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Alcohol use and high-risk sexual behavior among men who
have sex with men: the effects of consumption level and partner type.
Health Psychology 2004;23(5):525-532.
Vanable PA, McKirnan DJ, Buchbinder SP, Bartholow BN, Douglas JM, Judson
FN, MacQueen KM.
Abstract
Alcohol use may increase HIV sexual risk behavior, although findings have varied
across study populations and methods. Using event-level data from 1,712 seronegative
men who have sex with men, the authors tested the hypothesis that social
context would moderate the effect of alcohol consumption on unprotected anal
sex (UAS). For encounters involving a primary partner, rates of UAS did not
vary as a function of alcohol use. However, consumption of 4 or more drinks
tripled the likelihood of UAS for episodes involving a nonprimary partner.
Thus, the effects of alcohol vary according to the context in which it is
used. Interventions to reduce substance-related risk should be tailored to
the demands of maintaining sexual safety with nonprimary partners. ((c) 2004
APA, all rights reserved)