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Alcohol Use, Mental Health, and HIV-related Risk Behaviors among Adult Men in Karnataka

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Abstract

This study critically examined associations among past year alcohol use, self-rated mental health and HIV risk-related behaviors for men and their partners, i.e., two or more partners and/or perpetration of partner violence. Data are reported from a population sample of 1,137 men aged 16–49 in Karnataka. Overall, 9.5% of all men reported HIV risk-related behaviors, 38.1% consumed alcohol, and about half (54.5%) of all current drinkers met criteria for hazardous alcohol use. Hazardous alcohol use and poorer mental health remained significantly associated with HIV-risk related behaviors after controlling for socio-demographics and psychosocial risk factors. More severe alcohol misuse, specifically alcohol dependence, and co-morbid hazardous alcohol use and poorer mental health, was associated with over two- and five-fold increases, respectively, in men’s HIV risk-related behaviors. Implications of findings for HIV prevention and intervention programs for men and their partners and directions for future research are discussed.

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Acknowledgments

This work was supported by grants from the National Institute on Alcohol Abuse and Alcoholism to the Alcohol Research Group (Gender, Alcohol, and Culture: Secondary Analysis, R01AA015775, S. Wilsnack, PI; ARG sub-contract,T. Greenfield PI) and from the World Health Organization to the National Institute of Mental Health and Neurological Sciences (NIMHANS), Bangalore, India. We thank NIMHANS staff for the data collection.

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No conflicts of interest, financial or other, apply to any of the authors of this study.

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Correspondence to Madhabika B. Nayak.

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Nayak, M.B., Korcha, R.A. & Benegal, V. Alcohol Use, Mental Health, and HIV-related Risk Behaviors among Adult Men in Karnataka. AIDS Behav 14 (Suppl 1), 61–73 (2010). https://doi.org/10.1007/s10461-010-9725-9

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