Men who have sex with men (MSM) who use alcohol and drugs are at especially high risk for sexually transmitted infections (STIs); more information is needed about associated factors to improve risk reduction. We assessed reported STIs and demographic and event-level alcohol and drug use characteristics associated with STIs in a diverse, multi-city study in the USA of MSM who use substances.
Improved risk reduction efforts are needed for this group as well as some initiatives tailored to men who are HIV positive, younger and use drugs (not alcohol) in the context of anal sex.
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Funding: This study was funded by a CDC cooperative agreement.
Competing interests: None.
Ethics approval: The protocol was reviewed and approved by the CDC Institutional Review Board and by local ethics review boards at each of the study sites.
The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the CDC.