Alcohol Use and Sexual Risk Behaviors among Individuals Infected with HIV: A Systematic Review and Meta-Analysis 2012 to Early 2013
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The purpose of this meta-analytic study is to summarize the current science concerning the (a) prevalence of alcohol use, (b) prevalence of sexual risk behaviors, and (c) association between alcohol use and sexual risk behaviors among people livingwithHIV/AIDS (PLWHA). Studies were included if they sampled PLWHA, evaluated both alcohol use and sexual risk behavior (e.g., condom use, multiple partners), and were published between January 1, 2012, and April 1, 2013. Comprehensive electronic database searches located 728 published studies with relevant keywords; 17 studies (k =19 reports) were included. Findings indicate that a substantial proportion of PLWHA use alcohol and engage in sexual risk behaviors. Among PLWHA, alcohol use was significantly associated with unprotected sex (d +=0.23, 95 % CI=0.05, 0.40; k =5). Secondary prevention programs for PLWHA that address alcohol use in the context of sexual behavior are needed.
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The association between alcohol use and HIV may have resulted in part from the causal impact of acute alcohol use on sexual decision-making, resulting in condomless sex.
“This association may have resulted, in part, from the causal impact of acute alcohol use on sexual decision‐making 107, resulting in condomless sex 105, 108, 109, 110, 111, 112, 113, 114.”
From The relationship between different dimensions of alcohol use and the burden of disease—an update (2017) · cites this paper as [108]
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The relationship between different dimensions of alcohol use and the burden of disease—an update
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- Authors
- the MASH Research Team, Scott-Sheldon, L. A. J., Walstrom, P., Carey, K. B., Johnson, B. T., & Carey, M. P.
- Affiliations
- Miriam Hospital (US)
- Brown University (US)
- University of Connecticut (US)
- Venue
- Current HIV/AIDS Reports
- Published
- 2013-09-28
- Volume
- 10
- Issue
- 4
- Pages
- 314-323
- ISSN
- 1548-3568 (ISSN-L)
- 1548-3576
- PMC
- PMC3946916
- OpenAlex
- W2032743077
- Cited by
- 104
- References
- 77
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 1 · 2023: 6 · 2022: 9 · 2021: 8 · 2020: 10 · 2019: 8 · 2018: 9 · 2017: 11 · 2016: 15 · 2015: 9 · 2014: 8
- FWCI
- 1.26
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current HIV/AIDS Reports (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r01aa021355-04)
- National Institute on Alcohol Abuse and Alcoholism (R01-AA021355)
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- alcohol consumption, sexual risk behavior, people living with HIV, HIV/AIDS, condom use, multiple sexual partners, unprotected sex, alcohol use prevalence
- MeSH terms
- Alcohol Drinking, Humans, Risk-Taking, Sexual Behavior, HIV Infections
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