Cook Robert L, Clark Duncan B
Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Sex Transm Dis. 2005 Mar;32(3):156-64. doi: 10.1097/01.olq.0000151418.03899.97.
OBJECTIVE/GOAL: The objective of this study was to conduct a systematic review of published literature on the association between problematic alcohol consumption and sexually transmitted diseases (STDs).
Using a MEDLINE search (1995-2003) and article references, we identified articles that described measures of alcohol consumption and STDs and presented data on their association. For each eligible study, we classified the alcohol consumption measure as specific (problem drinking) or general, and examined study designs, study populations, STD measures, and results.
Of 42 eligible studies, 11 included specific measures of problem drinking, of which 8 found a significant association between alcohol consumption and at least 1 STD. The relationship did not appear to vary according to gender or pattern of alcohol consumption assessed.
The literature supports an overall association between problematic alcohol consumption and STDs, although their causal relationship cannot be determined with certainty from these observational studies. The findings have implications for prevention planners, clinicians, and individual patients at risk of STDs.
目的/目标：本研究的目的是对已发表的关于有问题饮酒与性传播疾病（STD）之间关联的文献进行系统综述。
通过检索MEDLINE（1995 - 2003年）及文章参考文献，我们确定了描述饮酒量测量方法和性传播疾病情况并提供两者关联数据的文章。对于每项符合条件的研究，我们将饮酒量测量方法分为特定类型（问题饮酒）或一般类型，并审查研究设计、研究人群、性传播疾病测量方法及结果。
在42项符合条件的研究中，11项纳入了问题饮酒的特定测量方法，其中8项发现饮酒与至少一种性传播疾病之间存在显著关联。所评估的关系似乎不因性别或饮酒模式而有所不同。
文献支持有问题饮酒与性传播疾病之间存在总体关联，尽管从这些观察性研究中无法确定它们之间的因果关系。这些发现对预防规划者、临床医生以及有性传播疾病风险的个体患者具有启示意义。
