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AIDS and Behavior
Erschienen in: AIDS and Behavior 6/2009

01.12.2009 | Original Paper

Alcohol as a Correlate of Unprotected Sexual Behavior Among People Living with HIV/AIDS: Review and Meta-Analysis

verfasst von: Paul A. Shuper, Narges Joharchi, Hyacinth Irving, Jürgen Rehm

Erschienen in: AIDS and Behavior | Ausgabe 6/2009

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Abstract

The present investigation attempted to quantify the relationship between alcohol consumption and unprotected sexual behavior among people living with HIV/AIDS (PLWHA). A comprehensive search of the literature was performed to identify key studies on alcohol and sexual risk behavior among PLWHA, and three separate meta-analyses were conducted to examine associations between unprotected sex and (1) any alcohol consumption, (2) problematic drinking, and (3) alcohol use in sexual contexts. Based on 27 relevant studies, meta-analyses demonstrated that any alcohol consumption (OR = 1.63, CI = 1.39–1.91), problematic drinking (OR = 1.69, CI = 1.45–1.97), and alcohol use in sexual contexts (OR = 1.98, CI = 1.63–2.39) were all found to be significantly associated with unprotected sex among PLWHA. Taken together, these results suggest that there is a significant link between PLWHA’s use of alcohol and their engagement in high-risk sexual behavior. These findings have implications for the development of interventions to reduce HIV transmission risk behavior in this population.
Fußnoten
1
In addition to the event-level investigation by Kiene et al. [40], a study by Barta et al. [71] employed telephone-based daily diary assessments and found a significant event-level association between PLWHA’s alcohol consumption prior to sex and the occurrence of unprotected sexual intercourse. Problematic drinking (i.e., alcohol dependence) was negatively related to unprotected sex. Due to the nature of the data analytic procedures and statistical outcomes presented by Barta et al. results from the study were not included in our meta-analyses.
 
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Metadaten
Titel
Alcohol as a Correlate of Unprotected Sexual Behavior Among People Living with HIV/AIDS: Review and Meta-Analysis
verfasst von
Paul A. Shuper
Narges Joharchi
Hyacinth Irving
Jürgen Rehm
Publikationsdatum
01.12.2009
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 6/2009
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-009-9589-z

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