Excessive Drinking Among Men Who Have Sex With Men Recruited From Web-Based Resources: Cross-sectional Questionnaire Study

Background: US and Northern European studies have found a higher prevalence of alcohol-related problems among men who have sex with men (MSM) than among the general population of men (GPM). However, most of them relied on traditional sampling methods, not profiting from MSM dating apps and websites...

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Authors: Pérez-Romero C., Guerras J.-M., Hoyos J., Donat M., Barrio G., de la Fuente L., Palma D., De Olalla P.G., Belza M.-J.
Format: article
Status:Published version
Publication Date:2022
Country:España
Institution:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repository:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p15972
Online Access:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=15972
https://ddd.uab.cat/record/284456
Access Level:Open access
Keyword:alcohol
alcoholism
binge drinking
cross-sectional study
drinking behavior
human
Internet
male
male homosexuality
questionnaire
sexual and gender minority
Alcohol Drinking
Alcoholism
Binge Drinking
Cross-Sectional Studies
Ethanol
Homosexuality, Male
Humans
Male
Sexual and Gender Minorities
Surveys and Questionnaires
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dc.title.none.fl_str_mv Excessive Drinking Among Men Who Have Sex With Men Recruited From Web-Based Resources: Cross-sectional Questionnaire Study
title Excessive Drinking Among Men Who Have Sex With Men Recruited From Web-Based Resources: Cross-sectional Questionnaire Study
spellingShingle Excessive Drinking Among Men Who Have Sex With Men Recruited From Web-Based Resources: Cross-sectional Questionnaire Study
Pérez-Romero C.
alcohol
alcoholism
binge drinking
cross-sectional study
drinking behavior
human
Internet
male
male homosexuality
questionnaire
sexual and gender minority
Alcohol Drinking
Alcoholism
Binge Drinking
Cross-Sectional Studies
Ethanol
Homosexuality, Male
Humans
Internet
Male
Sexual and Gender Minorities
Surveys and Questionnaires
title_short Excessive Drinking Among Men Who Have Sex With Men Recruited From Web-Based Resources: Cross-sectional Questionnaire Study
title_full Excessive Drinking Among Men Who Have Sex With Men Recruited From Web-Based Resources: Cross-sectional Questionnaire Study
title_fullStr Excessive Drinking Among Men Who Have Sex With Men Recruited From Web-Based Resources: Cross-sectional Questionnaire Study
title_full_unstemmed Excessive Drinking Among Men Who Have Sex With Men Recruited From Web-Based Resources: Cross-sectional Questionnaire Study
title_sort Excessive Drinking Among Men Who Have Sex With Men Recruited From Web-Based Resources: Cross-sectional Questionnaire Study
dc.creator.none.fl_str_mv Pérez-Romero C.
Guerras J.-M.
Hoyos J.
Donat M.
Barrio G.
de la Fuente L.
Palma D.
De Olalla P.G.
Belza M.-J.
author Pérez-Romero C.
author_facet Pérez-Romero C.
Guerras J.-M.
Hoyos J.
Donat M.
Barrio G.
de la Fuente L.
Palma D.
De Olalla P.G.
Belza M.-J.
author_role author
author2 Guerras J.-M.
Hoyos J.
Donat M.
Barrio G.
de la Fuente L.
Palma D.
De Olalla P.G.
Belza M.-J.
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv alcohol
alcoholism
binge drinking
cross-sectional study
drinking behavior
human
Internet
male
male homosexuality
questionnaire
sexual and gender minority
Alcohol Drinking
Alcoholism
Binge Drinking
Cross-Sectional Studies
Ethanol
Homosexuality, Male
Humans
Internet
Male
Sexual and Gender Minorities
Surveys and Questionnaires
topic alcohol
alcoholism
binge drinking
cross-sectional study
drinking behavior
human
Internet
male
male homosexuality
questionnaire
sexual and gender minority
Alcohol Drinking
Alcoholism
Binge Drinking
Cross-Sectional Studies
Ethanol
Homosexuality, Male
Humans
Internet
Male
Sexual and Gender Minorities
Surveys and Questionnaires
description Background: US and Northern European studies have found a higher prevalence of alcohol-related problems among men who have sex with men (MSM) than among the general population of men (GPM). However, most of them relied on traditional sampling methods, not profiting from MSM dating apps and websites for recruitment. Besides, analogous comparisons in Southern Europe are lacking. Objective: This study aimed to compare several indicators of excessive drinking between MSM and GPM in Spain. Methods: Overall, 5862 MSM were recruited through dating apps or websites for the Méthysos Project, and 10,349 GPM were recruited using probability sampling via the Household Survey on Alcohol and Drugs in Spain from 2018 to 2020. The outcomes were the prevalence of hazardous or harmful drinking (Alcohol Use Disorders Identification Test [AUDIT] =8), hazardous drinking (AUDIT-Consumption =4), harmful drinking (AUDIT-Problem =4), regular hazardous drinking (>14 standard drinks per week), and monthly binge drinking. The prevalence of excessive drinking indicators was calculated for MSM and GPM and compared using the adjusted prevalence ratio (aPR). Two different aPRs and their 95% CIs were estimated using Poisson regression models with robust variance. The first was adjusted for sociodemographic characteristics, and the second was adjusted for the aforementioned covariates plus other drug use. Results: The prevalence of hazardous or harmful drinking was 15.6% (913/5862) among MSM versus 7.7% (902/10,349) among GPM. After adjusting for sociodemographic covariates, the risk was higher in MSM than in GPM for harmful or hazardous drinking (aPR 1.8, 95% CI 1.6-2.0), harmful drinking (aPR 2.3, 95% CI 2.0-2.7), and binge drinking (aPR 1.7, 95% CI 1.5-1.9); the same in both populations for hazardous drinking (aPR 0.9, 95% CI 0.9-1.0); and higher in GPM than in MSM for regular hazardous drinking (aPR 0.7, 95% CI 0.6-0.9). The relative excess risk of harmful drinking and binge drinking among MSM tended to increase with increasing education level and size of the place of residence, and the opposite was true for the deficit risk in regular hazardous drinking. Additional adjustment for other drug use greatly buffered the relative excess risk in harmful drinking and binge drinking in MSM, while it deepened its deficit risk in regular hazardous drinking. Conclusions: The use of web-based resources allowed recruiting a large sample of MSM. The risk of hazardous or harmful drinking was 80% greater in MSM than in GPM, which was mainly because of the higher risk of harmful drinking and binge drinking among MSM. Nearly 1 in 6 MSM would benefit from early brief alcohol intervention procedures. The subgroup with harmful or binge drinking combined with other drug use is an important contributor to excess MSM risk in hazardous or harmful drinking and must be a priority target for harm reduction interventions. © César Pérez-Romero, Juan-Miguel Guerras, Juan Hoyos, Marta Donat, Gregorio Barrio, Luis de la Fuente, David Palma, Patricia García de Olalla, María-José Belza, Methysos Project Group.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=15972
https://ddd.uab.cat/record/284456
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=15972
https://ddd.uab.cat/record/284456
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv JMIR Publications Inc.
