Alcohol use as a marker for risky sexual behaviors and biologically confirmed sexually transmitted infections among young adult African-American women.
Alcohol use as a marker for risky sexual behaviors and biologically confirmed sexually transmitted infections among young adult African-American women.
复制标题
DOI：
10.1016/j.whi.2010.10.005
复制
发表时间：
2011-03
期刊：
影响因子：
--
通讯作者：
Robinson LS
中科院分区：
文献类型：
--
作者：
Seth P;Wingood GM;DiClemente RJ;Robinson LS
之前的研究主要集中在非裔美国妇女中非法药物使用与艾滋病毒/性传播感染风险行为之间的关系。很少有研究单独回顾酒精使用对危险性行为的作用。本研究探讨了非滥用水平的酒精使用和危险的性行为和性传播感染（STI）之间的关系，在年轻的成年非洲裔美国妇女。848名18-29岁的非洲裔美国妇女在基线时参与，6个月和12个月随访时分别有669名和673名妇女参与。参与者完成了一个音频计算机辅助调查访谈，评估社会人口统计学，酒精使用和危险的性行为。随后，参与者提供了两份用于性传播感染的阴道拭子样本。多变量logistic回归分析进行了横断面分析，非法药物使用作为协变量。饮酒的女性更有可能有多个伴侣和危险的伴侣。二元广义估计方程模型评估了基线时饮酒对12个月内危险性行为和性传播感染的影响。非法药物使用、干预组和基线结果测量作为协变量输入。在12个月的随访期内，饮酒预测衣原体阳性结果，任何性传播感染阳性结果，从不与临时伴侣使用避孕套。非滥用水平的饮酒频率与危险性行为和性传播感染相关并可预测危险性行为和性传播感染。针对非裔美国妇女的预防方案应包括关于酒精与艾滋病毒/性传播感染风险行为之间的联系以及潜在的负面健康后果的教育。
Previous research has primarily focused on the relationship between illicit drug use and HIV/STI-risk behavior among African American women. Very few studies have solely reviewed the role of alcohol use on risky sexual behavior. The present study examined the relationship between alcohol use at non-abuse levels and risky sexual behaviors and sexually transmitted infections (STIs) among young adult African American women. Eight hundred forty-eight African American women, 18–29, participated at baseline, with 669 and 673 women at 6- and 12-months follow-up, respectively. Participants completed an Audio Computer Assisted Survey Interview assessing sociodemographics, alcohol use, and risky sexual behaviors. Subsequently, participants provided two vaginal swab specimens for STIs. Multivariate logistic regression analyses were conducted for cross-sectional analyses, with illicit drug use as a covariate. Women who consumed alcohol were more likely to have multiple partners and risky partners. Binary generalized estimating equation models assessed the impact of alcohol use at baseline on risky sexual behavior and STIs over a 12-month period. Illicit drug use, intervention group, and baseline outcome measures were entered as covariates. Alcohol consumption predicted positive results for Chlamydia, positive results for any STI, and never using a condom with a casual partner over a 12-month follow-up period. Frequency of alcohol use at non-abuse levels was correlated with and predicted risky sexual behaviors and STIs. Prevention programs for African American women should incorporate education regarding the link between alcohol and HIV/STI-risk behaviors and the potential negative health consequences.
登录
查看更多内容
DOI：
10.1111/j.1530-0277.2008.00788.x
发表时间：
2008-11-01
影响因子：
3.2
作者：
Hutton, Heidi E.;McCaul, Mary E.;Erbelding, Emily J.
通讯作者：
Erbelding, Emily J.
影响因子：
4.3
作者：
Grau, E;Ortet, G
通讯作者：
Ortet, G
DOI：
10.2307/2135972
发表时间：
1995-01-01
期刊：
FAMILY PLANNING PERSPECTIVES
影响因子：
--
作者：
GRAVES, KL;LEIGH, BC
通讯作者：
LEIGH, BC
影响因子：
3.1
作者：
Fisher, Joseph C.;Cook, Peter A.;Kapiga, Saidi H.
通讯作者：
Kapiga, Saidi H.
影响因子：
1.8
作者：
Blobaum, Eve M.;Anderson, James F.
通讯作者：
Anderson, James F.