Substance Use Among Middle-Aged Hispanic Men Who Have Sex With Men (HMSM) in South Florida

2.50
Hdl Handle:
http://hdl.handle.net/10755/622158
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Substance Use Among Middle-Aged Hispanic Men Who Have Sex With Men (HMSM) in South Florida
Other Titles:
Male Sexual Health and Substance Abuse
Author(s):
Valdes, Beatriz
Lead Author STTI Affiliation:
Beta Tau
Author Details:
Beatriz Valdes, PhD, RN, CHSE, RN, Professional Experience: 2016 to Present Assistant Professor of Clinical University of Miami, Coral Gables, FL 33146 School of Nursing and Health Studies 2012 to 2016 Nurse Specialist University of Miami, Coral Gables, FL 33146 School of Nursing and Health Studies International Academy for Clinical Simulation and Research 2008 - 2012 Adjunct Clinical Professor Miami Dade College, Miami FL 33136 School of Nursing 2006 - 2012 Nurse Educator System Wide Jackson Health System, Miami FL 33136 Department of Education & Development 2005 - 2006 Patient & Family Education Coordinator System Wide Jackson Health System, Miami FL 33136 Department of Education & Development 2004 - 2005 Clinical Educator, Nurses & Radiology Technologists Jackson Health System, Miami FL 33136 Department of Radiology 2004 to 2007 Specialty Pool, Nurse Clinician III Baptist Health South Florida, Doctors’ Hospital, Coral Gables, FL 33146 Gamma Knife/Radiology/Emergency Room Author Summary: Dr. Valdes is an Assistant Professor of Clinical at the University of Miami School of Nursing and Health Studies. She has over 23 years experience as a clinical registered nurse. She received a Beta Tau grant for her dissertation research on Hispanic middle aged men who have sex with men.
Abstract:

Purpose:

In 2014, Hispanics represented 17% of the population but accounted for 24% (10, 887) of the estimated 44, 784 new diagnoses of Human Immunodeficiency Virus (HIV) infection in the US, and 86% (9, 379) of these cases were in men, of which 84% (7, 893) of the estimated HIV diagnosis among Hispanic men were attributed to Hispanic men who have sex with men (HMSM). If current diagnosis rates continue, estimates indicate that 1 in 4 HMSM will be diagnosed with HIV infection during their lifetime. An abundance of research demonstrates a consistent association between alcohol and substance use and high risk sexual practices among HMSM. High risk sexual behaviors include: unprotected anal intercourse (UAI), multiple partners, and sex under the influence of alcohol or drugs. This study explored the effects that substance use has on high risk sexual behaviors which predispose middle aged HMSM to STIs and HIV infection risk.

Methods:

A non-experimental, cross-sectional research method design was used to collect data from a sample of 150 urban HMSM aged 40 to 65 residing in South Florida. Participants completed standardized measures of substance use, sexual behaviors, and demographic characteristics. This study was part of a larger study funded by Sigma Theta Tau International-Beta Tau Chapter. 

Results:

The sample included 150 HMSM, with a mean age of 45.54 (SD = 4.71), ranging from 40 to 60 years. Most of the participants were foreign-born 86% (n = 129). Fifty-two (34.7%) participants reported illicit drug use in the past 30 days. Alcohol was the most common substance used by participants in the past 30 days (106; 70.7%), followed by cigarettes (54; 36%), marijuana (28; 18.7%), amil nitrates (14; 9.3%), prescription narcotics (13; 8.7%), club drugs, i.e., Ectasy (9; 6%), and cocaine (7, 4.7%). Participants reported substance use while having sex (61; 40.7%); history of diagnosed sexually transmitted infections (57; 38%); unprotected sex with serodiscordant partner (21; 14%); participating in receptive anal intercourse, i.e., bottom partner (94; 62.7%); never using a condom as a receptive partner (22; 14.7%); occasionally using a condom as a receptive partner (90; 60%); and sex with women (12; 8%) and transgender persons (10; 6.7%). Number of sexual partners reported in the last three months ranged from 0 to 32, (M = 5.23, SD = 5.51).

Conclusion:

As a population, Hispanic men continue to experience high rates of STIs and HIV infection. This study is the first step in developing interventions targeted to reduce STIs and HIV infection among Hispanic sexual minorities. This study is essential in providing data to direct programs of health education geared to decrease high risk sexual practices among sexual minorities, which will subsequently reduce morbidity and mortality of this high risk group. Future research should build on these findings to develop tailored risk reduction interventions.

