Cargando…

Latent Class Analysis of Polysubstance Use and Sexual Risk Behaviors among Men Who Have Sex with Men Attending Sexual Health Clinics in Mexico City

Men who have sex with men (MSM) are more likely to use drugs and other substances compared to their heterosexual peers. No studies have evaluated patterns of substance use among MSM adults in Mexico. We used latent class analysis (LCA) to identify MSM subgroups with specific substance use patterns a...

Descripción completa

Detalles Bibliográficos
Autores principales: Rodríguez-Bolaños, Rosibel, Baruch-Dominguez, Ricardo, Arillo-Santillán, Edna, Yunes-Díaz, Elsa, Rivera-Rivera, Leonor, Cruz-Jiménez, Lizeth, Thrasher, James F., Nyitray, Alan G., Lazcano-Ponce, Eduardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9323409/
https://www.ncbi.nlm.nih.gov/pubmed/35886704
http://dx.doi.org/10.3390/ijerph19148847
_version_ 1784756543377375232
author Rodríguez-Bolaños, Rosibel
Baruch-Dominguez, Ricardo
Arillo-Santillán, Edna
Yunes-Díaz, Elsa
Rivera-Rivera, Leonor
Cruz-Jiménez, Lizeth
Thrasher, James F.
Nyitray, Alan G.
Lazcano-Ponce, Eduardo
author_facet Rodríguez-Bolaños, Rosibel
Baruch-Dominguez, Ricardo
Arillo-Santillán, Edna
Yunes-Díaz, Elsa
Rivera-Rivera, Leonor
Cruz-Jiménez, Lizeth
Thrasher, James F.
Nyitray, Alan G.
Lazcano-Ponce, Eduardo
author_sort Rodríguez-Bolaños, Rosibel
collection PubMed
description Men who have sex with men (MSM) are more likely to use drugs and other substances compared to their heterosexual peers. No studies have evaluated patterns of substance use among MSM adults in Mexico. We used latent class analysis (LCA) to identify MSM subgroups with specific substance use patterns and their associations with sexual behaviors. Methods: Data from 1850 adult MSM were collected at HIV clinics in Mexico City between September 2018 and December 2019. The structural equation modeling approach was used to estimate a LC model to identify patterns of substance use by self-report of substance use (i.e., cigarette smoking, alcohol, and drugs). To evaluate LC membership, we included HIV status, condomless anal sex (CAS), and serosorting, while controlling for demographic variables. Results: 30.3% were under the age of 22. Alcohol use in last 30 days (76.2%), binge drinking (29.2%), marijuana (29.4%), sex-drugs (23.9%), stimulants (13.7%), and depressants (6.3%). MSM reported engaging in CAS (55.9%) and serosorting (13.5%) behaviors, and 40% reported being HIV positive. LCA indicated three general categories of MSM substance users: Class 1 (49.0%), Class 2 (29.8%), and Class 3 (20.4%). Members of Class 3 were younger: 23–28 age years (aOR = 1.86) and 29–33 age years (aOR = 1.86), more educated: completed graduate studies (aOR = 1.60), had a high probability of polysubstance use and were more likely to engage in CAS and serosorting. Conclusions: Attempts to detect alcohol and problematic use of substances are needed for MSM followed by culturally competent approaches that address alcohol and drug use disorders.
format Online
Article
Text
id pubmed-9323409
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-93234092022-07-27 Latent Class Analysis of Polysubstance Use and Sexual Risk Behaviors among Men Who Have Sex with Men Attending Sexual Health Clinics in Mexico City Rodríguez-Bolaños, Rosibel Baruch-Dominguez, Ricardo Arillo-Santillán, Edna Yunes-Díaz, Elsa Rivera-Rivera, Leonor Cruz-Jiménez, Lizeth Thrasher, James F. Nyitray, Alan G. Lazcano-Ponce, Eduardo Int J Environ Res Public Health Article Men who have sex with men (MSM) are more likely to use drugs and other substances compared to their heterosexual peers. No studies have evaluated patterns of substance use among MSM adults in Mexico. We used latent class analysis (LCA) to identify MSM subgroups with specific substance use patterns and their associations with sexual behaviors. Methods: Data from 1850 adult MSM were collected at HIV clinics in Mexico City between September 2018 and December 2019. The structural equation modeling approach was used to estimate