publisher.none.fl_str_mv JMIR Publications Inc.
dc.source.none.fl_str_mv JMIR Public Health and Surveillance
ISSN: 23692960
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
reponame_str r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
collection r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Excessive Drinking Among Men Who Have Sex With Men Recruited From Web-Based Resources: Cross-sectional Questionnaire StudyPérez-Romero C.Guerras J.-M.Hoyos J.Donat M.Barrio G.de la Fuente L.Palma D.De Olalla P.G.Belza M.-J.alcoholalcoholismbinge drinkingcross-sectional studydrinking behaviorhumanInternetmalemale homosexualityquestionnairesexual and gender minorityAlcohol DrinkingAlcoholismBinge DrinkingCross-Sectional StudiesEthanolHomosexuality, MaleHumansInternetMaleSexual and Gender MinoritiesSurveys and QuestionnairesBackground: US and Northern European studies have found a higher prevalence of alcohol-related problems among men who have sex with men (MSM) than among the general population of men (GPM). However, most of them relied on traditional sampling methods, not profiting from MSM dating apps and websites for recruitment. Besides, analogous comparisons in Southern Europe are lacking. Objective: This study aimed to compare several indicators of excessive drinking between MSM and GPM in Spain. Methods: Overall, 5862 MSM were recruited through dating apps or websites for the Méthysos Project, and 10,349 GPM were recruited using probability sampling via the Household Survey on Alcohol and Drugs in Spain from 2018 to 2020. The outcomes were the prevalence of hazardous or harmful drinking (Alcohol Use Disorders Identification Test [AUDIT] =8), hazardous drinking (AUDIT-Consumption =4), harmful drinking (AUDIT-Problem =4), regular hazardous drinking (>14 standard drinks per week), and monthly binge drinking. The prevalence of excessive drinking indicators was calculated for MSM and GPM and compared using the adjusted prevalence ratio (aPR). Two different aPRs and their 95% CIs were estimated using Poisson regression models with robust variance. The first was adjusted for sociodemographic characteristics, and the second was adjusted for the aforementioned covariates plus other drug use. Results: The prevalence of hazardous or harmful drinking was 15.6% (913/5862) among MSM versus 7.7% (902/10,349) among GPM. After adjusting for sociodemographic covariates, the risk was higher in MSM than in GPM for harmful or hazardous drinking (aPR 1.8, 95% CI 1.6-2.0), harmful drinking (aPR 2.3, 95% CI 2.0-2.7), and binge drinking (aPR 1.7, 95% CI 1.5-1.9); the same in both populations for hazardous drinking (aPR 0.9, 95% CI 0.9-1.0); and higher in GPM than in MSM for regular hazardous drinking (aPR 0.7, 95% CI 0.6-0.9). The relative excess risk of harmful drinking and binge drinking among MSM tended to increase with increasing education level and size of the place of residence, and the opposite was true for the deficit risk in regular hazardous drinking. Additional adjustment for other drug use greatly buffered the relative excess risk in harmful drinking and binge drinking in MSM, while it deepened its deficit risk in regular hazardous drinking. Conclusions: The use of web-based resources allowed recruiting a large sample of MSM. The risk of hazardous or harmful drinking was 80% greater in MSM than in GPM, which was mainly because of the higher risk of harmful drinking and binge drinking among MSM. Nearly 1 in 6 MSM would benefit from early brief alcohol intervention procedures. The subgroup with harmful or binge drinking combined with other drug use is an important contributor to excess MSM risk in hazardous or harmful drinking and must be a priority target for harm reduction interventions. © César Pérez-Romero, Juan-Miguel Guerras, Juan Hoyos, Marta Donat, Gregorio Barrio, Luis de la Fuente, David Palma, Patricia García de Olalla, María-José Belza, Methysos Project Group.JMIR Publications Inc.2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=15972https://ddd.uab.cat/record/284456JMIR Public Health and SurveillanceISSN: 23692960reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p159722026-06-14T12:41:47Z
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