Keywords:
Hispanic men who have sex with men (HMSM); Sexual Behaviors; Substance Use
Repository Posting Date:
25-Jul-2017
Date of Publication:
25-Jul-2017
Other Identifiers:
INRC17M10
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleSubstance Use Among Middle-Aged Hispanic Men Who Have Sex With Men (HMSM) in South Floridaen_US
dc.title.alternativeMale Sexual Health and Substance Abuseen
dc.contributor.authorValdes, Beatrizen
dc.contributor.departmentBeta Tauen
dc.author.detailsBeatriz Valdes, PhD, RN, CHSE, RN, Professional Experience: 2016 to Present Assistant Professor of Clinical University of Miami, Coral Gables, FL 33146 School of Nursing and Health Studies 2012 to 2016 Nurse Specialist University of Miami, Coral Gables, FL 33146 School of Nursing and Health Studies International Academy for Clinical Simulation and Research 2008 - 2012 Adjunct Clinical Professor Miami Dade College, Miami FL 33136 School of Nursing 2006 - 2012 Nurse Educator System Wide Jackson Health System, Miami FL 33136 Department of Education & Development 2005 - 2006 Patient & Family Education Coordinator System Wide Jackson Health System, Miami FL 33136 Department of Education & Development 2004 - 2005 Clinical Educator, Nurses & Radiology Technologists Jackson Health System, Miami FL 33136 Department of Radiology 2004 to 2007 Specialty Pool, Nurse Clinician III Baptist Health South Florida, Doctors’ Hospital, Coral Gables, FL 33146 Gamma Knife/Radiology/Emergency Room Author Summary: Dr. Valdes is an Assistant Professor of Clinical at the University of Miami School of Nursing and Health Studies. She has over 23 years experience as a clinical registered nurse. She received a Beta Tau grant for her dissertation research on Hispanic middle aged men who have sex with men.en
dc.identifier.urihttp://hdl.handle.net/10755/622158-
dc.description.abstract<p><strong>Purpose:</strong></p> <p>In 2014, Hispanics represented 17% of the population but accounted for 24% (10, 887) of the estimated 44, 784 new diagnoses of Human Immunodeficiency Virus (HIV) infection in the US, and 86% (9, 379) of these cases were in men, of which 84% (7, 893) of the estimated HIV diagnosis among Hispanic men were attributed to Hispanic men who have sex with men (HMSM). If current diagnosis rates continue, estimates indicate that 1 in 4 HMSM will be diagnosed with HIV infection during their lifetime. An abundance of research demonstrates a consistent association between alcohol and substance use and high risk sexual practices among HMSM. High risk sexual behaviors include: unprotected anal intercourse (UAI), multiple partners, and sex under the influence of alcohol or drugs. This study explored the effects that substance use has on high risk sexual behaviors which predispose middle aged HMSM to STIs and HIV infection risk.</p> <p><strong>Methods:</strong></p> <p>A non-experimental, cross-sectional research method design was used to collect data from a sample of 150 urban HMSM aged 40 to 65 residing in South Florida. Participants completed standardized measures of substance use, sexual behaviors, and demographic characteristics. This study was part of a larger study funded by Sigma Theta Tau International-Beta Tau Chapter. <strong></strong></p> <p><strong>Results:</strong></p> <p>The sample included 150 HMSM, with a mean age of 45.54 (<em>SD</em> = 4.71), ranging from 40 to 60 years. Most of the participants were foreign-born 86% (<em>n</em> = 129). Fifty-two (34.7%) participants reported illicit drug use in the past 30 days. Alcohol was the most common substance used by participants in the past 30 days (106; 70.7%), followed by cigarettes (54; 36%), marijuana (28; 18.7%), amil nitrates (14; 9.3%), prescription narcotics (13; 8.7%), club drugs, i.e., Ectasy (9; 6%), and cocaine (7, 4.7%). Participants reported substance use while having sex (61; 40.7%); history of diagnosed sexually transmitted infections (57; 38%); unprotected sex with serodiscordant partner (21; 14%); participating in receptive anal intercourse, i.e., bottom partner (94; 62.7%); never using a condom as a receptive partner (22; 14.7%); occasionally using a condom as a receptive partner (90; 60%); and sex with women (12; 8%) and transgender persons (10; 6.7%). Number of sexual partners reported in the last three months ranged from 0 to 32, (<em>M</em> = 5.23, <em>SD</em> = 5.51).</p> <p><strong>Conclusion:</strong></p> <p>As a population, Hispanic men continue to experience high rates of STIs and HIV infection. This study is the first step in developing interventions targeted to reduce STIs and HIV infection among Hispanic sexual minorities. This study is essential in providing data to direct programs of health education geared to decrease high risk sexual practices among sexual minorities, which will subsequently reduce morbidity and mortality of this high risk group. Future research should build on these findings to develop tailored risk reduction interventions.</p>en
dc.subjectHispanic men who have sex with men (HMSM)en
dc.subjectSexual Behaviorsen
dc.subjectSubstance Useen
dc.date.available2017-07-25T20:05:12Z-
dc.date.issued2017-07-25-
dc.date.accessioned2017-07-25T20:05:12Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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