Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 600 N. Wolfe St., Baltimore, MD 21287, USA.
AIDS Behav. 2013 Jun;17(5):1694-704. doi: 10.1007/s10461-012-0191-4.
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.
有效的 HIV 感染者性行为风险降低策略需要了解酒精对特定性行为的影响。我们对来自两个 HIV 初级保健项目的 910 名患者进行了音频计算机辅助自我访谈。使用多变量逻辑回归调整年龄、教育程度、种族/族裔和药物使用情况，检验了饮酒与危险性行为之间的关联。在女性中，频繁/狂饮与肛交和多个性伴侣有关，在男同性恋/双性恋男性中与插入性肛交有关，与异性恋男性的危险性行为无关。不常饮酒的女性和男性与不饮酒者在性行为风险方面没有差异。最后，种族/族裔和饮酒与性行为风险之间的关联没有交互作用。该研究在与 HIV 护理高度相关的几个关键领域取得了重要的新发现。结果强调了在 HIV 初级保健中常规筛查饮酒和危险性行为的重要性。
