PMID- 34561794
OWN - NLM
STAT- MEDLINE
DCOM- 20211115
LR  - 20211115
IS  - 1573-2800 (Electronic)
IS  - 0004-0002 (Linking)
VI  - 50
IP  - 7
DP  - 2021 Oct
TI  - Variations in Sexual Behaviors by Use of Specific Substances Among Vancouver Gay, 
      Bisexual, and Other Men Who Have Sex with Men: An Event-Level Analysis.
PG  - 2875-2886
LID - 10.1007/s10508-021-02068-8 [doi]
AB  - Event-level studies measure substance use and sexual behaviors happening during a 
      specific sexual encounter, ensuring that both variables are temporally paired. 
      This study explored the event-level associations between a range of sexual 
      behaviors (masturbation, anal sex, oral sex, rimming, fisting, sex toys, and 
      group sex) and five sexualized substances (poppers, methamphetamine, GHB, 
      ecstasy/MDMA, and ketamine) used during 11,582 sexual events reported by 762 gay, 
      bisexual, and other men who have sex with men (GBMSM) in Vancouver, Canada. Data 
      were obtained from a prospective cohort of GBMSM who self-reported their 
      behaviors via computer-based questionnaires on their last sexual encounter with 
      up to five of their most recent partners in the past six months. These clustered 
      data were analyzed with multivariable generalized linear mixed models. 
      Participants reported popper use in 16.1% of sexual encounters, methamphetamine 
      in 8.6%, gamma-hydroxybutyrate (GHB) in 4.1%, 
      ecstasy/3,4-methylenedioxymethamphetamine (MDMA) in 3.3%, and ketamine in 1.5%. 
      Condomless receptive anal sex (25.0% of events) was associated with increased 
      odds of using poppers, methamphetamine, GHB, and ecstasy/MDMA. Group sex (13.1% 
      of events) and sharing sex toys (2.0% of events) were more likely with the use of 
      all five substances. Receiving money/drugs/goods in exchange for sex (2.5% of 
      events) was associated with increased odds of poppers, methamphetamine, GHB, and 
      ecstasy/MDMA use. GBMSM living with HIV (29.9% of participants) had higher odds 
      of using poppers, methamphetamine, and GHB, but lower odds of using ecstasy/MDMA. 
      In conclusion, these event-level results suggest public health strategies are 
      needed to address the possible negative impacts of sexualized substance use among 
      GBMSM.
CI  - (c) 2021. The Author(s), under exclusive licence to Springer Science+Business 
      Media, LLC, part of Springer Nature.
FAU - Aguilera-Mijares, Santiago
AU  - Aguilera-Mijares S
AD  - Health Services and Systems Innovation, National Institute of Public Health of 
      Mexico, Cuernavaca, Morelos, Mexico.
FAU - Sang, Jordan M
AU  - Sang JM
AUID- ORCID: 0000-0001-5649-0326
AD  - British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, V6Z 1Y6, 
      Canada. jsang@cfenet.ubc.ca.
FAU - Wang, Lu
AU  - Wang L
AD  - British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, V6Z 1Y6, 
      Canada.
FAU - Barath, Justin
AU  - Barath J
AD  - British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, V6Z 1Y6, 
      Canada.
FAU - Card, Kiffer G
AU  - Card KG
AUID- ORCID: 0000-0001-6545-1249
AD  - Public Health and Social Policy, University of Victoria, Victoria, BC, Canada.
FAU - Lachowsky, Nathan J
AU  - Lachowsky NJ
AUID- ORCID: 0000-0002-6336-8780
AD  - British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, V6Z 1Y6, 
      Canada.
AD  - Public Health and Social Policy, University of Victoria, Victoria, BC, Canada.
FAU - Lal, Allan
AU  - Lal A
AUID- ORCID: 0000-0001-7044-2494
AD  - British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, V6Z 1Y6, 
      Canada.
FAU - Roth, Eric
AU  - Roth E
AUID- ORCID: 0000-0002-9128-0997
AD  - Public Health and Social Policy, University of Victoria, Victoria, BC, Canada.
FAU - Hogg, Robert S
AU  - Hogg RS
AUID- ORCID: 0000-0003-3463-5488
AD  - British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, V6Z 1Y6, 
      Canada.
AD  - Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
FAU - Moore, David M
AU  - Moore DM
AUID- ORCID: 0000-0003-1078-9247
AD  - British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, V6Z 1Y6, 
      Canada.
AD  - Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada.
LA  - eng
GR  - R01DA031055-01A1/DA/NIDA NIH HHS/United States
GR  - MOP-107544, FDN-143342/CIHR/Canada
GR  - PJT-153139/CIHR/Canada
GR  - R01DA031055-01A1/DA/NIDA NIH HHS/United States
GR  - MOP-107544, FDN-143342/CIHR/Canada
GR  - PJT-153139/CIHR/Canada
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20210924
PL  - United States
TA  - Arch Sex Behav
JT  - Archives of sexual behavior
JID - 1273516
SB  - IM
MH  - Bisexuality
MH  - *HIV Infections
MH  - Homosexuality, Male
MH  - Humans
MH  - Male
MH  - Prospective Studies
MH  - Risk-Taking
MH  - Sexual Behavior
MH  - *Sexual and Gender Minorities
MH  - *Substance-Related Disorders/epidemiology
OTO - NOTNLM
OT  - Event-level data
OT  - Gay and bisexual men
OT  - Sexual behavior
OT  - Sexual orientation
OT  - Substance use
EDAT- 2021/09/26 06:00
MHDA- 2021/11/16 06:00
CRDT- 2021/09/25 06:23
PHST- 2020/10/22 00:00 [received]
PHST- 2021/06/03 00:00 [accepted]
PHST- 2021/05/28 00:00 [revised]
PHST- 2021/09/26 06:00 [pubmed]
PHST- 2021/11/16 06:00 [medline]
PHST- 2021/09/25 06:23 [entrez]
AID - 10.1007/s10508-021-02068-8 [pii]
AID - 10.1007/s10508-021-02068-8 [doi]
PST - ppublish
SO  - Arch Sex Behav. 2021 Oct;50(7):2875-2886. doi: 10.1007/s10508-021-02068-8. Epub 
      2021 Sep 24.