18 alcohol use venues. There was substantial venue variation in all domains: HIV prevalence ranged from 22-59% and recent STI ranged from 7-21%. Demographic differences included proportion African-American (6-100%), proportion under 25 (16-89%), and socioeconomic differences such as unemployment (8-57%). Behavioral differences include mean number of past year partners (2-8), UAI with casual partners (12-71%), monthly binge drinking (38-85%), and heroin/cocaine/crack use (20-70%). HIV testing in the past year ranged from 36%-91%; venues with highest proportion of recent testing were characterized by high proportion African-American and younger MSM, and high STIs and known HIV-positive status. 

Conclusions: MSM alcohol use outlets are heterogeneous. Understanding venues based on demographic and behavioral clustering provides insight into characteristics and needs of attendees and holds promise for HIV intervention design. Venues with highest HIV transmission risk also reported highest proportion of recent HIV testing. Venue-based testing strategies should consider venue characteristics to enhance targeting, venue relationships, and complementary resources.

Learning Areas:

Assessment of individual and community needs for health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Protection of the public in relation to communicable diseases including prevention or control
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe venue-specific socio-demographic characteristics, HIV prevalence, and behaviors of MSM attendees of Baltimore alcohol use outlets; Discuss heterogeneity across MSM alcohol use outlets and related implications for HIV prevention

Keyword(s): HIV/AIDS, Lesbian, Gay, Bisexual and Transgender (LGBT)

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have more than 15 years of experience and have led numerous studies of infectious disease and social, contextual, and behavioral determinants among marginalized populations, including venue-based research among men who have sex with men (MSM). I am principal investigator of the current study which investigates HIV and related behaviors among MSM.
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.