AIDS and Behavior

, Volume 12, Issue 4, pp 594–603

The Relationship Between Alcohol Consumption and Unprotected Sex Among Known HIV-discordant Couples in Rwanda and Zambia

  • Matthew E. Coldiron
  • Rob Stephenson
  • Elwyn Chomba
  • Cheswa Vwalika
  • Etienne Karita
  • Kayitesi Kayitenkore
  • Amanda Tichacek
  • Leia Isanhart
  • Susan Allen
  • Alan Haworth
Original Paper

Abstract

Although alcohol abuse is highly prevalent in many countries in sub-Saharan Africa, little is known about the relationship between alcohol consumption and risky sexual behavior in these settings. An understanding of this relationship is particularly important given the high prevalence of HIV that exists in many of these countries. This study analyzes data collected from members of cohabiting HIV-discordant couples regarding alcohol consumption and self-reported condom use. After controlling for demographic and socioeconomic co-factors, alcohol use by male partners of HIV-discordant couples was associated with self-reported unprotected sex at follow-up. Counseling about alcohol use should be part of HIV testing and counseling programs, particularly among those found to be HIV-positive.

Keywords

HIV Alcohol Couples Condoms 

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Matthew E. Coldiron
    • 1
  • Rob Stephenson
    • 2
  • Elwyn Chomba
    • 3
  • Cheswa Vwalika
    • 1
    • 4
  • Etienne Karita
    • 1
    • 5
  • Kayitesi Kayitenkore
    • 1
    • 5
  • Amanda Tichacek
    • 1
    • 2
  • Leia Isanhart
    • 1
  • Susan Allen
    • 1
    • 2
  • Alan Haworth
    • 6
  1. 1.Rwanda Zambia HIV Research Group, Rollins School of Public HealthEmory UniversityAtlantaUSA
  2. 2.Hubert Department of Global Health, Rollins School of Public HealthEmory UniversityAtlantaUSA
  3. 3.University Teaching Hospital School of MedicineUniversity of ZambiaLusakaZambia
  4. 4.Zambia Emory HIV Research ProjectLusakaZambia
  5. 5.Project San FranciscoKigaliRwanda
  6. 6.The Ministry of Health Counseling Services Unit, Chainama Hills Hospital & Department of PsychiatryUniversity of Zambia School of MedicineLusakaZambia

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