期刊
AIDS AND BEHAVIOR
卷 20, 期 -, 页码 S19-S39出版社
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-015-1108-9
关键词
Alcohol; Sexual behavior; Unprotected sex; Experimental methods; Meta-analysis
资金
- National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health [R01 AA021355]
- Child/Adolescent Biobehavioral HIV Research Training Grant from the National Institute of Mental Health of the National Institutes of Health [T32 MH078788]
Alcohol is associated with HIV and other sexually transmitted infections through increased sexual risk-taking behavior. Establishing a causal link between alcohol and sexual behavior has been challenging due to methodological limitations (e.g., reliance on cross-sectional designs). Experimental methods can be used to establish causality. The purpose of this meta-analysis was to evaluate the effects of alcohol consumption on unprotected sex intentions. We searched electronic bibliographic databases for records with relevant keywords; 26 manuscripts (k = 30 studies) met inclusion criteria. Results indicate that alcohol consumption is associated with greater intentions to engage in unprotected sex (d(+s) = 0.24, 0.35). The effect of alcohol on unprotected sex intentions was greater when sexual arousal was heightened. Alcohol consumption is causally linked to theoretical antecedents of sexual risk behavior, consistent with the alcohol myopia model. Addressing alcohol consumption as a determinant of unprotected sex intentions may lead to more effective HIV interventions.
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