Alcohol expectancies and risky drinking among men and women at high-risk for HIV infection in Cape Town South Africa
Alcohol expectancies and risky drinking among men and women at high-risk for HIV infection in Cape Town South Africa
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DOI：
10.1016/j.addbeh.2007.01.026
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发表时间：
2007-10-01
影响因子：
4.4
通讯作者：
Jooste, Sean
中科院分区：
文献类型：
--
作者：
Kalichman, Seth C.;Simbayi, Leickness C.;Jooste, Sean
本研究探讨了南非开普敦性传播感染门诊患者中男性（N = 614）和女性（N = 158）在性行为前饮酒和性伴侣在性行为前饮酒的酒精结果预期的差异模式。分层回归，控制年龄，教育和酒精使用表明，男性的性增强酒精预期与性行为前饮酒和性伴侣在性行为前饮酒有关。行为去抑制预期与性行为前饮酒呈负相关。对于女性来说，酒精预期和性行为前饮酒之间没有联系，尽管性增强预期与性伴侣在性行为前饮酒有关。我们的结论是，酒精的结果预期，特别是预期酒精将提高性经验，与艾滋病毒传播的风险。针对艾滋病毒/艾滋病高危人群的降低性风险干预措施应直接针对酒精预期。(c)2007爱思唯尔有限公司保留所有权利。
This study examined the differential patterns of alcohol outcome expectancies in relation to drinking before sex and having sex partners who drink before sex among men (N = 614) and women (N = 158) sexually transmitted infections clinic patients in Cape Town South Africa. Hierarchical regressions, controlling for age, education, and alcohol use showed that men's sexual enhancement alcohol expectancies were associated with drinking before sex and having sex partners who drank before sex. Behavioral disinhibition expectancies were inversely related to drinking before sex. For women, there were no associations between alcohol expectancies and drinking before sex, although sexual enhancement expectancies were related to having sex partners who drank before sex. We conclude that alcohol outcome expectancies, particularly expectancies that alcohol will enhance sexual experiences, are related to HIV transmission risks. Sexual risk reduction interventions for those at greatest risk for HIV/AIDS should directly address alcohol expectancies. (c) 2007 Elsevier Ltd. All rights reserved.