The Boston Partners Study (BPS) and the Longitudinal HIV Prevention Project (LHIVPP) are two prospective cohort studies of 899 gay and bisexual men enrolled at the Fenway Community Health Center (FCHC) since 1985. The combined FCHC studies represent the largest cohort of prospectively followed high risk and HIV infected persons in New England. In cross-sectional analyses, we have found that when men drank and used drugs before and during anal sex they were less likely to use condoms than when they were sober. This was also observed among HIV discordant pairs who knew their HIV antibody status. The proposed study has the following aims: 1. To explore further the relationship between drinking, drug use and unprotected sex, by evaluating the entire cohort in two waves of data collection six months apart. 2. To compare the HIV status, drinking, drug use and unprotected sex among gay and bisexual couples compared to men not in steady relationships. 3. To evaluate the prevalence of problem drinking and seeking behavior and determine its relationship to alcohol, drug use and unsafe sex. 4. To determine if younger gay and bisexual men (aged 18-24) have different sexual practices, alcohol and drug use than older gay and bisexual men. 5. To determine if bisexual have different sexual practices, alcohol and drug use with their female sexual partners compared to their male sexual partners. We propose to: 1) enroll a cohort of young gay men, 2) enroll a cohort of female partners of bisexual men and, 3) re-interview all currently enrolled gay and bisexual men to obtain information about their drinking and drug use and how it effects their sexual behavior. These relationships will be evaluated in the context of sexual couples and their health beliefs to understand their roles play in high risk behaviors.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
1R01AA009320-01
Application #
2045539
Study Section
Biochemistry, Physiology and Medicine Subcommittee (ALCB)
Project Start
1992-06-01
Project End
1994-05-30
Budget Start
1992-06-01
Budget End
1993-05-31
Support Year
1
Fiscal Year
1992
Total Cost
Indirect Cost
Name
Boston Medical Center
Department
Type
DUNS #
005492160
City
Boston
State
MA
Country
United States
Zip Code
02118
Wold, C; Seage 3rd, G R; Lenderking, W R et al. (1998) Unsafe sex in men who have sex with both men and women. J Acquir Immune Defic Syndr Hum Retrovirol 17:361-7
Seage 3rd, G R; Mayer, K H; Wold, C et al. (1998) The social context of drinking, drug use, and unsafe sex in the Boston Young Men Study. J Acquir Immune Defic Syndr Hum Retrovirol 17:368-75
Lenderking, W R; Wold, C; Mayer, K H et al. (1997) Childhood sexual abuse among homosexual men. Prevalence and association with unsafe sex. J Gen Intern Med 12:250-3
Seage 3rd, G R; Mayer, K H; Lenderking, W R et al. (1997) HIV and hepatitis B infection and risk behavior in young gay and bisexual men. Public Health Rep 112:158-67