@article {3555, title = {Inebriation, drinking motivations and sexual risk taking among sexually transmitted disease clinic patients in St. Petersburg, Russia.}, journal = {AIDS and behavior}, volume = {17}, year = {2013}, month = {2013 Mar}, pages = {1144-50}, abstract = {We investigated whether inebriation was associated with having non-main partners and unprotected sex with non-main partners and whether drinking motivations were associated with sexual risk behaviors among patients attending an STD clinic in St Petersburg, Russia. A cross-sectional behavior survey was applied to 362 participants between 2008 and 2009. Multivariate logistic regression was used for analysis. At-risk drinking per Alcohol Use Disorders Identification Test (AUDIT-C) criteria (OR 2.5, 95\% CI 1.4-4.4) was independently associated with having non-main sexual partners. Inebriation (OR 3.2, 95\% CI 1.3-8.1) but not at-risk drinking or drinking prior to sex was associated with unprotected sex with non-main partners. Among drinkers, the consumption of alcohol to facilitate sexual encounters (OR 2.7, 95\% CI 1.6-4.5) was associated with having non-main sexual partners. HIV prevention programs in Russia must address inebriation in addition to conventional patterns of problem drinking such as those measured by AUDIT-C and consider individuals{\textquoteright} motivations to drink that lead to sexual risk taking.}, keywords = {Adult, Alcohol Drinking, Alcoholic Intoxication, Ambulatory Care Facilities, Female, HIV Infections, Humans, Male, Motivation, Questionnaires, Risk-Taking, Russia, Sexual Behavior, Sexually Transmitted Diseases, Unsafe Sex, Young Adult}, issn = {1573-3254}, doi = {10.1007/s10461-011-0091-z}, author = {Abdala, Nadia and Grau, Lauretta E and Zhan, Weihai and Shaboltas, Alla V and Skochilov, Roman V and Kozlov, Andrei P and Krasnoselskikh, Tatiana V} }