Background: Research in other parts of the world has shows that men who have sex with men (MSM) may have higher rates of alcohol and tobacco use than the general population of men. Little is known about the pattern of tobacco and alcohol use among MSM in Nigeria. Aim: This study set out to assess the pattern of tobacco and alcohol use and to determine the factors associated with their use among a sample of MSM. Subjects and Methods: This cross-sectional descriptive study was carried out among 320 MSM. For the purpose of this study, we collaborated with an MSM-led registered Non-governmental organization (NGO) that works closely with the state and developmental partners to provide health programs exclusively for MSM in Lagos State. Data were collected using a pretested interviewer administered survey. MSM were recruited using a non-probability sampling technique (Snow ball sampling). Data analysis was carried out using Epi info version 3.5.3 and SPSS 17.0. Results: Up to 22.2% (71/320) were ever-smokers with 15.4% (49/320) remaining as current smokers. Among current smokers more than half of the men smoked daily and 36.7% (27/49) were heavy smokers (smoked more than 10 sticks per day). About one in three, 34.1% (109/320) currently drank alcohol with majority having their most recent drink less than a week before the study. Using the CAGE assessment for alcohol dependence, almost half of the current drinkers had a drinking problem. Respondents who used marijuana and those whose partners smoked were more likely to be current smokers. Current smokers, marijuana users and those whose partners consumed alcohol were more likely to have a drinking problem. Conclusion: Both tobacco and alcohol use is common among this sample of MSM. Efforts to address these issues should be given priority when planning health care programs targeted at MSM.
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