Prevalence of Alcohol Use, Sexual Risk Behavior, and HIV Among Russians in High-Risk Settings: a Systematic Review and Meta-Analysis
Open accessAbstract
Purpose The purpose of this study was to examine the (a) prevalence of and (b) association between alcohol, risky sex, and HIV among Russians at risk for primary or secondary HIV transmission.Method Electronic databases were searched to locate studies that sampled Russians, assessed alcohol use, and included either a behavioral measure of risk or a biological measure of HIV. Weighted mean (logit) effect sizes were calculated using random-effects assumptions. Moderator analyses were conducted using meta-regression.Results Studies (19) sampled 12,916 Russians (M age = 29; 36 % women). Participants were recruited from clinical (52 %; e.g., sexually transmitted infection (STI) clinic, drug treatment), other high-risk community settings (32 %; e.g., sexual/drug networks), or both (16 %). Findings indicate that a substantial proportion of the participants used alcohol (77 %; 55 % heavy drinking). One half of participants reported using condoms (52 %), but only 29 % used condoms consistently. Most participants reported drinking before sex (64 %). Of the studies testing for HIV, 10 % of participants tested positive. Meta-regression analyses indicated that hazardous/harmful alcohol use was associated with increased risky behaviors (i.e., multiple partners, inconsistent condom use).Conclusion These findings support the need for and potential benefit of addressing alcohol use in HIV prevention programming in Russia.
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Alcohol use is associated with HIV incidence and prevalence in systematic reviews and meta-analyses.
“Alcohol use was found to be associated with HIV incidence and prevalence in systematic reviews and meta‐analyses 100, 101, 102, 103, 104, 105, 106.”
From The relationship between different dimensions of alcohol use and the burden of disease—an update (2017) · cites this paper as [100]
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The relationship between different dimensions of alcohol use and the burden of disease—an update
Rehm, J., Gmel, G. E., Gmel, G., Hasan, O. S. M., Imtiaz, S., Popova, S., Probst, C., Roerecke, M., Room, R., Samokhvalov, A. V., et al. (2017) · Addiction · doi:10.1111/add.13757 · Cited by 1,204 · see citing works
- Authors
- Lan, C.-W., Scott-Sheldon, L. A. J., Carey, K. B., Johnson, B. T., & Carey, M. P.
- Affiliations
- Miriam Hospital (US)
- Brown University (US)
- University of Connecticut (US)
- Venue
- International Journal of Behavioral Medicine
- Published
- 2016-10-11
- Volume
- 24
- Issue
- 2
- Pages
- 180-190
- ISSN
- 1070-5503 (ISSN-L)
- 1532-7558
- PMC
- PMC5638440
- OpenAlex
- W2531261266
- Cited by
- 33
- References
- 56
- Citations by year
- 2025: 4 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 6 · 2019: 2 · 2018: 4 · 2017: 3
- FWCI
- 0.41
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01 AA021355)
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- alcohol consumption, sexual risk behavior, HIV prevalence, Russian, heavy drinking, condom use, premarital sex, multiple sexual partners, HIV prevention, vulnerable populations, sexually transmitted infections, drug users
- MeSH terms
- Alcohol Drinking, Female, Humans, Male, Risk-Taking, Russia, Sexual Behavior, Sexual Partners, HIV Infections, Prevalence, Condoms
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