Pre-Exposure Prophylaxis (PrEP) Use is Associated With Health Risk Behaviors Among Moderate- and Heavy-Drinking MSM

Among men who have sex with men (MSM), acute alcohol consumption is associated with higher rates of condomless anal intercourse, which is linked with a greater likelihood of exposure to HIV and other sexually transmitted infections. While pre-exposure prophylaxis (PrEP) to prevent HIV infection has become more widespread in this population in recent years, so too have concerns that PrEP uptake may be associated with health risk behaviors. This study investigated differences in sexual behaviors and drug use habits between PrEP users and nonusers in a sample of moderate- and heavy-drinking MSM. Results indicated that PrEP use was associated with riskier sexual practices, weaker self-regulatory cognitions related to condom use, and more frequent illicit drug use. These findings suggest that moderate-and heavy-drinking MSM who use PrEP may comprise a unique risk group that could benefit from targeted counseling or other interventions to reduce their risk of negative health consequences.

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Perceived Parental Monitoring and Health Risk Behavior among Public Secondary School Students in El Salvador

The Scientific World JOURNAL ◽

10.1100/tsw.2006.284 ◽

2006 ◽

Vol 6 ◽

pp. 1810-1814 ◽

Cited By ~ 9

Author(s):

Andrew E. Springer ◽

Shreela Sharma ◽

Alba Margarita de Guardado ◽

Francisco Vázquez Nava ◽

Steven H. Kelder

Keyword(s):

Health Risk ◽

El Salvador ◽

Risk Behaviors ◽

Sexual Behaviors ◽

Parenting Practices ◽

Parental Monitoring ◽

Health Risk Behaviors ◽

Multilevel Regression ◽

School Students ◽

Adolescent Risk

Although parental monitoring has received considerable attention in studies of U.S. adolescents, few published studies have examined how parents' knowledge of their children's whereabouts may influence health risk behaviors in adolescents living in Latin America. We investigated the association between perceived parental monitoring and substance use, fighting, and sexual behaviors in rural and urban Salvadoran adolescents (n = 982). After adjusting for several sociodemographic covariates, multilevel regression analyses indicated that students reporting low parental monitoring were between 2 to 3.5 times more likely to report risk behaviors examined. The promotion of specific parenting practices such as parental monitoring may hold promise for reducing adolescent risk behaviors in El Salvador.

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Childhood Sexual Abuse and Health Risk Behaviors in Patients with HIV and a History of Injection Drug Use

AIDS and Behavior ◽

10.1007/s10461-010-9857-y ◽

2010 ◽

Vol 15 (7) ◽

pp. 1554-1560 ◽

Cited By ~ 23

Author(s):

Sarah M. Markowitz ◽

Conall O’Cleirigh ◽

Ellen S. Hendriksen ◽

Jacqueline R. Bullis ◽

Michael Stein ◽

...

Keyword(s):

Sexual Abuse ◽

Childhood Sexual Abuse ◽

Drug Use ◽

Health Risk ◽

Risk Behaviors ◽

Injection Drug Use ◽

Health Risk Behaviors ◽

Injection Drug ◽

History Of

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Illicit Drug Use Pattern, Health-Risk Behaviors, and Social Contexts Among Indonesian Students

Journal of Drug Issues ◽

10.1177/00220426211045018 ◽

2021 ◽

pp. 002204262110450

Author(s):

Nurul Huriah Astuti ◽

Budi Utomo ◽

Rita Damayanti ◽

Dien Anshari

Keyword(s):

