The DOI matches its Crossref record; 53 of the 53 references it cites were found in a registry or an index.
Alcohol consumption and the intention to engage in unprotected sex: systematic review and meta‐analysis of experimental studies
Abstract
Aims To review and analyse in experimentally controlled studies the impact of alcohol consumption on intentions to engage in unprotected sex. To draw conclusions with respect to the question of whether alcohol has an independent effect on the incidence of human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs). Methods A systematic review and meta‐analysis of randomized controlled studies examined the association between blood alcohol content (BAC) and self‐perceived likelihood of using a condom during intercourse. The systematic review and meta‐analysis were conducted according to internationally standardized protocols (Preferred Reporting Items for Systematic Reviews and Meta‐Analyses: PRISMA). The meta‐analysis included an estimate of the dose–response effect, tests for publication bias and sensitivity analyses. Results Of the 12 studies included in the quantitative synthesis, our pooled analysis indicated that an increase in BAC of 0.1 mg/ml resulted in an increase of 5.0% (95% CI: 2.8–7.1%) in the indicated likelihood (indicated by a Likert scale) of engaging in unprotected sex. After adjusting for potential publication bias, this estimate dropped to 2.9% (95% CI: 2.0–3.9%). Thus, the larger the alcohol intake and the subsequent level of BAC, the higher the intentions to engage in unsafe sex. The main results were homogeneous, persisted in sensitivity analyses and after correction for publication bias. Conclusions Alcohol use is an independent risk factor for intentions to engage in unprotected sex, and as risky sex intentions have been shown to be linked to actual risk behavior, the role of alcohol consumption in the transmission of HIV and other STIs may be of public health importance.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Systematic reviews and meta‐analyses of the results of these experimental trials clearly indicated the causal impact of acute alcohol use (clearly shown for a blood alcohol concentration of 0.07 g/dl or more, but possibly even below) use on decisions/intentions about condomless sex, above and beyond the influence of expectations about alcohol and of underlying risk‐relevant personality traits 113,”
From The relationship between different dimensions of alcohol use and the burden of disease—an update (2017) · cites this paper as [114]
Citations
Cites
Bias in meta-analysis detected by a simple, graphical test
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997) · BMJ · doi:10.1136/bmj.315.7109.629 · Cited by 56,722
Meta-analysis in clinical trials
DerSimonian, R., & Laird, N. (1986) · Controlled Clinical Trials · doi:10.1016/0197-2456(86)90046-2 · Cited by 39,552
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000100 · Cited by 28,164
Operating characteristics of a rank correlation test for publication bias
Begg, C. B., & Mazumdar, M. (1994) · Biometrics · doi:10.2307/2533446 · Cited by 16,955
Duval, S., & Tweedie, R. (2000) · Biometrics · doi:10.1111/j.0006-341x.2000.00455.x · Cited by 14,099
Causality: Models, Reasoning, and Inference
Pearl, J. (2009) · doi:10.1017/cbo9780511803161 · Cited by 11,653
Food, nutrition, physical activity, and the prevention of cancer: a global perspective
Marmot, M. G., Atinmo, T., Byers, T., Chen, J., Hirohata, T., Jackson, A., James, W., Kolonel, L. N., Kumanyika, S., Leitzmann, C., et al. (2008) · Choice Reviews Online · doi:10.5860/choice.45-5024 · Cited by 5,368
Ezzati, M., López, A. D., Rodgers, A., & Murray, C. J. L. (2004) · Cited by 3,319
Alcohol myopia: Its prized and dangerous effects.
Steele, C. M., & Josephs, R. A. (1990) · American Psychologist · doi:10.1037/0003-066x.45.8.921 · Cited by 2,070
Theories of reasoned action and planned behavior as models of condom use: A meta-analysis.
Albarracín, D., Johnson, B. T., Fishbein, M., & Muellerleile, P. A. (2001) · Psychological Bulletin · doi:10.1037/0033-2909.127.1.142 · Cited by 1,806
Research works printed but not linked: 2
- StataCorp, 2009, Statistical Software: Release 11.0
- 10.1037/1064-1297.8.4.576 · DOI
Cited by
Sorted by citations
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
Self-citationBinge drinking: Health impact, prevalence, correlates and interventions
Kuntsche, E. N., Kuntsche, S., Thrul, J., & Gmel, G. E. (2017) · Psychology and Health · doi:10.1080/08870446.2017.1325889 · Cited by 407
Why young people's substance use matters for global health
Hall, W., Patton, G. C., Stockings, E., Weier, M., Lynskey, M. T., Morley, K. I., & Degenhardt, L. J. (2016) · The Lancet Psychiatry · doi:10.1016/s2215-0366(16)00013-4 · Cited by 360
MacArthur, G. J., Harrison, S., Caldwell, D. M., Hickman, M., & Campbell, R. (2016) · Addiction · doi:10.1111/add.13224 · Cited by 265
The MASH Research Team, Scott-Sheldon, L. A. J., Carey, K. B., Cunningham, K., Johnson, B. T., & Carey, M. P. (2016) · AIDS and Behavior · doi:10.1007/s10461-015-1108-9 · Cited by 260
Metadata
- Authors
- Rehm, J., Shield, K. D., Joharchi, N., & Shuper, P. A.
- Affiliations
- Centre for Addiction and Mental Health (CA)
- Corresponding author
- Shield, Kevin D.
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2011-12-12
- Volume
- 107
- Issue
- 1
- Pages
- 51-59
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W2108531713
- Cited by
- 344
- References
- 51
- Citations by year
- 2026: 11 · 2025: 9 · 2024: 15 · 2023: 21 · 2022: 22 · 2021: 21 · 2020: 33 · 2019: 19 · 2018: 36 · 2017: 36 · 2016: 37 · 2015: 34 · 2014: 23 · 2013: 20 · 2012: 7
- FWCI
- 1.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- alcohol consumption, unprotected sex, condom use intentions, blood alcohol concentration, HIV transmission, sexually transmitted infections, sexual risk behavior, dose-response relationship, publication bias
- MeSH terms
- Alcohol Drinking, Ethanol, Data Interpretation, Statistical, Dose-Response Relationship, Drug, Female, Humans, Male, Motivation, Risk Factors, HIV Infections, Linear Models, Randomized Controlled Trials as Topic, Condoms, Intention, Unsafe Sex
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
