Substance Use Patterns of Gay and Bisexual Men in the Momentum Health Study

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dc.contributor.authorRoth, Eric Abella
dc.contributor.authorCui, Zishan
dc.contributor.authorWang, Lu
dc.contributor.authorArmstrong, Heather L.
dc.contributor.authorRich, Ashleigh J.
dc.contributor.authorLachowsky, Nathan J.
dc.contributor.authorSereda, Paul
dc.contributor.authorCard, Kiffer G.
dc.contributor.authorJollimore, Jody
dc.contributor.authorHoward, Terry
dc.contributor.authorOlarewaju, Gbolahan
dc.contributor.authorMoore, David M.
dc.contributor.authorHogg, Robert S.
dc.date.accessioned2022-06-16T23:41:09Z
dc.date.available2022-06-16T23:41:09Z
dc.date.copyright2018en_US
dc.date.issued2018
dc.descriptionThe authors are grateful for the assistance and involvement of Momentum Health Study participants, office staff and community advisory board, as well as our community partner agencies, the Health Initiative for Men, YouthCo HIV and Hep C Society, and the Positive Living Society of BC.en_US
dc.description.abstractResearch with male sexual minorities frequently combines gay and bisexual men as Men Who Have Sex with Men or Gay and Bisexual Men. When analyzed separately, bisexual men consistently feature negative health differentials, exemplified by higher substance use levels. This interpretation is not clear-cut because studies may combine bisexual men and women, use different dimensions of sexual orientation to define bisexuality, and/or not consider number of sexual partners as a possible confounding factor. This study conducted separate bivariate and multivariate analyses comparing gay to bisexual Momentum Study participants based on self-identity, sexual attraction, and sexual behavior, while controlling for number of sexual partners and sociodemographic, psychosocial, and sexual behavior measures. The study hypothesized that, regardless of definition, bisexual men feature higher substance use levels compared to gay men. Bivariate analyses revealed significantly higher (p < .05) use among bisexual men for multiple substances in all samples. Nonprescription stimulants and heroin were significant in all multivariate logistic regression models. In contrast, all bisexual samples reported lower use of erectile dysfunction drugs and poppers, substances associated with anal sex among gay men. Subsequent analysis linked these results to lower levels of anal sex in all bisexual samples. Bivariate analyses also revealed that bisexual men featured significantly lower educational levels, annual incomes, and Social Support Scales scores and higher Anxiety and Depression Sub-Scale Scores. In summary, findings revealed bisexual men’s distinctive substance use, sexual behavior, psychosocial, and sociodemographic profiles, and are important for tailoring specific health programs for bisexual men.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThe author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Funding for Momentum is through the National Institute on Drug Abuse (Grant # R01DA031055-01A1) and the Canadian Institutes for Health Research (Grant # MOP-107544, 143342, PJT-153139). A CANFAR/CTN Postdoctoral Fellowship Award supported NJL. Scholar Awards from the Michael Smith Foundation for Health Research (#5209, #16863) support DMM and NJL. HLA is supported by a Postdoctoral Fellowship Award from the Canadian Institutes of Health Research (Grant # MFE-152443). AJR is supported by a Frederick Banting and Charles Best Doctoral Research Award from the Canadian Institutes of Health Research (#379361).en_US
dc.identifier.citationRoth, E. A., Cui, Z., Wang, L., Armstrong, H. L., Rich, A. J., Lachowsky, N. J., Sereda, P., Card, K. G., Jollimore, J., Howard, T., Olarewaju, G., Moore, D. M., & Hogg, R. S. (2018). “Substance Use Patterns of Gay and Bisexual Men in the Momentum Health Study.” American Journal of Men’s Health, 12(5), 1759–1773. https://doi.org/10.1177/1557988318786872en_US
dc.identifier.urihttps://doi.org/10.1177/1557988318786872
dc.identifier.urihttp://hdl.handle.net/1828/13986
dc.language.isoenen_US
dc.publisherAmerican Journal of Men’s Healthen_US
dc.subjectbisexual men
dc.subjectgay men
dc.subjectsubstance use
dc.subjectbehavioral issues
dc.subjectsexual dimensions
dc.subject.departmentDepartment of Anthropology
dc.subject.departmentSchool of Public Health and Social Policy
dc.titleSubstance Use Patterns of Gay and Bisexual Men in the Momentum Health Studyen_US
dc.typeArticleen_US

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