Alcohol use, anal sex, and other risky sexual behaviors among HIV-infected women and men

Heidi E. Hutton, Mary E. McCaul, Geetanjali Chander, Mollie W. Jenckes, Christine Nollen, Victoria L. Sharp, Emily J. Erbelding

Research output: Contribution to journalArticlepeer-review

Abstract

Effective sexual risk reduction strategies for HIV-infected individuals require an understanding of alcohol's influence on specific sexual behaviors. We conducted audio-computer-assisted-self-interviews on 910 patients from two HIV primary care programs. The association between alcohol use and risky sexual behaviors was examined using multivariable logistic regression adjusting for age, education, race/ethnicity and drug use. Frequent/binge drinking was associated with engaging in anal sex and having multiple sex partners among women, engaging in insertive anal sex among gay/bisexual men, and was unrelated to risky sexual behaviors among heterosexual men. Infrequent drinkers did not differ in sexual risk behaviors from abstainers among women or men. Finally, there was no interaction effect between race/ethnicity and alcohol use on the association with sexual risk behaviors. The study has yielded important new findings in several key areas with high relevance to HIV care. Results underscore the importance of routinely screening for alcohol use and risky sexual behaviors in HIV primary care.

Original languageEnglish (US)
Pages (from-to)1694-1704
Number of pages11
JournalAIDS and behavior
Volume17
Issue number5
DOIs
StatePublished - Jun 1 2013

Keywords

  • African American
  • Anal insertive sex
  • Bisexual men
  • Condom use
  • Frequent alcohol use
  • Gay men
  • Hispanic
  • Low frequency alcohol use
  • Multiple sex partners
  • Race
  • Receptive anal sex
  • Risky sexual behavior
  • Sexual activity
  • Sexual risk behaviour
  • Unprotected sex
  • Vaginal sex
  • Women

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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