Alcohol misuse, sexual risk behaviour and adverse sexual health outcomes: evidence from Britain's national probability sexual behaviour surveys
Alcohol misuse, sexual risk behaviour and adverse sexual health outcomes: evidence from Britain's national probability sexual behaviour surveys
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DOI：
10.1093/pubmed/fdq056
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发表时间：
2011-06-01
影响因子：
4.4
通讯作者：
Mercer, Catherine H.
中科院分区：
文献类型：
--
作者：
Aicken, Catherine R. H.;Nardone, Anthony;Mercer, Catherine H.
背景 人口水平数据和在特定群体中进行的研究都存在酒精滥用、性危险行为和不良性健康结果之间关系的证据。我们使用两次连续调查的代表性数据来检验这些关联的变化。方法 1990-91 年和 2000-2001 年进行的概率调查涉及对 16-44 岁英国居民的访谈。结果 报告说醉酒是他们第一次异性性行为的主要原因的比例从 1946-49 出生的人中的 2.5% 增加到 1980-84 出生的人中的 6.4%。这些受访者更有可能报告在 16 岁之前发生过性行为、发生过早的性行为以及未采取避孕措施。通常饮酒量超过建议限度（“酗酒者”）的情况在那些报告伴侣数量较多以及过去一年与 2 个以上伴侣进行无保护性行为的人群中更为常见，但在性传播疾病诊所就诊/诊断的人群中则不然。男性酗酒者更有可能报告性功能问题，而女性酗酒者则更有可能使用紧急避孕药。在 1990/91 年和 2000/01 年之间，这些关系的程度并没有显着增加。 结论 在英国，性危险行为和一些不良性健康结果仍然与过量饮酒有关。这些发现支持在卫生服务中并通过更广泛的健康促进来解决酗酒与性健康之间的联系。
Background Evidence for relationships between alcohol misuse, sexual risk behaviour and adverse sexual health outcomes exists from both population-level data and studies undertaken in specific groups. We examine changes in these associations using representative data from two consecutive surveys.Methods Probability surveys conducted in 1990/91 and again in 2000/01 involving interviews with British residents aged 16-44.Results The proportion reporting being drunk as their main reason for first heterosexual intercourse increased from 2.5% among those born in 1946-49 to 6.4% of those born in 1980-84. These respondents were more likely to report intercourse before 16, that sex had occurred too soon, and contraception non-use. Usual alcohol consumption in excess of recommended limits ('heavy drinkers') was more common among those reporting larger partner numbers and unprotected sex with 2+ partners/past year but not with STD clinic attendance/diagnosis. Male heavy drinkers were more likely to report sexual function problems and female heavy drinkers using emergency contraception. The magnitude of these relationships did not significantly increase between 1990/91 and 2000/01.Conclusion In Britain, sexual risk behaviours and some adverse sexual health outcomes continue to be associated with excess alcohol consumption. These findings support addressing the link between alcohol misuse and sexual health in health services and through broader health promotion.