Alcohol Use, Partner Characteristics, and Condom Use Among HIV-Infected Russian Women: An Event-Level Study
Alcohol Use, Partner Characteristics, and Condom Use Among HIV-Infected Russian Women: An Event-Level Study
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DOI：
10.15288/jsad.2016.77.968
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发表时间：
2016-11-01
影响因子：
3.4
通讯作者：
Rassokhin, Vadim V.
中科院分区：
文献类型：
--
作者：
Brown, Jennifer L.;Diclemente, Ralph J.;Rassokhin, Vadim V.
目的：饮酒是影响HIV危险行为的显著因素。危险饮酒在俄罗斯妇女中很普遍，可能会导致避孕套使用量的减少。基于事件的研究表明，艾滋病毒危险行为可能会因情景因素而有所不同，包括伴侣特征和饮酒。这项研究调查了环境因素对最近一次性行为中使用避孕套的影响，该样本是感染艾滋病毒的俄罗斯妇女。方法：在俄罗斯圣彼得堡接受医疗护理的239名HIV感染妇女(平均年龄=30.0岁)完成了一次音频计算机辅助自访，评估了她们最后一次性行为的特征。多变量Logistic回归分析了以下情景因素之间的关系：(A)酒精使用，(B)伴侣类型，(C)伴侣的血清状况，以及(D)伴侣在最后一次性行为中是否使用避孕套进行阴道和/或肛交。结果：54.0%的人在最后一次性行为中进行了无保护措施的阴道和/或肛交。在调整后的Logistic回归模型中，无保护措施的性行为与参与者的饮酒无关(调整后的优势比[AOR]=0.72，95%CI[0.29，1.8])，但更有可能与饮酒的伴侣(AOR=2.3，95%CI[1.1，5.2])和感染HIV的伴侣(AOR=2.8，95%CI[1.6，4.9])发生在不稳定的伴侣关系中(AOR=0.36，95%CI[0.13，0.99])。结论：与饮酒的HIV感染者的关系越稳定，不使用避孕套的可能性越大。结果突出了在感染艾滋病毒的妇女的关系背景下解决酒精和性风险参与的交集的必要性。
Objective: Alcohol use is a prominent factor correlated with HIV risk behavior engagement. Hazardous drinking is prevalent among Russian women and may contribute to decreased condom use. Event-based studies suggest that HIV risk behaviors may vary based on situational factors including partner characteristics and alcohol use. This study investigated the effect of situational factors on condom use during the most recent sexual encounter among a sample of HIV-infected Russian women. Method: HIV-infected women (n = 239; mean age = 30.0 years) receiving medical care in St. Petersburg, Russia, completed an audio computer-assisted self-interview that assessed characteristics of their last sexual encounter. Multivariable logistic regression examined the associations between the following situational factors: (a) alcohol use, (b) partner type, (c) partner's serostatus, and (d) partner's alcohol use on whether a condom was used for vaginal and/or anal sex during the last sexual encounter. Results: A total of 54.0% engaged in unprotected vaginal and/or anal sex during their last sexual encounter. In an adjusted logistic regression model, unprotected sex did not differ by participants' alcohol use (adjusted odds ratio [AOR] = 0.72, 95% CI [0.29, 1.8]) but was more likely with partners who had consumed alcohol (AOR = 2.3, 95% CI [1.1, 5.2]) and HIV-infected partners (AOR = 2.8, 95% CI [1.6, 4.9]) and less likely to occur in the context of nonsteady partnerships (AOR = 0.36, 95% CI [0.13, 0.99]). Conclusions: More stable, steady relationships with HIV-infected partners who consumed alcohol were associated with greater likelihood of noncondom use. Results highlight the need to address the intersection of alcohol and sexual risk engagement within the context of HIV-infected women's relationships.