Center for Health and Behaviour, Syracurse University, Syracuse, NY 13244-2340, USA.
AIDS Behav. 2010 Aug;14(4):845-53. doi: 10.1007/s10461-008-9426-9. Epub 2008 Jul 22.
Multiple event-level methodology was used to examine the relation between risky sexual behavior and alcohol use among sexually active, heavy drinking college students (N = 221). Using a structured timeline follow-back interview, participants reported their sexual, alcohol, and drug use behaviors over a 3-month period. Over 2,700 vaginal or anal sexual events were reported from 177 participants. Overall, condom use was not associated with heavy or non-heavy alcohol consumption among those reporting both sexual events concurrent with heavy drinking and when no alcohol was consumed. Results from multilevel regression analyses revealed a more complex pattern. Among women, but not men, less condom use was associated with steady versus casual sexual partners, but partner type interacted with alcohol consumption such that less condom use occurred when heavy drinking preceded sex with steady partners. At the event-level, alcohol consumption among heavy drinking college students leads to risky sexual behavior but the relation differs by gender and partner type.
采用多事件水平方法，研究了性行为活跃且大量饮酒的大学生（N=221）中，性行为风险与饮酒之间的关系。使用结构化时间线回溯访谈，参与者报告了他们在 3 个月期间的性行为、饮酒和吸毒行为。177 名参与者共报告了超过 2700 次阴道或肛门性行为。总体而言，对于同时报告大量饮酒和不饮酒时发生的性行为事件的参与者， condom 的使用与大量饮酒或非大量饮酒之间没有关联。多层次回归分析的结果显示出更为复杂的模式。对于女性，但不是男性，与稳定的性伴侣相比， condom 的使用较少与偶然的性伴侣有关，但伴侣类型与饮酒相互作用，即当与稳定的性伴侣发生性行为之前大量饮酒时， condom 的使用会减少。在事件水平上，大量饮酒的大学生的饮酒行为会导致性行为风险，但这种关系因性别和伴侣类型而异。
