AIDS and Behavior

, Volume 17, Issue 5, pp 1724–1733

Relationship Between Alcohol Consumption Prior to Sex, Unprotected Sex and Prevalence of STI/HIV Among Socially Marginalized Men in Three Coastal Cities of Peru

  • Jorge L. Maguiña
  • Kelika A. Konda
  • Segundo R. Leon
  • Andrés G. Lescano
  • Jesse L. Clark
  • Eric R. Hall
  • Jeffrey D. Klausner
  • Tom J. Coates
  • Carlos F. Caceres
  • The NIMH Collaborative HIV/STD Prevention Trial Group
Original Paper

Abstract

This article presents data about the relationship between alcohol consumption prior to sex and unprotected sex and the prevalence of at least one sexually transmitted infection (STI) including HIV among socially marginalized men in three coastal Peruvians cities. During an epidemiological survey with 2,146 men, we assessed their STI prevalence, frequency of alcohol consumption prior to sex, unprotected sex and other sexual risk behaviors. The overall prevalence of at least one STI/HIV was 8.5 % (95 % CI 7.3–9.7), the prevalence of unprotected sex was 79.1 % (95 % CI 77.8–80.3) and alcohol consumption prior to sex with any of the last five sex partners in the previous 6 months was 68.9 % (95 % CI 66.9–70.9). Bivariate and multivariate analysis showed that alcohol consumption of participants or their partners prior to sex were associated with the prevalence of at least one STI, adjusted Prevalence Ratio (aPR) = 1.3 (95 % CI 1.01–1.68). Unprotected sex was significantly associated with alcohol consumption prior to sex when both partners used alcohol, aPR = 1.15 (95 % CI 1.10–1.20) or when either one of them used alcohol aPR = 1.14 (95 % CI 1.09–1.18). These findings concur with previous literature suggesting a relationship between alcohol consumption prior to sex and STI and HIV. These data improve our understanding of this relationship in this context and could be used to enhance STI and HIV prevention strategies for socially marginalized men in Peru.

Keywords

Alcohol consumption Sexual risk behavior Unprotected sex Sexually transmitted diseases Human immunodeficiency virus Marginalized population 

Resumen

Este artículo presenta datos de la relación entre el consumo de alcohol previo al sexo, el sexo no protegido y la prevalencia de al menos una infección de transmisión sexual (ITS) y VIH en hombres socialmente marginados de tres ciudades de la costa Peruana. En un estudio epidemiológico en 2,146 hombres, medimos las prevalencias de ITSs, la frecuencia de consumo de alcohol previo al sexo, frecuencia sexo no protegido y otras conductas sexuales de riesgo. La prevalencia total de al menos una ITS/VIH fue 8.5 % (IC 95 % 7.3–9.7), la prevalencia de sexo no protegido fue 79.1 % (CI 95 % 77.8–80.3) y el consumo de alcohol previo al sexo con al menos una de sus últimas cinco parejas en los últimos 6 meses fue 68.9 % (CI 95 % 66.9–70.9). El análisis bivariado y multivariado mostró que el consumo de alcohol de los participantes o sus parejas previo al sexo fue muy similar y asociado con la prevalencia de al menos una ITS/VIH, Razon de Prevalencia ajustado (RPa) = 1.3 (CI 95 % 1.01–1.68). El sexo no protegido estuvo asociado significativamente con el consumo de alcohol previo al sexo cuando ambos consumieron alcohol, RPa = 1.15 (95 % CI 1.10–1.20) o cuando al menos uno de ellos consumió alcohol, RPa = 1.14 (CI 95 % 1.09–1.18). Estos hallazgos concuerdan con previas publicaciones que sugieren una relación entre el consumo de alcohol previo al sexo e ITSs y VIH. Estos datos mejoran nuestra comprensión de esta relación en este contexto y podría ser utilizada para mejorar las estrategias de prevención para ITSs y VIH en hombres socialmente marginados del Perú.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Jorge L. Maguiña
    • 1
    • 3
    • 6
  • Kelika A. Konda
    • 2
  • Segundo R. Leon
    • 1
    • 5
  • Andrés G. Lescano
    • 3
  • Jesse L. Clark
    • 2
  • Eric R. Hall
    • 4
  • Jeffrey D. Klausner
    • 2
  • Tom J. Coates
    • 2
  • Carlos F. Caceres
    • 1
    • 5
  • The NIMH Collaborative HIV/STD Prevention Trial Group
    • 7
  1. 1.Unit of Health, Sexuality and Human DevelopmentCayetano Heredia Peruvian UniversityLimaPeru
  2. 2.David Geffen School of Medicine at University of California Los AngelesLos AngelesUSA
  3. 3.Department of ParasitologyUS Naval Medical Research Unit 6LimaPeru
  4. 4.Naval Medical Research CenterBethesdaUSA
  5. 5.Sexual Health Laboratory, Research and Development LaboratoryCayetano Heredia Peruvian UniversityLimaPeru
  6. 6.Post-graduate SchoolCayetano Heredia Peruvian UniversityLimaPeru
  7. 7.National Institute of Mental HealthBethesdaUSA

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