Substance use and risky sexual behavior for exposure to HIV. Issues in methodology, interpretation, and prevention - PubMed (original) (raw)

Review

Substance use and risky sexual behavior for exposure to HIV. Issues in methodology, interpretation, and prevention

B C Leigh et al. Am Psychol. 1993 Oct.

Abstract

Recent reports have suggested that the use of alcohol or drugs is related to sexual behavior that is high risk for HIV infection. If substance use leads to unsafe sexual activity, understanding the dynamics of this relationship can contribute to research and preventive and educational efforts to contain the spread of AIDS. In this article, we review research on the relationship between substance use and high-risk sexual behavior. We then consider the inherent limitations of the research designs used to study this relationship, outline some methodological concerns including measurement and sampling issues, and comment on causal interpretations of correlational research findings. We end with a consideration of potential avenues for future research and a discussion of implications of these findings for current AIDS prevention policies.

PubMed Disclaimer

Similar articles

• Understanding the relationship between drug or alcohol use and high risk sexual activity for HIV transmission: where do we go from here?
  Stall R, Leigh B. Stall R, et al. Addiction. 1994 Feb;89(2):131-4. doi: 10.1111/j.1360-0443.1994.tb00863.x. Addiction. 1994. PMID: 8173473 No abstract available.
• A review of the literature on event-level substance use and sexual risk behavior among men who have sex with men.
  Vosburgh HW, Mansergh G, Sullivan PS, Purcell DW. Vosburgh HW, et al. AIDS Behav. 2012 Aug;16(6):1394-410. doi: 10.1007/s10461-011-0131-8. AIDS Behav. 2012. PMID: 22323004 Review.
• Risky sex behavior and substance use among young adults.
  Staton M, Leukefeld C, Logan TK, Zimmerman R, Lynam D, Milich R, Martin C, McClanahan K, Clayton R. Staton M, et al. Health Soc Work. 1999 May;24(2):147-54. doi: 10.1093/hsw/24.2.147. Health Soc Work. 1999. PMID: 10340165
• Predictors of HIV-related risk behaviors among heterosexuals in alcoholism treatment.
  Woods WJ, Avins AL, Lindan CP, Hudes ES, Boscarino JA, Clark WW. Woods WJ, et al. J Stud Alcohol. 1996 Sep;57(5):486-93. doi: 10.15288/jsa.1996.57.486. J Stud Alcohol. 1996. PMID: 8858546
• A review of the literature examining the relationship between alcohol use and HIV-related sexual risk-taking in young people.
  Donovan C, McEwan R. Donovan C, et al. Addiction. 1995 Mar;90(3):319-28. doi: 10.1046/j.1360-0443.1995.9033192.x. Addiction. 1995. PMID: 7735017 Review.

Cited by

• Sexual risk behavior in men attending Mardi Gras celebrations in New Orleans, Louisiana.
  Benotsch EG, Nettles CD, Wong F, Redmann J, Boschini J, Pinkerton SD, Ragsdale K, Mikytuck JJ. Benotsch EG, et al. J Community Health. 2007 Oct;32(5):343-56. doi: 10.1007/s10900-007-9054-8. J Community Health. 2007. PMID: 17922205 Free PMC article.
• Condom use assessment of persons in drug abuse treatment.
  Ross D, Schumacher JE. Ross D, et al. J Community Health. 2004 Dec;29(6):499-509. doi: 10.1007/s10900-004-3397-1. J Community Health. 2004. PMID: 15587348
• Psychiatric functioning and substance use: factors associated with HIV risk among incarcerated adolescents.
  Otto-Salaj LL, Gore-Felton C, McGarvey E, Canterbury RJ 2nd. Otto-Salaj LL, et al. Child Psychiatry Hum Dev. 2002 Winter;33(2):91-106. doi: 10.1023/a:1020714423998. Child Psychiatry Hum Dev. 2002. PMID: 12462349
• Epidemiology of HIV/AIDS among non-Hispanic black women in the United States.
  Whitmore SK, Satcher AJ, Hu S. Whitmore SK, et al. J Natl Med Assoc. 2005 Jul;97(7 Suppl):19S-24S. J Natl Med Assoc. 2005. PMID: 16080453 Free PMC article.
• Substance use and sexual risk within the context of gender inequality in South Africa.
  Wechsberg WM, Luseno W, Riehman K, Karg R, Browne F, Parry C. Wechsberg WM, et al. Subst Use Misuse. 2008 Jul;43(8-9):1186-201. doi: 10.1080/10826080801918247. Subst Use Misuse. 2008. PMID: 18649238 Free PMC article.

