Shillington A M, Cottler L B, Compton W M, Spitznagel E L
Department of Sociology, Social Work and Anthropology, Utah State University, Logan 84322, USA.
Int J Addict. 1995 Sep;30(11):1453-78. doi: 10.3109/10826089509055842.
The authors investigated the association between "heavy drinking" and sexual behaviors among 2,581 general population subjects from the St. Louis Epidemiologic Catchment Area survey conducted from 1981 to 1983. Lifetime sexual behaviors included promiscuity, infidelity, receiving money for sex, and same gender sex. It was found that sexual behaviors were associated with lifetime heavy drinking. Regardless of gender, race, or age, "heavy drinkers" were significantly more likely to report each of the high risk sexual behaviors, except same gender sex, compared to "nonheavy drinkers." With the multiple logistic regression analyses it was found that "heavy drinking" non-Black females, Black males regardless of drinking history, "heavy drinking" males, and younger subjects regardless of drinking history were at higher risk to report the high risk sexual behaviors. This study confirms that there is a strong association between "heavy drinking" and high risk sexual behaviors in a midwestern population. This is the first study to find an association between alcohol drinking patterns and high risk sexual behaviors in the general population. Implications of these findings for public health education efforts are discussed.
作者对1981年至1983年在圣路易斯流行病学集水区调查的2581名普通人群受试者中“大量饮酒”与性行为之间的关联进行了研究。终生性行为包括滥交、不忠、以性换钱和同性性行为。研究发现，性行为与终生大量饮酒有关。与“非大量饮酒者”相比，无论性别、种族或年龄，“大量饮酒者”更有可能报告除同性性行为外的每一种高风险性行为。通过多元逻辑回归分析发现，“大量饮酒”的非黑人女性、无论饮酒史如何的黑人男性、“大量饮酒”的男性以及无论饮酒史如何的年轻受试者报告高风险性行为的风险更高。这项研究证实，在中西部人群中，“大量饮酒”与高风险性行为之间存在密切关联。这是第一项发现饮酒模式与普通人群高风险性行为之间存在关联的研究。文中还讨论了这些发现对公共卫生教育工作的影响。
