A Daily Process Investigation of Alcohol-involved Sexual Risk Behavior Among Economically Disadvantaged Problem Drinkers Living with HIV/AIDS
- 11 December 2007
- journal article
- Published by Springer Science and Business Media LLC in AIDS and Behavior
- Vol. 12 (5), 729-740
- https://doi.org/10.1007/s10461-007-9342-4
Abstract
Alcohol use is believed to increase sexual risk behavior among people living with HIV/AIDS (PLWHA). As drinking and sexual risk acts often occur in the same social contexts, this association is difficult to confirm. In this study, electronic daily diaries were completed by 116 PLWHA over 5 weeks. This yielded a total of 1,464 records consisting of data pertaining to discrete occasions of anal and vaginal sex. Simultaneous within- and between-person multilevel analyses were conducted, including situational variables (partner type, partner serostatus, partner drinking) and individual difference variables (gender, level of alcohol dependence). The resulting model explains 27.5% of the variance and reveals that interactions among these situational and individual difference variables predict changes in the estimated rate of unprotected sex (US). Also, in defined contexts, the amount of alcohol consumed prior to sex significantly affects the rate of US among members of the sample. Implications are discussed.Keywords
This publication has 35 references indexed in Scilit:
- The idiographic study of inconsistent condom use behavior of persons living with HIVAIDS Care, 2007
- Factors Associated with Unprotected Sexual Intercourse with Steady Male, Casual Male, and Female Partners Among Men Who Have Sex With Men in Barcelona, SpainAIDS Education and Prevention, 2006
- Diary study of substance use and unsafe sex among adolescents with substance use disordersJournal of Adolescent Health, 2006
- The Gender Structure of Adolescent Peer Influence on DrinkingJournal of Health and Social Behavior, 2006
- Individual Differences in Emotion Regulation and Their Relation to Risk Taking During Adolescence.Published by American Psychological Association (APA) ,2006
- A Survey Method for Characterizing Daily Life Experience: The Day Reconstruction MethodScience, 2004
- Acute Sexually Transmitted Infections Increase Human Immunodeficiency Virus Type 1 Plasma Viremia, Increase Plasma Type 2 Cytokines, and Decrease CD4 Cell CountsThe Journal of Infectious Diseases, 2000
- Reasons for drinking alcohol: Relationships with DSM-IV alcohol diagnoses and alcohol consumption in a community sample.Psychology of Addictive Behaviors, 1998
- HIV-seropositive men who engage in high-risk sexual behaviour: Psychological characteristics and implications for preventionAIDS Care, 1997
- Is alcohol a cofactor of HIV and AIDS? Evidence from immunological and behavioral studies.Psychological Bulletin, 1997