Alcohol Use Predicts Sexual Decision-Making: A Systematic Review and Meta-Analysis of the Experimental Literature.

Alcohol Use Predicts Sexual Decision-Making: A Systematic Review and Meta-Analysis of the Experimental Literature.
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DOI:
10.1007/s10461-015-1108-9
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发表时间:
2016-01
期刊:
影响因子:
4.4
通讯作者:
MASH Research Team
MASH Research Team
中科院分区:
医学2区
文献类型:
--
作者:
Scott-Sheldon LA;Carey KB;Cunningham K;Johnson BT;Carey MP;MASH Research Team

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酒精通过增加性冒险行为与艾滋病毒和其他性传播感染有关。由于方法上的限制(例如,依赖于横截面设计)。实验方法可以用来建立因果关系。这项荟萃分析的目的是评估饮酒对无保护性行为意图的影响。我们检索了电子书目数据库中相关关键词的记录; 26篇手稿(k = 30项研究)符合纳入标准。结果表明,酒精消费与更大的意图从事无保护措施的性行为(d+s = 0.24,0.35)。酒精对无保护性行为意图的影响在性唤起增强时更大。饮酒与性风险行为的理论前因有因果关系,与酒精近视模型一致。将饮酒作为无保护性行为意图的一个决定因素,可能会导致更有效的艾滋病毒干预措施。
Alcohol is associated with HIV and other sexually transmitted infections through increased sexual risk-taking behavior. Establishing a causal link between alcohol and sexual behavior has been challenging due to methodological limitations (e.g., reliance on cross-sectional designs). Experimental methods can be used to establish causality. The purpose of this meta-analysis was to evaluate the effects of alcohol consumption on unprotected sex intentions. We searched electronic bibliographic databases for records with relevant keywords; 26 manuscripts (k = 30 studies) met inclusion criteria. Results indicate that alcohol consumption is associated with greater intentions to engage in unprotected sex (d+s = 0.24, 0.35). The effect of alcohol on unprotected sex intentions was greater when sexual arousal was heightened. Alcohol consumption is causally linked to theoretical antecedents of sexual risk behavior, consistent with the alcohol myopia model. Addressing alcohol consumption as a determinant of unprotected sex intentions may lead to more effective HIV interventions.