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Alcohol Use and High-Risk Sexual Behavior in Sub-Saharan Africa: A Narrative Review

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Abstract

Sub-Saharan Africa (SSA) contains 10% of the world’s population and 60% of all people living with AIDS. Consequently, research investigating risk factors associated with HIV acquisition is a public health priority and one such risk factor is alcohol consumption. This article is a review of empirical studies on the association of alcohol and high-risk sexual behavior in SSA, with a focus on measurable outcomes generated from quantitative data. A critique of the literature is provided, with attention to methodological concerns. Empirically based theoretical orientations were used to interpret the reviewed research and to stimulate discussion about how to improve the state of the current literature. Based on this discussion, a model of alcohol and high-risk sexual behavior in an African context is proposed in order to integrate the existing literature and highlight areas in need of continued research.

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Notes

  1. The AUDIT is a 10-item self report measure that is commonly used to assess quantity and frequency of alcohol use to reliably identify individuals who are at risk of developing, or are currently experiencing, alcohol problems and has been validated in several countries (Saunders, Aasland, Baror, De la Fuente, & Grant, 1993).

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Acknowledgments

This research was supported in part by National Research Service Award F31 AA017076 from the National Institute on Alcohol Abuse and Alcoholism (NIAAA), and Senior Scientist Research and Mentoring Award K05 AA16928, also from NIAAA.

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  1. Department of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, NY, 13244, USA

    Sarah E. Woolf-King & Stephen A. Maisto

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  1. Sarah E. Woolf-King
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Correspondence to Sarah E. Woolf-King.

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Woolf-King, S.E., Maisto, S.A. Alcohol Use and High-Risk Sexual Behavior in Sub-Saharan Africa: A Narrative Review. Arch Sex Behav 40, 17–42 (2011). https://doi.org/10.1007/s10508-009-9516-4

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