Alcohol consumption, ART usage and high-risk sex among women infected with HIV
We examine the role of alcohol consumption on sexual risk behavior among a cohort of 187 sexually active HIV-infected women (aged 18-61) in care at an urban ambulatory clinic in New Orleans, Louisiana, U.S. Sexual risk behavior among women on and off antiretroviral therapy (ART) and the relationship...
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Veröffentlicht in: | AIDS and behavior 2007-03, Vol.11 (2), p.205-215 |
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creator | Theall, K P Clark, R A Powell, A Smith, H Kissinger, P |
description | We examine the role of alcohol consumption on sexual risk behavior among a cohort of 187 sexually active HIV-infected women (aged 18-61) in care at an urban ambulatory clinic in New Orleans, Louisiana, U.S. Sexual risk behavior among women on and off antiretroviral therapy (ART) and the relationship between alcohol use, ART, and behavior was also explored. One-fourth of respondents were classified as binge drinkers and the average number of drinking occasions per week ranged from none to 10-12. Approximately 60% were prescribed ART and self-reported adherence was 90%. One-third of the women reported no condom use at last vaginal sex, 62% reported inconsistent condom use for vaginal sex, and 7% had multiple male sex partners in the last month. Binge alcohol users and women on ART were significantly more likely to participate in each sexual risk outcome examined. Partner refusal of condom use was also significantly associated with binge drinking patterns. Results lend strength to the equivocal literature on the relationship between both alcohol and prescription of ART and sexual behavior. Enhanced detection of alcohol abuse, coupled with risk reduction counseling especially among women prescribed ART are important clinical practices in treating women with HIV. |
doi_str_mv | 10.1007/s10461-006-9159-6 |
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One-fourth of respondents were classified as binge drinkers and the average number of drinking occasions per week ranged from none to 10-12. Approximately 60% were prescribed ART and self-reported adherence was 90%. One-third of the women reported no condom use at last vaginal sex, 62% reported inconsistent condom use for vaginal sex, and 7% had multiple male sex partners in the last month. Binge alcohol users and women on ART were significantly more likely to participate in each sexual risk outcome examined. Partner refusal of condom use was also significantly associated with binge drinking patterns. Results lend strength to the equivocal literature on the relationship between both alcohol and prescription of ART and sexual behavior. Enhanced detection of alcohol abuse, coupled with risk reduction counseling especially among women prescribed ART are important clinical practices in treating women with HIV.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-006-9159-6</identifier><identifier>PMID: 16897350</identifier><identifier>CODEN: AIBEFC</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Acquired Immune Deficiency Syndrome ; Adolescent ; Adult ; AIDS ; Alcohol Abuse ; Alcohol Drinking ; Alcohol use ; Alcoholic beverages ; Alcohols ; Anti-HIV Agents - therapeutic use ; Antiretroviral agents ; Binge drinking ; Condoms ; Condoms - utilization ; Drinking Behavior ; Drug therapy ; Drug use ; Ethanol - poisoning ; Female ; Females ; Health sciences ; HIV ; HIV Infections - drug therapy ; HIV Infections - virology ; Human immunodeficiency virus ; Humans ; Interviews ; Louisiana ; Male ; Medications ; Middle Aged ; Public health ; Risk ; Risk reduction ; Risk taking ; Sexual Behavior ; Sexual Partners ; Sexually transmitted diseases ; Sociodemographics ; STD ; Unsafe Sex ; Vagina ; Womens health</subject><ispartof>AIDS and behavior, 2007-03, Vol.11 (2), p.205-215</ispartof><rights>Springer Science+Business Media, LLC 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c388t-de9af0e6e6db863ebcb25aed739c0e69fbb2ca8c20c48b3c25e97cbbc53b7a5f3</citedby><cites>FETCH-LOGICAL-c388t-de9af0e6e6db863ebcb25aed739c0e69fbb2ca8c20c48b3c25e97cbbc53b7a5f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27343,27923,27924,33773,33774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16897350$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Theall, K P</creatorcontrib><creatorcontrib>Clark, R A</creatorcontrib><creatorcontrib>Powell, A</creatorcontrib><creatorcontrib>Smith, H</creatorcontrib><creatorcontrib>Kissinger, P</creatorcontrib><title>Alcohol consumption, ART usage and high-risk sex among women infected with HIV</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><description>We examine the role of