HIV clinician / Delta Region AIDS Education & Training Center

A study of 1,130 students performed at a large, urban, minority-serving university in Florida showed 14% reported risky sexual behavior (having more than one sexual partner in one year and not using a condom the last time they had vaginal intercourse), and 11.9% reported consistent risky sexual behavior (having more than one partner in one year and not using condoms most or all of the time during the past 30 days). Alcohol use over the preceding month had the strongest independent association with both risky and consistent risky sexual behavior in multivariable analysis. This study demonstrated the need to address alcohol use when attempting prevention efforts for college-aged young adults. Among male commercial sex workers in Kenya who had sex with other men, the use of alcohol three or more days a week increased the chance of having unprotected anal sex (OR 1.63; 95% CI, 1.05-2.54). Among African-American men who have sex with other men or both men and women but are not self- identified as gay or bisexual, alcohol use and drug transactions have been shown to foster same-sex sexual activities, allowing and rationalizing unprotected and same-sex activities. A study in South Africa looked at the sexual behavior of men and women who were HIV-infected and who drank alcohol. For six weeks, sexual behavior and alcohol consumption were assessed daily by phone interviews. Fifty-eight HIV- positive women and 24 HIV-positive men reported drinking an average of 6.13 drinks when they drank; they also reported 4927 sex events, of which 80.17% were unprotected, with 58% of unprotected sex events occurring with HIV- negative or unknown HIV status partners. It was calculated that an estimated 2.95 incident HIV infections occurred during the study. Drinking alcohol before sex by either or both partners increased the proportion and number of subsequent unprotected sex events when the quantity of alcohol consumed corresponded to moderate or higher drinking. Prevention efforts need to address reducing alcohol-involved unprotected sex among both HIV-negative and HIV- positive persons. One intervention, also in Cape Town, South Africa, tried to decrease risky behaviors among persons who imbibe alcohol in an informal setting. The participants (117 men, 236 women) were randomized to attend either a one-hour HIV/alcohol information/education control group versus a three-hour theory- based behavioral HIV-alcohol risk-reduction intervention that focused on skills
Top-cited authors
Deborah J Konkle-Parker
  • University of Mississippi Medical Center
Phillip Griffin
  • Louisiana State University Health Sciences Center New Orleans
Kelly Gerhardstein
  • U.S. Department of Veterans Affairs
Harlee Kutzen
  • Louisiana State University Health Sciences Center New Orleans
Christine Sheehan Brennan
  • Louisiana State University Health Sciences Center New Orleans