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Determinants of hazardous drinking among black South African men who have sex with men
Journal article   Open access   Peer reviewed

Determinants of hazardous drinking among black South African men who have sex with men

Justin Knox, Vasu Reddy, Tim Lane, Gina Lovasi, Deborah Hasin and Theo Sandfort
Drug and alcohol dependence, v 180, pp 14-21
01 Nov 2017
DOI: https://doi.org/10.1016/j.drugalcdep.2017.07.036
PMID: 28850902
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc5648600View
Accepted (AM)Open Access (License Unspecified),  Open

Abstract

Life Sciences & Biomedicine Psychiatry Science & Technology Substance Abuse
Background: There is a known heavy burden of hazardous drinking and its associated health risks among black South African MSM; however, no study to date has identified risk factors for hazardous drinking among this nor any other African MSM population. Methods: A cross-sectional survey was conducted among 480 black South African MSM recruited using respondent-driven sampling. All analyses were adjusted using an RDS II estimator. Multivariable logistic regression was used to assess the relationship between demographic characteristics, psychosocial factors, behavioral attributes and hazardous drinking. Results: More than half of the men (62%, 95%CI = 56%-68%) screened positive as hazardous drinkers. In multivariable analyses, living in a township (versus the city of Pretoria) (aOR = 1.9, 95%CI = 1.2-3.1, p < .01), more gender dysphoria (aOR = 1.4, 95%CI = 1.0-1.8, p = .03), having ever received money or other incentives in return for sex (aOR = 2.4, 95%CI = 1.3-4.3, p < .01), having been sexually abused as a child (aOR = 2.6, 95%CI = 1.1-6.4, p = .03), having anxiety (aOR = 5.4, 95%CI = 1.2-24.3, p = .03), and social network drinking behavior (aOR = 5.4, 95%Cl = 1.2-24.3, p = .03) were positively associated with hazardous drinking. Being sexually attracted only to men (aOR = 0.3, 95%CI = 0.1-0.8, p = .01) was negatively associated with hazardous drinking. Discussion: Hazardous drinking is highly prevalent among black South African MSM. Multiple indicators of social vulnerability were identified as independent determinants of hazardous drinking. These findings are of heightened concern because these health problems often work synergistically to increase risk of HIV infection and should be taken into consideration by efforts aimed at reducing hazardous drinking among this critical population.

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8 citations in Web of Science
7 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Psychiatry
Substance Abuse
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