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Event-level association between alcohol use and unprotected sex during last sex: evidence from population-based surveys in sub-Saharan Africa

BACKGROUND: HIV and risky alcohol use are intertwined public health issues in sub-Saharan Africa. Research supports the association between alcohol and unprotected sex, but there is limited data using event-level analysis to examine this relationship. METHODS: Using data from Demographic Health Surv...

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Autores principales: Kiene, Susan M, Subramanian, SV
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3686662/
https://www.ncbi.nlm.nih.gov/pubmed/23767763
http://dx.doi.org/10.1186/1471-2458-13-583
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author Kiene, Susan M
Subramanian, SV
author_facet Kiene, Susan M
Subramanian, SV
author_sort Kiene, Susan M
collection PubMed
description BACKGROUND: HIV and risky alcohol use are intertwined public health issues in sub-Saharan Africa. Research supports the association between alcohol and unprotected sex, but there is limited data using event-level analysis to examine this relationship. METHODS: Using data from Demographic Health Surveys and AIDS Information Surveys collected in 8 sub-Saharan African countries (Kenya, Lesotho, Mozambique, Rwanda, Swaziland, Tanzania, Zambia, and Zimbabwe) drunkenness (reporting male partner or both male and female partner being drunk during last sexual intercourse) at last sex was tested as a predictor of unprotected last sex among the male (n = 24,512) and female (n = 28,229) participants. Partner type, HIV test results, and the other variables were evaluated as effect modifiers of this relationship. RESULTS: Drunkenness at last sex had a negative effect on the likelihood of condom use among men (AOR 0.84, 95% CI 0.72-0.99) and a marginally significant effect among women (AOR 0.87, 95% CI 0.59-1.02) in Southern Africa. However, for men in Southern Africa, this effect was primarily observed with steady partners. Contrary to predictions, in both Southern and Eastern Africa, for men, drunkenness during sex with casual partners increased the odds of condom use. CONCLUSIONS: These data indicate a need to implement HIV prevention efforts that consider the role of alcohol use in precipitating unprotected sex and how it varies based upon partner type.
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spelling pubmed-36866622013-06-20 Event-level association between alcohol use and unprotected sex during last sex: evidence from population-based surveys in sub-Saharan Africa Kiene, Susan M Subramanian, SV BMC Public Health Research Article BACKGROUND: HIV and risky alcohol use are intertwined public health issues in sub-Saharan Africa. Research supports the association between alcohol and unprotected sex, but there is limited data using event-level analysis to examine this relationship. METHODS: Using data from Demographic Health Surveys and AIDS Information Surveys collected in 8 sub-Saharan African countries (Kenya, Lesotho, Mozambique, Rwanda, Swaziland, Tanzania, Zambia, and Zimbabwe) drunkenness (reporting male partner or both male and female partner being drunk during last sexual intercourse) at last sex was tested as a predictor of unprotected last sex among the male (n = 24,512) and female (n = 28,229) participants. Partner type, HIV test results, and the other variables were evaluated as effect modifiers of this relationship. RESULTS: Drunkenness at last sex had a negative effect on the likelihood of condom use among men (AOR 0.84, 95% CI 0.72-0.99) and a marginally significant effect among women (AOR 0.87, 95% CI 0.59-1.02) in Southern Africa. However, for men in Southern Africa, this effect was primarily observed with steady partners. Contrary to predictions, in both Southern and Eastern Africa, for men, drunkenness during sex with casual partners increased the odds of condom use. CONCLUSIONS: These data indicate a need to implement HIV prevention efforts that consider the role of alcohol use in precipitating unprotected sex and how it varies based upon partner type. BioMed Central 2013-06-15 /pmc/articles/PMC3686662/ /pubmed/23767763 http://dx.doi.org/10.1186/1471-2458-13-583 Text en Copyright © 2013 Kiene and Subramanian; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Kiene, Susan M
Subramanian, SV
Event-level association between alcohol use and unprotected sex during last sex: evidence from population-based surveys in sub-Saharan Africa
title Event-level association between alcohol use and unprotected sex during last sex: evidence from population-based surveys in sub-Saharan Africa
title_full Event-level association between alcohol use and unprotected sex during last sex: evidence from population-based surveys in sub-Saharan Africa
title_fullStr Event-level association between alcohol use and unprotected sex during last sex: evidence from population-based surveys in sub-Saharan Africa
title_full_unstemmed Event-level association between alcohol use and unprotected sex during last sex: evidence from population-based surveys in sub-Saharan Africa
title_short Event-level association between alcohol use and unprotected sex during last sex: evidence from population-based surveys in sub-Saharan Africa
title_sort event-level association between alcohol use and unprotected sex during last sex: evidence from population-based surveys in sub-saharan africa
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3686662/
https://www.ncbi.nlm.nih.gov/pubmed/23767763
http://dx.doi.org/10.1186/1471-2458-13-583
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