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01.09.2008 | Original Paper

A Daily Process Investigation of Alcohol-involved Sexual Risk Behavior Among Economically Disadvantaged Problem Drinkers Living with HIV/AIDS

verfasst von: William D. Barta, David B. Portnoy, Susan M. Kiene, Howard Tennen, Khamis S. Abu-Hasaballah, Rebecca Ferrer

Erschienen in: AIDS and Behavior | Ausgabe 5/2008

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Abstract

Alcohol use is believed to increase sexual risk behavior among people living with HIV/AIDS (PLWHA). As drinking and sexual risk acts often occur in the same social contexts, this association is difficult to confirm. In this study, electronic daily diaries were completed by 116 PLWHA over 5 weeks. This yielded a total of 1,464 records consisting of data pertaining to discrete occasions of anal and vaginal sex. Simultaneous within- and between-person multilevel analyses were conducted, including situational variables (partner type, partner serostatus, partner drinking) and individual difference variables (gender, level of alcohol dependence). The resulting model explains 27.5% of the variance and reveals that interactions among these situational and individual difference variables predict changes in the estimated rate of unprotected sex (US). Also, in defined contexts, the amount of alcohol consumed prior to sex significantly affects the rate of US among members of the sample. Implications are discussed.

Allen, J. P., & Wilson, V. B. (2003). Assessing alcohol problems: A guide for clinicians and researchers (2nd ed.). Washington: U.S. Department of Health and Human Services. National Institute on Alcohol Abuse and Alcoholism.

Anzala, A. O., Simonsen, J. N., Kimani, J., Ball, T. B., Nagelkerke, N. J. D., Rutherford, J., Ngugi, E. N., Bwayo, J. J., & Plummer, F. A. (2000). Acute sexually transmitted infections increase human immunodeficiency virus type 1 plasma viremia, increase plasma type 2 cytokines, and decrease CD4 cell counts. Journal of Infectious Disease, 182, 459–466.CrossRef

Bailey, S. L., Gao, W., & Clark, D. B. (2006). Diary study of substance use and unsafe sex among adolescents with substance use disorders. Journal of Adolescent Health, 38(3), 297.e13–297.e20.

Barta, W., Kiene, S. M., Tennen, H., Abu-Hasaballah, K. S., & Ferrer, R. (in press, AIDS Care). The idiographic study of inconsistent condom use behavior of persons living with HIV.

Barta, W. D. & Tennen, H. (in press). An idiographic-nomothetic approach to personality and psychological influences on health risk behavior. In F. Columbus (Ed.), Focus on personality and social psychology. Hauppauge: Nova Science Publishers.

Carpenter, K. M., & Hasin, D. S. (1998). Reasons for drinking alcohol: Relationships with DSM-IV alcohol diagnoses and alcohol consumption in a community sample. Psychology of Addictive Behaviors, 12(3), 168–184.CrossRef

Centers for Disease Control, Prevention. (2003). Advancing HIV prevention: New strategies for a changing epidemic–United States, 2003. Morbidity and Mortality Weekly Report, 52(15), 329–332.

Cooper, M. L., Flanagan, M. E., Talley, A. E., & Micheas, L. (2006). Individual differences in emotion regulation and their relation to risk taking during adolescence. In D. K. Snyder, J. A. Simpson, & J. N Hughes (Eds.), Emotion regulation in couples and families: Pathways to dysfunction and health (pp. 183–203). Washington: American Psychological Association.CrossRef

Dingle, G. A., & Oie, T. P. S. (1997). Is alcohol a cofactor of HIV and AIDS? Evidence from immunological and behavioral studies. Psychological Bulletin, 122(1), 56–71.PubMedCrossRef

Folch, C., Marks, G., Esteve, A., Zaragoza, K., Muñoz, R., & Casabona, J. (2006). Factors associated with unprotected sexual intercourse with steady male, casual male, and female partners among men who have sex with men in Barcelona, Spain. AIDS Education and Prevention, 18(3), 227–242.PubMedCrossRef

Forna, F. M., Fitzpatrick, L., Adimora, A. A., McLellan-Lemal, E., Leone, P., Brookes, J. T., Marks, G., & Greenberg, A. (2006). A case–control study of factors associated with HIV infection among black women. Journal of the National Medical Association, 98(11), 1798–1804.PubMed

Gaughan, M. (2006). The gender structure of adolescent peer influence on drinking. Journal of Health and Social Behavior, 47, 47–61.PubMedCrossRef

Kahneman, D., Krueger, A. B., Schkade, D. A., Schwarz, N., & Stone, A. A. (2004). A survey method for characterizing daily life experiences: The day reconstruction method. Science, 306, 1776–1780.PubMedCrossRef

Kalichman, S. C., Greenberg, J., & Abel, G. G. (1997). HIV-seropositive men who engage in high-risk sexual behavior: Psychological characteristics and implications for prevention. AIDS Care, 9, 441–450.PubMedCrossRef

Leigh, B. C., & Stall, R. (1993). Substance use and risky sexual behavior for exposure to HIV—issues in methodology, interpretation, and prevention. American Psychologist, 48, 1035–1045.PubMedCrossRef

Lejoyeux, M., Claudon, M., McLoughlin, M., & Adès, J. (2001). Comparison of alcohol-dependent patients with and without physiological dependence. European Addiction Research, 7, 198–201.PubMedCrossRef

Luke, D. A. (2004). Multilevel modeling. Thousand Oaks: Sage.

