Alcohol Research Group, Public Health Institute, 6475 Christie Avenue, Suite 400, Emeryville, CA 94608, USA.
AIDS Behav. 2010 Aug;14 Suppl 1(Suppl 1):S61-73. doi: 10.1007/s10461-010-9725-9.
This study critically examined associations among past year alcohol use, self-rated mental health and HIV risk-related behaviors for men and their partners, i.e., two or more partners and/or perpetration of partner violence. Data are reported from a population sample of 1,137 men aged 16-49 in Karnataka. Overall, 9.5% of all men reported HIV risk-related behaviors, 38.1% consumed alcohol, and about half (54.5%) of all current drinkers met criteria for hazardous alcohol use. Hazardous alcohol use and poorer mental health remained significantly associated with HIV-risk related behaviors after controlling for socio-demographics and psychosocial risk factors. More severe alcohol misuse, specifically alcohol dependence, and co-morbid hazardous alcohol use and poorer mental health, was associated with over two- and five-fold increases, respectively, in men's HIV risk-related behaviors. Implications of findings for HIV prevention and intervention programs for men and their partners and directions for future research are discussed.
本研究批判性地考察了过去一年的酒精使用、自我评估的心理健康状况与男性及其伴侣的 HIV 风险相关行为之间的关联，即两个或更多伴侣和/或伴侣暴力行为。数据来自卡纳塔克邦的一个 16-49 岁男性的人口样本。总体而言，9.5%的男性报告了 HIV 风险相关行为，38.1%的男性饮酒，约一半（54.5%）的当前饮酒者符合危险饮酒标准。在控制社会人口统计学和心理社会风险因素后，危险饮酒和较差的心理健康状况仍与 HIV 风险相关行为显著相关。更严重的酒精滥用，特别是酒精依赖，以及合并的危险饮酒和较差的心理健康状况，与男性 HIV 风险相关行为分别增加了两倍和五倍以上。讨论了这些发现对男性及其伴侣的 HIV 预防和干预计划的意义以及未来研究的方向。
