%0期刊文章%@ 2369-2960 %I JMIR出版物%V 8% 卡塔尔世界杯8强波胆分析N 10% P e32888 %T与网络资源招募的男性发生性关系的男性过度饮酒:横切式问卷调查%A Pérez-Romero,César %A Guerras,Juan- miguel %A Hoyos,Juan %A Donat,Marta %A Barrio,Gregorio %A de la Fuente,Luis %A Palma,David %A García de Olalla,Patricia %A Belza,María-José %A， %A +国家中心Epidemiología, Carlos III Salud Instituto de Salud Carlos III, Avenida Monforte de Lemos 5，马德里，28029，西班牙，34 918222699，guerrasmoreira@hotmail.com %K酒精使用%K与男性发生性关系的男性%K MSM %K约会应用程序或网站%K新的招聘方法%K酒精使用障碍鉴定测试%K审计%K危险饮酒%K有害饮酒%K酗酒%K酒精相关问题%D 2022 %7 31.10.2022 %9原始论文%J JMIR公共卫生监测%G英语%X背景:美国和北欧的研究发现，男男性行为者(MSM)中酒精相关问题的患病率高于男性普通人群(GPM)。然而，他们中的大多数人依赖传统的抽样方法，而不是通过MSM约会应用程序和网站进行招聘。此外，南欧缺乏类似的比较。目的:本研究旨在比较西班牙MSM和GPM之间过度饮酒的几个指标。方法:总体而言，通过约会应用程序或网站为Méthysos项目招募了5862名男男性伴侣，并在2018年至2020年通过西班牙酒精和毒品家庭调查采用概率抽样方法招募了10349名普通男性伴侣。结果为危险或有害饮酒(酒精使用障碍识别测试[AUDIT]≥8)、危险饮酒(AUDIT-消费量≥4)、有害饮酒(AUDIT-问题≥4)、定期危险饮酒(>每周14标准饮酒)和每月狂饮。计算MSM和GPM的过度饮酒指标的流行率，并使用调整后的流行率(aPR)进行比较。 Two different aPRs and their 95% CIs were estimated using Poisson regression models with robust variance. The first was adjusted for sociodemographic characteristics, and the second was adjusted for the aforementioned covariates plus other drug use. Results: The prevalence of hazardous or harmful drinking was 15.6% (913/5862) among MSM versus 7.7% (902/10,349) among GPM. After adjusting for sociodemographic covariates, the risk was higher in MSM than in GPM for harmful or hazardous drinking (aPR 1.8, 95% CI 1.6-2.0), harmful drinking (aPR 2.3, 95% CI 2.0-2.7), and binge drinking (aPR 1.7, 95% CI 1.5-1.9); the same in both populations for hazardous drinking (aPR 0.9, 95% CI 0.9-1.0); and higher in GPM than in MSM for regular hazardous drinking (aPR 0.7, 95% CI 0.6-0.9). The relative excess risk of harmful drinking and binge drinking among MSM tended to increase with increasing education level and size of the place of residence, and the opposite was true for the deficit risk in regular hazardous drinking. Additional adjustment for other drug use greatly buffered the relative excess risk in harmful drinking and binge drinking in MSM, while it deepened its deficit risk in regular hazardous drinking. Conclusions: The use of web-based resources allowed recruiting a large sample of MSM. The risk of hazardous or harmful drinking was 80% greater in MSM than in GPM, which was mainly because of the higher risk of harmful drinking and binge drinking among MSM. Nearly 1 in 6 MSM would benefit from early brief alcohol intervention procedures. The subgroup with harmful or binge drinking combined with other drug use is an important contributor to excess MSM risk in hazardous or harmful drinking and must be a priority target for harm reduction interventions. %M 36315235 %R 10.2196/32888 %U https://publichealth.www.mybigtv.com/2022/10/e32888 %U https://doi.org/10.2196/32888 %U http://www.ncbi.nlm.nih.gov/pubmed/36315235