Inebriation, Drinking Motivations and Sexual Risk Taking Among Sexually Transmitted Disease Clinic Patients in St. Petersburg, Russia
Inebriation, Drinking Motivations and Sexual Risk Taking Among Sexually Transmitted Disease Clinic Patients in St. Petersburg, Russia
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DOI：
10.1007/s10461-011-0091-z
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发表时间：
2013-03-01
影响因子：
4.4
通讯作者：
Krasnoselskikh, Tatiana V.
中科院分区：
文献类型：
--
作者：
Abdala, Nadia;Grau, Lauretta E.;Krasnoselskikh, Tatiana V.
在俄罗斯圣彼得堡的一家性病诊所就诊的患者中，我们调查了醉酒是否与非主要伴侣和与非主要伴侣发生无保护性行为有关，以及饮酒动机是否与性风险行为有关。在2008年至2009年期间，对362名参与者进行了横断面行为调查。多因素Logistic回归分析。根据酒精使用障碍识别测试（AUDIT-C）标准（OR 2.5，95%CI 1.4-4.4），有风险的饮酒与非主要性伴侣独立相关。醉酒（OR 3.2，95% CI 1.3-8.1）但无风险饮酒或性行为前饮酒与与非主要伴侣的无保护性行为相关。在饮酒者中，饮酒以促进性接触（OR 2.7，95% CI 1.6-4.5）与非主要性伴侣有关。俄罗斯的艾滋病毒预防计划必须解决醉酒问题，除了传统的饮酒模式，如AUDIT-C测量的饮酒模式，并考虑个人饮酒的动机，导致性风险。
We investigated whether inebriation was associated with having non-main partners and unprotected sex with non-main partners and whether drinking motivations were associated with sexual risk behaviors among patients attending an STD clinic in St Petersburg, Russia. A cross-sectional behavior survey was applied to 362 participants between 2008 and 2009. Multivariate logistic regression was used for analysis. At-risk drinking per Alcohol Use Disorders Identification Test (AUDIT-C) criteria (OR 2.5, 95% CI 1.4-4.4) was independently associated with having non-main sexual partners. Inebriation (OR 3.2, 95% CI 1.3-8.1) but not at-risk drinking or drinking prior to sex was associated with unprotected sex with non-main partners. Among drinkers, the consumption of alcohol to facilitate sexual encounters (OR 2.7, 95% CI 1.6-4.5) was associated with having non-main sexual partners. HIV prevention programs in Russia must address inebriation in addition to conventional patterns of problem drinking such as those measured by AUDIT-C and consider individuals' motivations to drink that lead to sexual risk taking.