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International Journal of Behavioral Medicine

Erschienen in:

11.10.2016

Prevalence of Alcohol Use, Sexual Risk Behavior, and HIV Among Russians in High-Risk Settings: a Systematic Review and Meta-Analysis

verfasst von: Chiao-Wen Lan, Lori A. J. Scott-Sheldon, Kate B. Carey, Blair T. Johnson, Michael P. Carey

Erschienen in: International Journal of Behavioral Medicine | Ausgabe 2/2017

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Abstract

Purpose

The purpose of this study was to examine the (a) prevalence of and (b) association between alcohol, risky sex, and HIV among Russians at risk for primary or secondary HIV transmission.

Method

Electronic databases were searched to locate studies that sampled Russians, assessed alcohol use, and included either a behavioral measure of risk or a biological measure of HIV. Weighted mean (logit) effect sizes were calculated using random-effects assumptions. Moderator analyses were conducted using meta-regression.

Results

Studies (19) sampled 12,916 Russians (M _age = 29; 36 % women). Participants were recruited from clinical (52 %; e.g., sexually transmitted infection (STI) clinic, drug treatment), other high-risk community settings (32 %; e.g., sexual/drug networks), or both (16 %). Findings indicate that a substantial proportion of the participants used alcohol (77 %; 55 % heavy drinking). One half of participants reported using condoms (52 %), but only 29 % used condoms consistently. Most participants reported drinking before sex (64 %). Of the studies testing for HIV, 10 % of participants tested positive. Meta-regression analyses indicated that hazardous/harmful alcohol use was associated with increased risky behaviors (i.e., multiple partners, inconsistent condom use).

Conclusion

These findings support the need for and potential benefit of addressing alcohol use in HIV prevention programming in Russia.

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Because the prevalence of alcohol use, sexual risk behaviors, and HIV/STIs may have changed over time, we examined publication date as a possible predictor of the observed prevalence estimates. Publication date was not a predictor of alcohol use, sexual risk behaviors, or HIV/STIs, ps ≥ .06.

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Titel: Prevalence of Alcohol Use, Sexual Risk Behavior, and HIV Among Russians in High-Risk Settings: a Systematic Review and Meta-Analysis
verfasst von: Chiao-Wen Lan
Lori A. J. Scott-Sheldon
Kate B. Carey
Blair T. Johnson
Michael P. Carey
Publikationsdatum: 11.10.2016
Verlag: Springer US
Erschienen in: International Journal of Behavioral Medicine / Ausgabe 2/2017
Print ISSN: 1070-5503
Elektronische ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-016-9596-1

Springer Medizin

Abstract

Purpose

Method

Results

Conclusion

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