AIDS and Behavior

, Volume 13, Issue 6, pp 1021–1036 | Cite as

Alcohol as a Correlate of Unprotected Sexual Behavior Among People Living with HIV/AIDS: Review and Meta-Analysis

  • Paul A. Shuper
  • Narges Joharchi
  • Hyacinth Irving
  • Jürgen Rehm
Original Paper

Abstract

The present investigation attempted to quantify the relationship between alcohol consumption and unprotected sexual behavior among people living with HIV/AIDS (PLWHA). A comprehensive search of the literature was performed to identify key studies on alcohol and sexual risk behavior among PLWHA, and three separate meta-analyses were conducted to examine associations between unprotected sex and (1) any alcohol consumption, (2) problematic drinking, and (3) alcohol use in sexual contexts. Based on 27 relevant studies, meta-analyses demonstrated that any alcohol consumption (OR = 1.63, CI = 1.39–1.91), problematic drinking (OR = 1.69, CI = 1.45–1.97), and alcohol use in sexual contexts (OR = 1.98, CI = 1.63–2.39) were all found to be significantly associated with unprotected sex among PLWHA. Taken together, these results suggest that there is a significant link between PLWHA’s use of alcohol and their engagement in high-risk sexual behavior. These findings have implications for the development of interventions to reduce HIV transmission risk behavior in this population.

Keywords

Alcohol Condoms HIV Meta-analysis Sexual behavior 

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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Paul A. Shuper
    • 1
    • 2
  • Narges Joharchi
    • 1
  • Hyacinth Irving
    • 1
  • Jürgen Rehm
    • 1
    • 3
    • 4
  1. 1.Centre for Addiction and Mental HealthTorontoCanada
  2. 2.Department of PsychologyUniversity of TorontoTorontoCanada
  3. 3.Dalla Lana School of Public HealthUniversity of TorontoTorontoCanada
  4. 4.Institute for Clinical Psychology and PsychotherapyTU DresdenDresdenGermany

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