Amsterdam 2015
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| Abstract #2135 - Drugs and HIV | ||||
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Session: 34.3: Drugs and HIV (Symposium) on Thursday @ 14.30-16.00 in C103 Chaired by Marianne van der Sande, Don Desjarlais Authors: Presenting Author: Dr. Adam Carrico - University of California, San Francisco, United States |
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| Additional Authors: | ||||
| Aim: In the United States, young black men who have sex with men (YBMSM) are seven times more likely to have an undiagnosed HIV infection despite lower rates of sexual risk taking behavior and substance use. The present study examined whether recent binge drinking and other substance use are associated with delayed HIV testing among YBMSM. | ||||
| Method / Issue: From 2011-2013, annual venue-based surveys of sexually active YBMSM ages 18-29 were conducted in Houston and Dallas as part of an ongoing randomized controlled trial of a multilevel HIV prevention intervention. Any self-reported binge drinking (i.e., five or more drinks in one sitting), mixing of alcohol with an energy drink, use of amyl nitrites (i.e., poppers), and use of stimulants (i.e., cocaine, crack, methamphetamine, or ecstasy) were assessed during the past 60 days. Participants who reported having never been tested for HIV or tested for HIV more than six months ago (1) were compared to those who had been tested for HIV in the past six months (0). Binge drinking, mixing of alcohol with an energy drink, amyl nitrite use, and stimulant use in the past 60 days were examined as predictors of delayed HIV testing after adjusting for city and survey year using multivariate logistic regression. | ||||
| Results / Comments: A total of 1,753 participants were surveyed between 2011-2013 in Houston and Dallas. The median age was 24 years, the majority of participants self-identified as gay (75%), 82% were HIV-negative, and most (87%) had graduated high school. Prevalence estimates for any binge drinking in the past 60 days in Houston and Dallas were similar (i.e., 62%). In Houston, 48% of participants reported mixing alcohol with an energy drink, approximately one in five participants reported any amyl nitrite use (i.e., 21%), and approximately one in four participants reported any stimulant use (i.e., 28%) in the past 60 days. This was significantly higher than the 60-day prevalence of mixing alcohol with an energy drink (i.e., 42%), any amyl nitrite use (i.e., 14%), and any stimulant use (20%) in Dallas over the same period. Among the 1,441 HIV-negative participants, 28% reported delayed HIV testing with no significant differences between Houston (i.e., 25%) and Dallas (i.e., 30%). Any binge drinking (Adjusted Odds Ratio [AOR] = 1.43 95% CI = 1.11 – 1.84) and any stimulant use (AOR = 1.43 95% CI = 1.08 – 1.88) in the past 60 days were independently associated with 43% greater odds of delayed HIV testing. | ||||
| Discussion: Recent binge drinking and stimulant use are prevalent and independently associated with greater odds of delayed HIV testing among YBMSM in the southern United States. Expanded efforts to increase HIV testing rates among YBMSM who engage in binge drinking or stimulant use could partially mitigate HIV-related health disparities. | ||||
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