Tobacco, Alcohol, Drug Use, and Intimate Partner Violence Among MSM Living With HIV.
Wei-Ti Chen, Chengshi Shiu, Joyce P Yang and 4 others
PMID 31633629WHAT IT FOUND
In men who have sex with men living with HIV, more reported intimate partner violence was linked to alcohol and other drug use in the previous week, not tobacco.
Tobacco use was high even without violence.
Key findings
01For each 1-unit increase in the partner violence score, the odds of any alcohol use increased by 100%, but the increase slowed at higher violence levels.
02For each 1-unit increase in the partner violence score, the odds of other drug use increased by 25%, and the odds of using more types of substances increased by 16%.
03Partner violence was not associated with tobacco use, and tobacco use was already common even when violence was low or absent.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study measured violence and substance use at the same time, so it cannot show which came first. All participants came from one Taipei hospital, so results may not apply to other places or groups. The other drug category combined many drugs because participants could not identify them, so it cannot say which drugs were involved. The alcohol measure did not record type or amount, so it cannot show how much drinking changed.
Declared interests
The authors declared no real or perceived vested interests. The article is listed as supported by NIH extramural and non-U.S. government research support.
The easy way to misread this
Do not read the alcohol and other drug links as proof that violence causes substance use. The study measured everything at one time, and tobacco was not associated with violence.