Title | Inebriation, drinking motivations and sexual risk taking among sexually transmitted disease clinic patients in St. Petersburg, Russia. |
Publication Type | Journal Article |
Year of Publication | 2013 |
Authors | Abdala, Nadia, Lauretta E. Grau, Weihai Zhan, Alla V. Shaboltas, Roman V. Skochilov, Andrei P. Kozlov, and Tatiana V. Krasnoselskikh |
Journal | AIDS and behavior |
Volume | 17 |
Issue | 3 |
Pagination | 1144-50 |
Date Published | 2013 Mar |
ISSN | 1573-3254 |
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 |
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' motivations to drink that lead to sexual risk taking. |
DOI | 10.1007/s10461-011-0091-z |
Alternate Journal | AIDS Behav |