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High-Risk, but Hidden: Binge Drinking among Men Who Have Sex with Men and Transgender Women in Lima, Peru, 2012-2014

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Authors
Passaro, R. Colby
Segura, Eddy R.
Lama, Javier R.
Sanchez, Jorge
Lake, Jordan E.
Shoptaw, Steven
Clark, Jesse L.
Issue Date
2020-02-03
Keywords
alcohol use
Binge drinking
men who have sex with men (MSM)
screening
transgender women (TW)

Metadata
Show full item record
Publisher
Taylor and Francis Ltd.
Journal
Substance Use and Misuse
URI
http://hdl.handle.net/10757/651839
DOI
10.1080/10826084.2019.1681451
PubMed ID
31682179
Additional Links
https://www.tandfonline.com/doi/abs/10.1080/10826084.2019.1681451?journalCode=isum20
Abstract
Background: Binge drinking (BD) is common in Peru, but may not be routinely detected by standard assessments of hazardous drinking. Objectives: We describe prevalence and risk behaviors of men who have sex with men (MSM) and transgender women (TW) in Peru who met criteria for BD as compared with those who met criteria for hazardous drinking. Methods: In a cross-sectional sample of MSM and TW from Lima (2012-2014), we calculated prevalence of BD (consuming ≥6 alcoholic drinks per occasion by AUDIT-3 criteria), conducted bivariate analyses of associations of BD with demographic and behavioral characteristics, and compared prevalence and behaviors of BD to those of hazardous drinkers (identified by AUDIT-10 criteria). Results: Of 1,520 MSM (n = 1,384) and TW (n = 137) with median age 27 years, 74.4% of MSM and 86.9% of TW met criteria for BD. Among MSM, BD was associated with a greater likelihood of using alcohol (41.6% vs. 13.8%; p <.01) or drugs (7.8% vs. 2.8%; p <.01) prior to a recent sexual contact. Among TW, BD was associated with greater frequency of alcohol use (44.9% vs. 11.1%; p <.01) or unprotected anal intercourse (58.8% vs. 33.3%; p =.04) during ≥1 of their three most recent sexual contacts. There was a higher prevalence of BD (75.5%) than hazardous drinking (53.2%) in our sample, with binge drinkers exhibiting similar sexual risk behaviors to hazardous drinkers. Conclusions: Binge drinking is common among MSM and TW in Lima, associated with risky sexual behavior, and may not be adequately captured by AUDIT-10 criteria.
Type
info:eu-repo/semantics/article
Rights
info:eu-repo/semantics/embargoedAccess
Language
eng
Series/Report no.
3
ISSN
10826084
ae974a485f413a2113503eed53cd6c53
10.1080/10826084.2019.1681451
Scopus Count
Collections
Medicina

entitlement

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