Drug Use ◽

Health Risk ◽

Risk Behaviors ◽

Illicit Drug ◽

Illicit Drug Use ◽

Health Risk Behaviors ◽

Social Contexts ◽

Premarital Sex ◽

Use Pattern ◽

Drug Use Pattern

Health-risk behaviors (smoking, alcohol consumption, and premarital sex) among Indonesian students are important issues. Understanding the association of these health-risk behaviors and adolescents’ social contexts (family, peers, and neighborhood characteristics) to illicit drug use is required to develop strategies in preventing illicit drug use in Indonesia. The study used a multi-stage cluster random sampling method to collect data from the 2016 National Narcotics Survey of Indonesian students. The sample included 31,439 students. The result shows that the illicit drug use pattern was different from previous studies: the most prevalent was at the senior high school level. Multiple logistic regression analyses showed that smoking, alcohol consumption, premarital sex, peers, sex, family, and neighborhood were associated with illicit drug use. The study highlighted the importance of health-risk behaviors, social contexts of adolescents, and the illicit drug use pattern as considering factors in developing strategies to reduce illicit drug use prevalence.

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Clusters of alcohol and drug use and other health-risk behaviors among Thai secondary school students: a latent class analysis

BMC Public Health ◽

10.1186/s12889-018-6205-z ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 13

Author(s):

Sawitri Assanangkornchai ◽

Jing Li ◽

Edward McNeil ◽

Darika Saingam

Keyword(s):

Drug Use ◽

Secondary School ◽

Health Risk ◽

Latent Class Analysis ◽

Risk Behaviors ◽

Secondary School Students ◽

Latent Class ◽

Health Risk Behaviors ◽

School Students ◽

Alcohol And Drug Use

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Bias Adjustment Techniques Are Underutilized in HIV Sexual Risk Estimation: A Systematic Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15081696 ◽

2018 ◽

Vol 15 (8) ◽

pp. 1696 ◽

Cited By ~ 1

Author(s):

Nguyen Tran ◽

Neal Goldstein ◽

Seth Welles

Keyword(s):

Systematic Review ◽

Sexual Behavior ◽

High Risk ◽

Hiv Infection ◽

Sexual Risk ◽

Risk Behaviors ◽

Hiv Risk ◽

Sexual Behaviors ◽

Anal Intercourse ◽

Condomless Anal Intercourse

Background: Valid measurement of determinants of HIV infection among men who have sex with men (MSM) is critical for intervention planning and resource allocation. However, sexual minority research concerning HIV risk often relies on proxy exposures of sexual behaviors such as sexual orientation and partner gender. Inferring high risk sexual behaviors (i.e., condomless anal intercourse) from these proxies inaccurately captures HIV risk, but few studies have attempted to correct for this bias. Methods: We performed a systematic review of methodological practices for estimating risk of HIV infection among MSM. Results: We identified 32 studies in which high risk sexual behavior was assessed: 82% (n = 26) measured and used sexual risk behaviors (e.g., condomless anal intercourse or sexual positioning) to assess risk of HIV infection; 9% (n = 3) used proxy measures; and 9% (n = 3) used both behavior and proxy variables. Various treatments of misclassification reported by investigators included the following: 82% (n = 26) discussed misclassification of sexual behavior as a potential limitation; however, among these studies, no attempts were made to correct misclassification; 12% (n = 4) did not report exposure misclassification, and 6% (n = 2) explicitly considered this information bias and conducted a Bayesian approach to correct for misclassification. Conclusions: Our systematic review indicates that a majority of studies engaging in collecting primary data have taken additional steps to acquire detailed information regarding sexual risk behaviors. However, reliance on population-based surveys may still lead to potentially biased estimates. Thus, bias analytic techniques are potential tools to control for any suspected biases.

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The Association Between Weapon Carrying and Health Risk Behaviors Among Adolescent Students in Bangkok, Thailand

Journal of Interpersonal Violence ◽

10.1177/0886260515596977 ◽

2015 ◽

Vol 32 (20) ◽

pp. 3111-3130 ◽

Cited By ~ 1

Author(s):

On-anong Saiphoklang ◽

Kua Wongboonsin ◽

Patcharawalai Wongboonsin ◽

Usaneya Perngparn ◽

Linda B. Cottler

Keyword(s):