a LC model to identify patterns of substance use by self-report of substance use (i.e., cigarette smoking, alcohol, and drugs). To evaluate LC membership, we included HIV status, condomless anal sex (CAS), and serosorting, while controlling for demographic variables. Results: 30.3% were under the age of 22. Alcohol use in last 30 days (76.2%), binge drinking (29.2%), marijuana (29.4%), sex-drugs (23.9%), stimulants (13.7%), and depressants (6.3%). MSM reported engaging in CAS (55.9%) and serosorting (13.5%) behaviors, and 40% reported being HIV positive. LCA indicated three general categories of MSM substance users: Class 1 (49.0%), Class 2 (29.8%), and Class 3 (20.4%). Members of Class 3 were younger: 23–28 age years (aOR = 1.86) and 29–33 age years (aOR = 1.86), more educated: completed graduate studies (aOR = 1.60), had a high probability of polysubstance use and were more likely to engage in CAS and serosorting. Conclusions: Attempts to detect alcohol and problematic use of substances are needed for MSM followed by culturally competent approaches that address alcohol and drug use disorders. MDPI 2022-07-21 /pmc/articles/PMC9323409/ /pubmed/35886704 http://dx.doi.org/10.3390/ijerph19148847 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Rodríguez-Bolaños, Rosibel
Baruch-Dominguez, Ricardo
Arillo-Santillán, Edna
Yunes-Díaz, Elsa
Rivera-Rivera, Leonor
Cruz-Jiménez, Lizeth
Thrasher, James F.
Nyitray, Alan G.
Lazcano-Ponce, Eduardo
Latent Class Analysis of Polysubstance Use and Sexual Risk Behaviors among Men Who Have Sex with Men Attending Sexual Health Clinics in Mexico City
title Latent Class Analysis of Polysubstance Use and Sexual Risk Behaviors among Men Who Have Sex with Men Attending Sexual Health Clinics in Mexico City
title_full Latent Class Analysis of Polysubstance Use and Sexual Risk Behaviors among Men Who Have Sex with Men Attending Sexual Health Clinics in Mexico City
title_fullStr Latent Class Analysis of Polysubstance Use and Sexual Risk Behaviors among Men Who Have Sex with Men Attending Sexual Health Clinics in Mexico City
title_full_unstemmed Latent Class Analysis of Polysubstance Use and Sexual Risk Behaviors among Men Who Have Sex with Men Attending Sexual Health Clinics in Mexico City
title_short Latent Class Analysis of Polysubstance Use and Sexual Risk Behaviors among Men Who Have Sex with Men Attending Sexual Health Clinics in Mexico City
title_sort latent class analysis of polysubstance use and sexual risk behaviors among men who have sex with men attending sexual health clinics in mexico city
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9323409/
https://www.ncbi.nlm.nih.gov/pubmed/35886704
http://dx.doi.org/10.3390/ijerph19148847
work_keys_str_mv AT rodriguezbolanosrosibel latentclassanalysisofpolysubstanceuseandsexualriskbehaviorsamongmenwhohavesexwithmenattendingsexualhealthclinicsinmexicocity
AT baruchdominguezricardo latentclassanalysisofpolysubstanceuseandsexualriskbehaviorsamongmenwhohavesexwithmenattendingsexualhealthclinicsinmexicocity
AT arillosantillanedna latentclassanalysisofpolysubstanceuseandsexualriskbehaviorsamongmenwhohavesexwithmenattendingsexualhealthclinicsinmexicocity
AT yunesdiazelsa latentclassanalysisofpolysubstanceuseandsexualriskbehaviorsamongmenwhohavesexwithmenattendingsexualhealthclinicsinmexicocity
AT riverariveraleonor latentclassanalysisofpolysubstanceuseandsexualriskbehaviorsamongmenwhohavesexwithmenattendingsexualhealthclinicsinmexicocity
AT cruzjimenezlizeth latentclassanalysisofpolysubstanceuseandsexualriskbehaviorsamongmenwhohavesexwithmenattendingsexualhealthclinicsinmexicocity
AT thrasherjamesf latentclassanalysisofpolysubstanceuseandsexualriskbehaviorsamongmenwhohavesexwithmenattendingsexualhealthclinicsinmexicocity
AT nyitrayalang latentclassanalysisofpolysubstanceuseandsexualriskbehaviorsamongmenwhohavesexwithmenattendingsexualhealthclinicsinmexicocity
AT lazcanoponceeduardo latentclassanalysisofpolysubstanceuseandsexualriskbehaviorsamongmenwhohavesexwithmenattendingsexualhealthclinicsinmexicocity