The Relationship Between Recent Alcohol Use and Sexual Behaviors: Gender Differences Among Sexually Transmitted Disease Clinic Patients
The Relationship Between Recent Alcohol Use and Sexual Behaviors: Gender Differences Among Sexually Transmitted Disease Clinic Patients
复制标题
DOI：
10.1111/j.1530-0277.2008.00788.x
复制
发表时间：
2008-11-01
影响因子：
3.2
通讯作者：
Erbelding, Emily J.
中科院分区：
文献类型：
--
作者：
Hutton, Heidi E.;McCaul, Mary E.;Erbelding, Emily J.
背景：酗酒与危险的性行为和性传播疾病（STD）有关。很少有研究按性别或在性病诊所调查这一点。本横断面研究探讨了酗酒和危险性行为/性病患者参加城市STD clinics.Method：共671性病门诊患者进行了测试，性病，并询问最近的酒精/药物使用和危险性行为，使用音频计算机辅助自我访谈之间的关联。酗酒和性行为/性传播疾病之间的关联进行了分析，采用logistic回归调整年龄，就业，和药物use.Results：酗酒报告的30%的女性和42%的男性。在接受肛交的比率上发现了性别差异，这一比率随着女性饮酒量的增加而线性增加，但在男性中没有差异。性别内分析显示，酗酒的女性进行肛交的比例是不酗酒的女性的两倍多（33.3%对15.9%; p < 0.05），是戒酒女性的3倍（11.1%; p < 0.05）。酗酒女性中有多个性伴侣的比例是戒酒女性的两倍多（40.5%比16.8%; p < 0.05）。女性酗酒者的淋病发病率是女性戒酒者的近5倍（10.6%比2.2%; p < 0.05）。控制药物使用后，酗酒和性行为/淋病之间的关联仍然存在。在男性中，危险性行为/性病的比率很高，但没有不同的酒精use.Conclusion：性病门诊患者的酗酒率很高。在女性中，酗酒与危险的性行为和性病诊断有着独特的联系。我们的研究结果支持需要定期筛查酗酒作为性病诊所临床护理的一部分。特别是女性酗酒者，可能会从共同解决酗酒和危险性行为的干预措施中受益。制定针对性别的干预措施可以改善这一人群的总体健康状况。
Background: Binge drinking is associated with risky sexual behaviors and sexually transmitted diseases (STDs). Few studies have investigated this by gender or in an STD clinic. This cross-sectional study examined the association between binge drinking and risky sexual behaviors/STDs among patients attending an urban STD clinic.Method: A total of 671 STD clinic patients were tested for STDs, and queried about recent alcohol/drug use and risky sexual behaviors using audio computer-assisted-self-interview. The association between binge drinking and sexual behaviors/STDs was analyzed using logistic regression adjusting for age, employment, and drug use.Results: Binge drinking was reported by 30% of women and 42% of men. Gender differences were found in rates of receptive anal sex which increased linearly with increased alcohol use among women but did not differ among men. Within gender analyses showed that women binge drinkers engaged in anal sex at more than twice the rate of women who drank alcohol without binges (33.3% vs. 15.9%; p < 0.05) and 3 times the rate of women who abstained from alcohol (11.1%; p < 0.05). Having multiple sex partners was more than twice as common among women binge drinkers than women abstainers (40.5% vs. 16.8%; p < 0.05). Gonorrhea was nearly 5 times higher among women binge drinkers compared to women abstainers (10.6% vs. 2.2%; p < 0.05). The association between binge drinking and sexual behaviors/gonorrhea remained after controlling for drug use. Among men, rates of risky sexual behaviors/STDs were high, but did not differ by alcohol use.Conclusion: Rates of binge drinking among STD clinic patients were high. Among women, binge drinking was uniquely associated with risky sexual behaviors and an STD diagnosis. Our findings support the need to routinely screen for binge drinking as part of clinical care in STD clinics. Women binge drinkers, in particular, may benefit from interventions that jointly address binge drinking and risky sexual behaviors. Developing gender-specific interventions could improve overall health outcomes in this population.