alcohol consumption on sexual risk behavior among a cohort of 187 sexually active HIV-infected women (aged 18-61) in care at an urban ambulatory clinic in New Orleans, Louisiana, U.S. Sexual risk behavior among women on and off antiretroviral therapy (ART) and the relationship between alcohol use, ART, and behavior was also explored. One-fourth of respondents were classified as binge drinkers and the average number of drinking occasions per week ranged from none to 10-12. Approximately 60% were prescribed ART and self-reported adherence was 90%. One-third of the women reported no condom use at last vaginal sex, 62% reported inconsistent condom use for vaginal sex, and 7% had multiple male sex partners in the last month. Binge alcohol users and women on ART were significantly more likely to participate in each sexual risk outcome examined. Partner refusal of condom use was also significantly associated with binge drinking patterns. Results lend strength to the equivocal literature on the relationship between both alcohol and prescription of ART and sexual behavior. Enhanced detection of alcohol abuse, coupled with risk reduction counseling especially among women prescribed ART are important clinical practices in treating women with HIV.</description><subject>Acquired Immune Deficiency Syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS</subject><subject>Alcohol Abuse</subject><subject>Alcohol Drinking</subject><subject>Alcohol use</subject><subject>Alcoholic beverages</subject><subject>Alcohols</subject><subject>Anti-HIV Agents - therapeutic use</subject><subject>Antiretroviral agents</subject><subject>Binge drinking</subject><subject>Condoms</subject><subject>Condoms - utilization</subject><subject>Drinking Behavior</subject><subject>Drug therapy</subject><subject>Drug use</subject><subject>Ethanol - poisoning</subject><subject>Female</subject><subject>Females</subject><subject>Health sciences</subject><subject>HIV</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - virology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Interviews</subject><subject>Louisiana</subject><subject>Male</subject><subject>Medications</subject><subject>Middle Aged</subject><subject>Public health</subject><subject>Risk</subject><subject>Risk reduction</subject><subject>Risk taking</subject><subject>Sexual Behavior</subject><subject>Sexual Partners</subject><subject>Sexually transmitted diseases</subject><subject>Sociodemographics</subject><subject>STD</subject><subject>Unsafe Sex</subject><subject>Vagina</subject><subject>Womens 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HIV-infected women (aged 18-61) in care at an urban ambulatory clinic in New Orleans, Louisiana, U.S. Sexual risk behavior among women on and off antiretroviral therapy (ART) and the relationship between alcohol use, ART, and behavior was also explored. One-fourth of respondents were classified as binge drinkers and the average number of drinking occasions per week ranged from none to 10-12. Approximately 60% were prescribed ART and self-reported adherence was 90%. One-third of the women reported no condom use at last vaginal sex, 62% reported inconsistent condom use for vaginal sex, and 7% had multiple male sex partners in the last month. Binge alcohol users and women on ART were significantly more likely to participate in each sexual risk outcome examined. Partner refusal of condom use was also significantly associated with binge drinking patterns. Results lend strength to the equivocal literature on the relationship between both alcohol and prescription of ART and sexual behavior. Enhanced detection of alcohol abuse, coupled with risk reduction counseling especially among women prescribed ART are important clinical practices in treating women with HIV.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>16897350</pmid><doi>10.1007/s10461-006-9159-6</doi><tpages>11</tpages></addata></record> |
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subjects | Acquired Immune Deficiency Syndrome Adolescent Adult AIDS Alcohol Abuse Alcohol Drinking Alcohol use Alcoholic beverages Alcohols Anti-HIV Agents - therapeutic use Antiretroviral agents Binge drinking Condoms Condoms - utilization Drinking Behavior Drug therapy Drug use Ethanol - poisoning Female Females Health sciences HIV HIV Infections - drug therapy HIV Infections - virology Human immunodeficiency virus Humans Interviews Louisiana Male Medications Middle Aged Public health Risk Risk reduction Risk taking Sexual Behavior Sexual Partners Sexually transmitted diseases Sociodemographics STD Unsafe Sex Vagina Womens health |
title | Alcohol consumption, ART usage and high-risk sex among women infected with HIV |
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