Association between intoxication at last sexual intercourse and unprotected sex among men and women in Uganda
Introduction: This study examined the association between intoxication at last sexual intercourse and unprotected sex using data derived from a nationally representative survey conducted in Uganda in 2011. Methodology: Multivariable logistic regression analyses were used to examine the intoxication...
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| Format: | Article |
| Language: | English |
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The Journal of Infection in Developing Countries
2014-11-01
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| Series: | Journal of Infection in Developing Countries |
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| Online Access: | https://jidc.org/index.php/journal/article/view/4832 |
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| author | Bradley Townsend Kerridge Delivette Castor Phu Tran Matthew Barnhart Roger Pickering |
| author_facet | Bradley Townsend Kerridge Delivette Castor Phu Tran Matthew Barnhart Roger Pickering |
| author_sort | Bradley Townsend Kerridge |
| collection | DOAJ |
| description | Introduction: This study examined the association between intoxication at last sexual intercourse and unprotected sex using data derived from a nationally representative survey conducted in Uganda in 2011.
Methodology: Multivariable logistic regression analyses were used to examine the intoxication-unprotected sex association separately among men and women, adjusted for sociodemographic and behavioral covariates that were also examined as moderators of the association.
Results: Among men, intoxication at last sexual intercourse was almost entirely attributed to their own drinking, while women most frequently reported intoxication among their partners only. Among women, there was a significant association between their partner’s intoxication and unprotected sex (adjusted odds ratio (AOR) = 1.36; 95% confidence interval (CI) = 1.07-1.73. Intoxication was associated with unprotected sex among unmarried men (AOR = 2.09; 95%; CI = 1.45-2.84), an association not observed among married men.
Conclusions: The results suggest that the alcohol-unprotected sex link should be incorporated within Ugandan National HIV Prevention Strategy. These interventions should be designed to target unmarried men. Programs that combine alcohol reduction and address structural factors that constrain women’s ability to negotiate condom use are also needed.
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| format | Article |
| id | doaj-art-5327f71f49b647fc9f6177d255df06bc |
| institution | OA Journals |
| issn | 1972-2680 |
| language | English |
| publishDate | 2014-11-01 |
| publisher | The Journal of Infection in Developing Countries |
| record_format | Article |
| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-5327f71f49b647fc9f6177d255df06bc2025-08-20T02:14:20ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802014-11-0181110.3855/jidc.4832Association between intoxication at last sexual intercourse and unprotected sex among men and women in UgandaBradley Townsend Kerridge0Delivette Castor1Phu Tran2Matthew Barnhart3Roger Pickering4Mailman School of Public Health, Columbia University, New York, United StatesUnited States Agency for International Development, Washington DC, United StatesSGU Caribbean Medical School, True Blue, Grenada, West IndiesUnited States Agency for International Development, Washington DC, United StatesNational Institute on Alcohol Abuse and Alcoholism National Institutes of Health, Rockville, Maryland, United StatesIntroduction: This study examined the association between intoxication at last sexual intercourse and unprotected sex using data derived from a nationally representative survey conducted in Uganda in 2011. Methodology: Multivariable logistic regression analyses were used to examine the intoxication-unprotected sex association separately among men and women, adjusted for sociodemographic and behavioral covariates that were also examined as moderators of the association. Results: Among men, intoxication at last sexual intercourse was almost entirely attributed to their own drinking, while women most frequently reported intoxication among their partners only. Among women, there was a significant association between their partner’s intoxication and unprotected sex (adjusted odds ratio (AOR) = 1.36; 95% confidence interval (CI) = 1.07-1.73. Intoxication was associated with unprotected sex among unmarried men (AOR = 2.09; 95%; CI = 1.45-2.84), an association not observed among married men. Conclusions: The results suggest that the alcohol-unprotected sex link should be incorporated within Ugandan National HIV Prevention Strategy. These interventions should be designed to target unmarried men. Programs that combine alcohol reduction and address structural factors that constrain women’s ability to negotiate condom use are also needed. https://jidc.org/index.php/journal/article/view/4832intoxicationalcoholunprotected sexAfricaHIVgender differences |
| spellingShingle | Bradley Townsend Kerridge Delivette Castor Phu Tran Matthew Barnhart Roger Pickering Association between intoxication at last sexual intercourse and unprotected sex among men and women in Uganda Journal of Infection in Developing Countries intoxication alcohol unprotected sex Africa HIV gender differences |
| title | Association between intoxication at last sexual intercourse and unprotected sex among men and women in Uganda |
| title_full | Association between intoxication at last sexual intercourse and unprotected sex among men and women in Uganda |
| title_fullStr | Association between intoxication at last sexual intercourse and unprotected sex among men and women in Uganda |
| title_full_unstemmed | Association between intoxication at last sexual intercourse and unprotected sex among men and women in Uganda |
| title_short | Association between intoxication at last sexual intercourse and unprotected sex among men and women in Uganda |
| title_sort | association between intoxication at last sexual intercourse and unprotected sex among men and women in uganda |
| topic | intoxication alcohol unprotected sex Africa HIV gender differences |
| url | https://jidc.org/index.php/journal/article/view/4832 |
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