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The Role of Alcohol and Substance Use in Risky Sexual Behavior Among Older Men Who Have Sex With Men: A Review and Critique of the Current Literature

机译：酒精和物质的作用在与男性发生性关系的老年男性中的风险性行为中的作用：目前文学的审查和批评

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摘要

HIV incidence is increasing among men who have sex with men (MSM) despite years of prevention education and intervention efforts. Whereas there has been considerable progress made in identifying risk factors among younger MSM, older MSM have been largely neglected. In particular, the role of alcohol and drug use in conjunction with sex has not been thoroughly studied in older MSM samples. This article reviews the small body of literature examining the association of substance abuse and risky sexual behavior in this population and provides a methodological critique of the reviewed studies. The data show that older MSM are engaging in risky sexual behavior, with the likelihood of engaging in risky sexual activities increasing with the use of alcohol and other drugs. Methodological limitations prevent strong conclusions regarding whether the sexual risk behaviors of older MSM differ from those of younger MSM, and the extent to which alcohol and drug use may differentially contribute to engagement in sexual risk-taking as a function of age. Future research is needed to clarify these associations.
机译：尽管有多年的预防教育和干预措施，但艾滋病毒感染者在与男性（MSM）发生性关系的情况下增加。虽然在识别年轻MSM中的风险因素方面取得了相当大的进展，但较旧的MSM在很大程度上被忽视了。特别是，在较旧的MSM样品中，尚未彻底研究酒精和药物用途的作用。本文审查了审查该人口中药物滥用和风险性行为的小体的小体体验，并提供了审查研究的方法论批评。数据显示，较旧的MSM正在与风险性行为有影忍，随着使用酒精和其他药物而增加风险性活动的可能性。方法论局限性防止了关于较年轻MSM的性风险行为是否与年龄较小的MSM的性风险行为不同的得出良好结论，以及酒精和吸毒的程度可能差异地有助于作为年龄的职能进行性风险的参与。未来的研究需要澄清这些协会。

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