This study examined the
association between intoxication at last sexual intercourse and unprotected sex
using data derived from a nationally representative survey conducted in Uganda
in 2011.
Multivariable logistic regression analyses were used to examine the
intoxication-unprotected sex association separately among men and women,
adjusted for sociodemographic and behavioral covariates that were also examined
as moderators of the association.
Among men, intoxication at last sexual
intercourse was almost entirely attributed to their own drinking, while women
most frequently reported intoxication among their partners only.
Among women,
there was a significant association between their partner’s intoxication and
unprotected sex (adjusted odds ratio (AOR) = 1.36; 95% confidence interval (CI)
= 1.07–1.73). Intoxication was associated with unprotected sex among unmarried
men (AOR = 2.09; 95% CI = 1.45–2.84), an association not observed among married
men.
The results suggest that the alcohol-unprotected sex link should be
incorporated within Ugandan National HIV Prevention Strategy. These interventions
should be designed to target unmarried men. Programs that combine alcohol
reduction and address structural factors that constrain women’s ability to
negotiate condom use are also needed.
Full article at: http://goo.gl/WXKpj2
By:
1Department of Epidemiology, Mailman School
of Public Health, Columbia University, New York, New York, 10032, USA, Phone:
1-301-990-8391
2Office of HIV/AIDS, Bureau for Global
Health, United States Agency for International Development, Washington DC,
20004, USA
3St. George’s University, SGU Caribbean
Medical School, True Blue, Grenada, West Indies
4Laboratory of Epidemiology and Biometry,
Intramural Division of Clinical and Biological Research, National Institute on
Alcohol Abuse and Alcoholism, National Institutes of Health, 5636 Fishers Lane,
Rockville, Maryland, 20852, USA
Bradley T. Kerridge: moc.liamg@egdirrekyeldarb
Correspondence/Requests for Reprints to: Bradley Kerridge,
179 Sharpstead Lane, Gaithersburg, MD, 20878, USA, Email:moc.liamg@egdirrekyeldarb,
P: 301-990-8391
More at: https://twitter.com/hiv
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