Maclure, M., & Mittleman, M. A. (2000). Should we use a case-crossover design? Annual Review of Public Health, 21, 193–221.PubMedCrossRef

MacDonald, T. K., Fong, G. T., Zanna, M. P., & Martineau, A. M. (2000). Alcohol myopia and condom use: Can alcohol intoxication be associated with more prudent behavior? Journal of Personality and Social Psychology, 78(4), 605–619.PubMedCrossRef

McCoul, M. D., & Haslam, N. (2001). Predicting high risk sexual behaviour in heterosexual and homosexual men: The roles of impulsivity and sensation seeking. Personality and Individual Differences, 31, 1303–1310.CrossRef

Morrison, D. M., Gillmore, R., Hoppe, M. J., Gaylord, J., Leigh, B. C., & Rainey, D. (2003). Adolescent drinking and sex: Findings from a daily diary study. Perspectives on Sexual and Reproductive Health, 35, 162–168.PubMedCrossRef

Nolen-Hoeksema, S. (2004). Gender differences in risk factors and consequences for alcohol use and problems. Clinical Psychology Review, 24(8), 981–1010.PubMedCrossRef

Petry, N. M. (1999). Alcohol use in HIV patients: What we don’t know may hurt us. International Journal of STD and AIDS, 10, 561–570.PubMedCrossRef

Purcell, D. W., Moss, S., Remien, R. H., Woods, W. J., & Parsons, J. T. (2005). Illicit substance use, sexual risk, and HIV-positive gay and bisexual men: Differences by serostatus of casual partners. AIDS, 19(Suppl 1), S37–S47.PubMed

Robinson, W. S. (1950). Ecological correlations and the behavior of individuals. American Sociological Review, 15, 351–357.CrossRef

Simons, J. S., & Carey, K. B. (2006). An affective and cognitive model of marijuana and alcohol problems. Addictive Behaviors, 31, 1578–1592.PubMedCrossRef

Singer, M. C., Erickson, P. I., Badiane, L., Diaz, R., Ortiz, D., Abraham, T., & Nicolaysen, A. M. (2006). Syndemics, sex and the city: Understanding sexually transmitted diseases in social and cultural context. Social Science and Medicine, 63(8), 2010–2021.PubMedCrossRef

Skinner, H. A., & Horn, J. L. (1984). Alcohol dependence scale: Users’ guide. Toronto: Addiction Research Foundation.

Smith, D. M., Wong, J. K., Hightower, G. K., Ignacio, C. C., Koelsch, K. K., Petropoulos, C. J., Richman, D. D., & Little, S. J. (2005). HIV drug resistance acquired through superinfection. AIDS, 19, 1251–1256.PubMedCrossRef

Snijders, T., & Bosker, R. (1999). Multilevel analysis: An introduction to basic and advanced multilevel modeling. London: Sage.

Steain, M. C., Wang, B., Dwyer, D. E., & Saksena, N. K. (2004). HIV-1 co-infection, superinfection, and recombination. Sexual Health, 1, 239–250.PubMedCrossRef

Stein, M., Herman, D. S., Trisvan, E., Pirraglia, P., Engler, P., & Anderson, B. J. (2005). Alcohol use and sexual risk behavior among human immunodeficiency virus-positive persons. Alcoholism: Clinical and Experimental Research, 29(5), 837–843.CrossRef

Suarez, T., & Miller, J. (2001). Negotiating risks in context: A perspective on unprotected anal intercourse and barebacking among men who have sex with men—where do we go from here? Archives of Sexual Behavior, 30(3), 287–300.PubMedCrossRef

Tennen, H., Affleck, G., Armeli, S., & Carney, M. A. (2000). A daily process approach to coping: Linking theory, research, and practice. American Psychologist, 55, 626–636.PubMedCrossRef

Thompson, S. C., Nanni, C., & Levine, A. (1996). The stressors and stress of being HIV-positive. AIDS Care, 8, 5–14.PubMedCrossRef

Toh, R. S., Hu, M. Y., & Lee, E. (2004). Respondent non-cooperation in surveys and diaries: An analysis of item non-response and panel attrition. International Journal of Market Research, 46(3), 311–326.

Van Kesteren, N. M. C., Hospers, H. J., & Kok, G. (2007). Sexual risk behavior among HIV-positive men who have sex with men: A literature review. Patient Education and Counseling, 65, 5–20.PubMedCrossRef

Vanable, P. A., McKirnan, D. J., Buchbinder, S. P, Bartholomew, B. N., Douglas, J. M., Judson, F. N., & MacQueen, K. M. (2004). Alcohol use and high-risk sexual behavior among men who have sex with men: The effects of consumption level and partner type. Health Psychology, 23(5), 525–532.PubMedCrossRef

Walls, T. A., & Schafer, J. L. (2006). Models for intensive longitudinal data. New York: Oxford.

Weinhardt, L. S., & Carey, M. P. (2000). Does alcohol lead to sexual risk behavior? Findings from event-level research. Annual Review of Sex Research, 11, 125–157.PubMed

Weinstein, N. D. (2007). Misleading tests of health behavior theories. Annals of Behavioral Medicine, 33(1), 1–10.PubMedCrossRef

Woodrome, S. E., Zimet, G. D., Orr, D. P., & Fortenberry, J. D. (2006). Dyadic alcohol use and relationship quality as predictors of condom non-use among adolescent females. Journal of Adolescent Health, 38, 305–306.PubMedCrossRef

Titel: A Daily Process Investigation of Alcohol-involved Sexual Risk Behavior Among Economically Disadvantaged Problem Drinkers Living with HIV/AIDS
verfasst von: William D. Barta
David B. Portnoy
Susan M. Kiene
Howard Tennen
Khamis S. Abu-Hasaballah
Rebecca Ferrer
Publikationsdatum: 01.09.2008
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 5/2008
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-007-9342-4

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