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Intoxication at Last Sexual Intercourse and Unprotected Sex among HIV-Positive and HIV-Negative Individuals in Uganda: An Event-Level Analysis

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Abstract

This study examined, for the first time, the association between intoxication at last sexual intercourse and unprotected sex separately among HIV-positive and HIV-negative individuals. Data were derived from a nationally-representative survey of Uganda in 2011. Multivariable logistic regression analyses of the intoxication-unprotected sex association included adjustment for sociodemographic and behavioral covariates that were also examined as moderators of the association. Among HIV-positive individuals, intoxication was associated with unprotected sex, whereas among HIV-negative individuals, the intoxication-unprotected sex association was moderated by knowledge that condoms prevent HIV transmission. The odds of unprotected sex was 2.67 times greater among HIV-negative individuals who were unaware that condoms prevent HIV, an association not observed among those who possessed such knowledge. The results suggest that the intoxication-unprotected sex link be incorporated within Ugandan National HIV Prevention Strategies among HIV-positive and HIV-negative individuals. HIV-negative individuals who are unaware that condoms prevent HIV should be targeted for interventions focusing on increasing HIV transmission knowledge especially on the role of condoms in preventing the disease. The latter interventions should also identify those sociocultural and political beliefs about condom use that may serve as barriers to consistent condom use.

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Acknowledgments

This research was supported, by the National Institute on Drug Abuse, National Institutes of Health (5F32DA0364431: Dr. Kerridge) and the National Institute on Alcohol Abuse and Alcoholism (K05AA014223: Dr. Hasin).

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The views and opinions expressed in this report are those of the authors and should not be construed to represent the views of any of the sponsoring agencies of the government.

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Authors and Affiliations

  1. Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, 10032, USA

    Bradley T. Kerridge & Deborah S. Hasin

  2. St. George’s University, SGU Caribbean Medical School, True Blue, Grenada, West Indies

    Phu Tran

  3. Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, 10032, USA

    Deborah S. Hasin

  4. Department of Epidemiology, Mailman School of Public Health and College of Physician and Surgeons, Columbia University and, New York State Psychiatric Institute, 1051 Riverside Drive, Box 123, New York, 10032, USA

    Deborah S. Hasin

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  1. Bradley T. Kerridge
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Correspondence to Bradley T. Kerridge.

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Kerridge, B.T., Tran, P. & Hasin, D.S. Intoxication at Last Sexual Intercourse and Unprotected Sex among HIV-Positive and HIV-Negative Individuals in Uganda: An Event-Level Analysis. AIDS Behav 19, 412–421 (2015). https://doi.org/10.1007/s10461-014-0854-4

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  • DOI: https://doi.org/10.1007/s10461-014-0854-4

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