Leigh B C, Temple M T, Trocki K F
Alcohol Research Group, Medical Research Institute of San Francisco, Berkeley, CA.
Soc Sci Med. 1994 Dec;39(11):1527-35. doi: 10.1016/0277-9536(94)90004-3.
Recent reports have indicated that the use of alcohol is related to sexual behavior (such as unprotected intercourse) that is high-risk for HIV infection. However, most of these studies have collected data from convenience samples, using measures of varying specificity. This paper describes a study designed to investigate the relationship of alcohol use to unsafe sexual activity in a representative sample of adults. Data were collected from 2058 respondents as part of a survey of a multi-stage area probability sample of the adult household population of the 48 contiguous United States. The interview instrument included measures of alcohol use, sexual activity and condom use. Logistic regression analyses showed that heavier drinkers were more likely to be sexually active, and if sexually active, were more likely to have had more than one sexual partner in the previous year. However, drinking variables were in general not significantly related to condom use. These results suggest that alcohol use may be more strongly related to lifestyle variables (general sexual activity and number of sexual partners) than to more concrete behavioral variables such as condom use. Because these data are correlational, the findings are also consistent with the notion of a general constellation of risk-taking or sensation-seeking activities that includes alcohol use and sexual activity.
最近的报告表明，饮酒与感染艾滋病毒风险较高的性行为（如无保护措施的性交）有关。然而，这些研究大多从方便样本中收集数据，使用的测量方法特异性各异。本文描述了一项旨在调查饮酒与具有代表性的成年样本中不安全的性行为之间关系的研究。作为对美国本土48个州成年家庭人口进行的多阶段区域概率抽样调查的一部分，从2058名受访者那里收集了数据。访谈工具包括饮酒情况、性行为和避孕套使用情况的测量。逻辑回归分析表明，饮酒量较大者更有可能进行性行为，而且如果有性行为，那么他们在前一年有多个性伴侣的可能性更大。然而，饮酒变量总体上与避孕套使用并无显著关联。这些结果表明，饮酒与生活方式变量（一般性活动和性伴侣数量）的关联可能比与诸如避孕套使用等更具体的行为变量的关联更为紧密。由于这些数据具有相关性，研究结果也与包括饮酒和性活动在内的冒险或寻求刺激活动的一般组合概念相一致。
