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Alcohol use and risky sexual behavior among problem drinking men who have sex with men
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Text
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Title
Alcohol use and risky sexual behavior among problem drinking men who have sex with men
SubTitle
a comparison of two data collection methods
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ETD_1917
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http://hdl.rutgers.edu/1782.2/rucore10001600001.ETD.000051826
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eng
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theses
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Public Health
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(authority = ETD-LCSH)
Topic
Gay men--Alcohol use
Subject
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(authority = ETD-LCSH)
Topic
Gay men--Sexual behavior
Abstract
Self-reports are the primary method for collecting data on alcohol use and risky sexual practices among men-who-have-sex-with-men (MSM). The TimeLine FollowBack method (TLFB) has been considered the gold standard for collecting data on alcohol use and risky sexual behavior. Interactive Voice Response (IVR) technology has become increasingly popular as a new data collection method and offers several advantages. Given this background, three aims were posited for the present study that was conducted among a sample of problem drinking MSM to: 1) examine the correspondence between the IVR and TLFB methods for the assessment of alcohol use and risky sexual behavior; 2) identify factors that influence correspondence between methods for select alcohol use and risky sex variables; and, 3) examine the conditional relationship between alcohol use and engagement in unprotected anal intercourse (UAI) using IVR daily data.
Participants (N = 84) were problem drinking MSM, who were participating in a combined pharmacotherapy and psychotherapy clinical trial to moderate their alcohol consumption. Participants reported on their alcohol use and sexual risk behavior daily for 90-days using the IVR system. At treatment completion, participants were administered the TLFB interview and reported on their behavior during the same 90 day time frame. Study findings revealed moderate correlations between the IVR and TLFB methods for each of the alcohol use and sexual risk variables. T-tests indicated greater aggregate reports of drinking on the IVR, whereas greater aggregate reports for the sexual risk variables were generated from the TLFB method. A visual inspection of the limits of agreement indicated substantial individual variation for self-reports between methods across each of the alcohol use and sexual risk variables. Exploratory analyses revealed that TLFB-IVR correspondence for variables specific to alcohol use was affected by participant’s alcohol dependence severity, daily negative affect, and number of standard drinks consumed prior to or during data collection on the IVR. Multilevel analyses indicated that the risk of engaging in UAI was greater on days in which any alcohol use was consumed by the participant, regardless of the quantity of use. Findings are discussed regarding the utility of IVR data collection technology among MSM.
Participants (N = 84) were problem drinking MSM, who were participating in a combined pharmacotherapy and psychotherapy clinical trial to moderate their alcohol consumption. Participants reported on their alcohol use and sexual risk behavior daily for 90-days using the IVR system. At treatment completion, participants were administered the TLFB interview and reported on their behavior during the same 90 day time frame. Study findings revealed moderate correlations between the IVR and TLFB methods for each of the alcohol use and sexual risk variables. T-tests indicated greater aggregate reports of drinking on the IVR, whereas greater aggregate reports for the sexual risk variables were generated from the TLFB method. A visual inspection of the limits of agreement indicated substantial individual variation for self-reports between methods across each of the alcohol use and sexual risk variables. Exploratory analyses revealed that TLFB-IVR correspondence for variables specific to alcohol use was affected by participant’s alcohol dependence severity, daily negative affect, and number of standard drinks consumed prior to or during data collection on the IVR. Multilevel analyses indicated that the risk of engaging in UAI was greater on days in which any alcohol use was consumed by the participant, regardless of the quantity of use. Findings are discussed regarding the utility of IVR data collection technology among MSM.
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electronic resource
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xii, 164 p. : ill.
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Ph.D.
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Includes bibliographical references (p. 114-122)
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by Brett T. Hagman, M.A.
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Hagman
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Brett T.
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Brett T. Hagman
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Clifford
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Patrick
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chair
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Patrick R Clifford
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Boyd
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Neal
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Neal R Boyd
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Ohman-Strickland
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Pamela
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Pamela Ohman-Strickland
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Jon
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Jon Morgenstern
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Rutgers University
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Graduate School - New Brunswick
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2009
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2009-10
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xx
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Rutgers University Electronic Theses and Dissertations
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Graduate School - New Brunswick Electronic Theses and Dissertations
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rucore19991600001
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doi:10.7282/T37S7NZ8
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ETD doctoral
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The author owns the copyright to this work
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Copyright protected
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Open
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Hagman
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Brett
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Brett Hagman
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Rutgers University. Graduate School - New Brunswick
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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