Drug Use ◽

Health Risk ◽

Risk Behaviors ◽

Public Health Problem ◽

Health Risk Behaviors ◽

School Type ◽

School Students ◽

Cross Sectional ◽

Physical Fighting ◽

Weapon Carrying

Carrying weapons is a significant social and public health problem worldwide, especially among adolescents. The present study examined the association between weapon carrying and related risk behaviors among Thai adolescents. A cross-sectional study of 2,588 high school and vocational school students aged 11 to 19 years from 26 schools in Bangkok, Thailand, was conducted in 2014. This study found that 7.8% of youth reported having carried a weapon in the past 12 months. The high prevalence of weapon carrying was reported by male students, and males were more likely to have reported carrying a weapon than females. The association between weapon carrying and the health risk behaviors like drinking, smoking, any drug use, and physical fighting were significant with higher odds of weapon carrying in all models. Among males, weapon carrying was related to drinking and smoking, any drug use, physical fighting, and school type. Among females, suicidal thoughts were significantly related along with drinking and smoking, any drug use, and physical fighting. Having a mother who used substances was significant only among females. These data could be used for further interventions about weapon carrying to reduce violence.

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Factors Associated With Condom Use by Sexually Active Male Adolescents at Risk for Sexually Transmitted Disease

PEDIATRICS ◽

10.1542/peds.91.5.873 ◽

1993 ◽

Vol 91 (5) ◽

pp. 873-879

Author(s):

Donald P. Orr ◽

Carl D. Langefeld

Keyword(s):

At Risk ◽

Health Risk ◽

Condom Use ◽

Risk Behaviors ◽

Sexual Behaviors ◽

Transmitted Disease ◽

Health Risk Behaviors ◽

Sexually Transmitted ◽

Male Adolescents ◽

Std Prevention

Objective. The purpose of this study was to identify the predictors of condom use in a population of male adolescents at risk for sexually transmitted diseases (STDs). Design. Cross-sectional cohort study. Setting. Clinical sites (school-based, adolescent and STD clinics) providing reproductive health care to male adolescents in a midwestern city. Participants. One hundred sixteen male adolescents 15 to 19 years of age were enrolled consecutively. Outcome measures. Subjects completed a multi-instrument questionnaire examining sexual behaviors attitudes, and beliefs about STDs and condoms, cognitive maturity, and health risk behaviors; urethral specimens were cultured for Chlamydia trachomatis and Neisseria gonorrhoeae. Results. The median age was 17; 31% were white and 69% were African-American. Thirty-seven percent had urethral infections: 21% were infected with C trachomatis, 11% with N gonorrhoeae, and 5% with both organisms. More than 60% reported some experience with condoms and 23% reported condom use at last coitus. Consistent with the Health Belief Model, condom use for STD prevention was less likely among those reporting other health risk behaviors (odds ratio [OR] = 0.53; 95% confidence interval [CI] = 0.36 to 0.78; P < .001) and more STD risk behaviors (OR = 0.65; CI = 0.45 to 0.96; P = .03). Adolescents who were more highly motivated (OR = 1.58; CI = 1.09 to 2.30; P = .02) and who were more positive about condoms (OR = 1.83; CI = 1.25 to 2.68; P < .001) were more likely to report condom use for contraception. Adolescents using condoms for acquired immunodeficiency syndrome (AIDS) protection engaged in fewer behavioral (OR = .62; CI = 0.42 to 0.92; P = .02) and STD risks (OR = .67; CI = 0.45 to 0.99; P = .04). Three specific reasons for condom use were highly predictive of condom use at last intercourse: STD prevention (OR = 8.9; CI = 3.13 to 25.4; P < .001), birth control (OR = 2.1; CI = 1.05 to 4.25; P = .03), and AIDS prevention (OR = 2.4; CI = 1.05 to 5.42; P = .03). Conclusion. Condom use among adolescent males is influenced by perceived benefit, namely prevention of pregnancy & avoidance of STDs including AIDS. Non-use is associated with other risk-taking behavior.

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