Evidence map›Paper›PMID 27481457›Full record

ArticleDrug and alcohol dependence2016

The role of discrimination in alcohol-related problems in samples of heavy drinking HIV-negative and positive men who have sex with men (MSM).

Tyler B Wray, David W Pantalone, Christopher W Kahler, Peter M Monti, Kenneth H Mayer

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Meta-analysis of interpersonal discrimination and health-related behaviors.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022
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  8. We are treated differently: Experiences of men who have sex with men in South African clinics.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Tyler B WrayCenter for Alcohol and Addictions Studies, Brown University School of Public Health, Providence, RI, United States. Electronic address: tyler_wray@brown.edu.
David W PantaloneDepartment of Psychology, University of Massachusetts Boston, Boston, MA, United States; The Fenway Institute, Fenway Health, Boston, MA, United States.
Christopher W KahlerCenter for Alcohol and Addictions Studies, Brown University School of Public Health, Providence, RI, United States.
Peter M MontiCenter for Alcohol and Addictions Studies, Brown University School of Public Health, Providence, RI, United States.
Kenneth H MayerThe Fenway Institute, Fenway Health, Boston, MA, United States; Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA, United States.
Brown University · USHarvard University · USUniversity of Massachusetts Boston · US

Funding

Virology CoreP01AA019072 · NIAAA · BROWN UNIVERSITY · PI BECKER, SARA · 2010 to 2024
$19.7M
ALCOHOL INTERVENTION/TREATMENT OUTCOME RESEARCH TRAININGT32AA007459 · NIAAA · BROWN UNIVERSITY · PI ROBERT MIRANDA, PETER M. MONTI · 1986 to 2026
$13.3M
NIAAA NIH HHS L30 AA023336NIAAA NIH HHS P01 AA019072NIAAA NIH HHS T32 AA007459
6 · The paper itself

Abstract

backgroundHeavy drinking is a major public health concern among men who have sex with men (MSM), as it is in many other populations. However, the consequences of heavy drinking among MSM may be particularly severe, especially for sexual risk behavior, due to the relatively high prevalence of HIV. Minority stress models suggest that, among members of marginalized groups, discrimination may be associated with heavier alcohol use as these individuals increasingly drink to cope with such experiences. Past studies have provided some support for this association. However, they have not explored the role other drinking motives play, how these relationships might differ across MSM who are HIV-positive versus HIV-negative, or how this relationship extends to alcohol-related problems.

methodsIn this study, we used path modeling to explore associations between perceived discrimination experiences, drinking motives, alcohol use, and alcohol-related problems in samples of heavy drinking MSM with and without HIV.

resultsIn both HIV-negative and positive MSM, perceived discrimination was significantly positively associated with alcohol problems. Drinking to cope appears to play an important role in this relationship in both samples. Reporting more discrimination experiences was associated with drinking more frequently for sexual reasons among both groups. While the total effect of drinking to facilitate sex was positively associated with alcohol-related problems, sex motives did not mediate associations between discrimination and either drinking outcome.

conclusionThese results suggest that interventions addressing discrimination and specific drinking motivations may be useful in helping reduce alcohol use of heavy drinking MSM.

Indexed as

HIV SeronegativityPrejudiceAdaptation, PsychologicalAdultAlcohol-Related DisordersCross-Sectional StudiesHIV SeropositivityHomosexuality, MaleHumansMaleMiddle AgedMotivationSexual BehaviorStatistics as TopicYoung AdultAlcoholAlcohol problemsDiscriminationDrinking motivesGay/bisexual menMSM

Identifiers

PMID27481457
PMCPMC4983543
OpenAlexW2505865171

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.