ArticleBMC infectious diseases2022
Sexual uses of drug and alcohol among men who have sex with men in China: implications for HIV prevention.
Article in BMC infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Age and Education Disparities in Internalized Homophobia, Social Avoidance, Depressive Symptoms, and Sexualized Drug Use Among Men Who Have Sex with Men in China: A Mediation Analysis.Archives of sexual behavior · 2026Article
- Sexualized alcohol and drug use among men who have sex with men and the PrEP retention in Thailand.Drug and alcohol dependence reports · 2026Article
- Integrating social cognitive theory with machine learning to predict MSM-women sexual behavior: a multicenter random forest model development study in China.Scientific reports · 2026Article
- Behavioral and structural drivers of HIV in men who have sex with men in Belize: a mixed-methods study.Revista panamericana de salud publica = Pan American journal of public health · 2026Article
- Sexualized Drug Use Linked to Higher HIV Testing Frequency Among Men Who Have Sex with Men in Three Chinese Cities with High HIV Prevalence.Substance use & misuse · 2026Article
- Associations Between Online Casual Sexual Behavior and HIV-Related Risk Behaviors Among Men Who Have Sex With Men in Southeast China: Cross-Sectional Study.JMIR formative research · 2025Article
- Alcohol consumption patterns and risk of HIV transmission among men who have sex with men living with HIV in Chongqing, southwestern China.Frontiers in public health · 2025Article
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Authors and funding
4 authors.
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Abstract
backgroundSexual uses of alcohol and drugs are pervasive among men who have sex with men (MSM) and associated with increased risk of HIV infection. However, there are limited studies related to sexual uses of alcohol and drugs among MSM in China. This study aims to describe the pattern of alcohol use, drug use, and multi-drug use during sex among Chinese MSM and to examine the association between condomless anal intercourse, group sex, commercial sex and HIV infection.
methodsWe conducted an online cross-sectional survey in China. Characteristics on social-demographic, sexual behaviors, and sexual uses of alcohol and drugs were collected. The associations with high-risk sexual behaviors and HIV infection were analyzed with multivariable logistic regression.
resultsA total of 699 MSM were included in this study. About 39.5% (230/582) of men reported sexual alcohol use in the past three months and 50.8% (355/699) reported sexual drug use. Of those reporting sexual drug use, around 10.7% (38/355) reported having multi-drug use. Factors associated with both sexual uses of alcohol and drugs included: reporting more male sexual partners (alcohol: adjusted odds ratio [aOR] = 1.77; drug: aOR = 2.12), reporting condomless anal intercourse in the past three months (alcohol: aOR = 2.08; drug: aOR = 2.08), having ever engaged in group sex (alcohol: aOR = 2.04; drug: aOR = 5.22; multi-drug: aOR = 3.52) and commercial sex (alcohol: aOR = 4.43; drug: aOR = 4.22 multi-drug: aOR = 5.07). Sexual drug use was also correlated with reported HIV-positive status (drug: aOR = 2.53, 95% CI:1.31-4.90).
conclusionSexual uses of alcohol and drugs are prevalent among Chinese MSM. Interventions to reduce the sexual use of alcohol and other drugs may be warranted among MSM in China.
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