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Medical News

Male Alcohol Use and Unprotected Sex With Non-Regular Partners: Evidence From Wine Shops in Chennai, India

April 24, 2008

Given that heterosexual transmission accounts for about 80 percent of HIV's spread in India, researchers undertook the current study to examine male alcohol use and its putative association with sexual risk in order to inform HIV prevention interventions.

From August 2002 to January 2003, 1,196 male patrons of wine shops or bars were surveyed as part of an ongoing HIV prevention trial in Chennai. The analysis explored associations between covariates related to sexual behavior and alcohol use and the outcome of unprotected intercourse with non-regular partners.

Forty-three percent of the respondents reported any unprotected sex with non-regular partners, and 24 percent reported four or more recent sexual partners. More than 85 percent reported using alcohol at least 10 days a month, while 17 percent reported daily drinking. In a typical drinking day, 49 percent reported consuming five or more drinks. Alcohol use prior to sex was reported by 89 percent of respondents. Unprotected sex with non-regular partners was significantly higher among unmarried men (OR=3.25), those who reported inconsistent income (OR=1.38), who used alcohol before sex (OR=1.75) and those with higher numbers of sexual partners (OR=14.5).

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"Our findings suggest that future HIV prevention interventions in India might consider discussing responsible alcohol use and its possible role in sexual risk," the researchers concluded. "These interventions should particularly consider involving unmarried men and weigh the role of structural factors such as access to income in developing prevention messages."

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Adapted from:
Drug and Alcohol Dependence
04.08.2008; Vol. 94; Nos.1-3: P. 133-141; S. Sivaram, A.K. Srikrishnan, C. Latkin, J. Iriondo-Perez, V.F. Go, S. Solomon, D.D. Celentano


  
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This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.
 
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