References

1. 1. Adlaf EM, Smart RG. Risk-taking and drug use behavior: an examination. Drug and Alcohol Dependence. 1983;11:287–296. - PubMed
2. 1. Babor TF, Stephens RS, Marlatt GA. Verbal report methods in clinical research on alcoholism: Response bias and its minimization. Journal of Studies on Alcohol. 1987;48:410–424. - PubMed
3. 1. Becker MH, Joseph JG. AIDS and behavioral change to reduce risk: A review. American Journal of Public Health. 1988;78:394–410. - PMC - PubMed
4. 1. Biglan A, Metzler CW, Wirt R, Ary D, Noell J, Ochs L, French C, Hood D. Social and behavioral factors associated with high-risk sexual behavior among adolescents. Journal of Behavioral Medicine. 1990;13:245–261. - PubMed
5. 1. Birnbaum IM, Parker ES. Acute effects of alcohol on storage and retrieval. In: Birnbaum IM, Parker ES, editors. Alcohol and human memory. Wiley: New York; 1977. pp. 99–108.

Appendix

Studies that include an analysis of the relationship of substance use to high-risk sexual activity

I. Global association studies: Relationship of general alcohol or drug use to risky sex

1. 1. Allen JP, Leadbeater BJ, Aber JL. The relationship of adolescents' expectations and values to delinquency, hard drug use, and unprotected sexual intercourse. Development and Psychopathology. 1990;2:85–98.
2. 1. Arya OP, Alergant CD, Annels EH, Carey PB, Ghosh AK, Goddard AD. Management of non-specific urethritis in men. British Journal of Venereal Diseases. 1978;54:414–421. - PMC - PubMed
3. 1. Biglan A, Metzler CW, Wirt R, Ary D, Noell J, Ochs L, French C, Hood D. Social and behavioral factors associated with high-risk sexual behavior among adolescents. Journal of Behavioral Medicine. 1990;13:245–261. - PubMed
4. 1. Bolton R, Vincke , Mak R, Dennehy E. Alcohol and risky sex: In search of an elusive connection. Medical Anthropology. 1992;14:323–363. - PubMed
5. 1. Chitwood DD, Comerford M. Drugs, sex, and AIDS risk: Cocaine users vs. opiate users. American Behavioral Scientist. 1990;33:465–477.

II. Situational association studies: Relationship of alcohol or drug use with sexual activity to risky sex

1. 1. Bagnall G, Plant M, Warwick W. Alcohol, drugs and AIDS-related risks: Results from a prospective study. AIDS Care. 1990;2:309–317. - PubMed
2. 1. Bolton R, Vincke , Mak R, Dennehy E. Alcohol and risky sex: In search of an elusive connection. Medical Anthropology. 1992;14:323–363. - PubMed
3. 1. Fisher JD, Misovich SJ. Evolution of college students" AIDS-related behavioral responses, attitudes, knowledge, and fear. AIDS Education and Prevention. 1990;2:322–337. - PubMed
4. 1. Gillmore MR, Butler SS, Lohr MJ, Gilchrist L. Substance use and other factors associated with risky sexual behavior among pregnant adolescents. Family Planning Perspectives. 1992;24:255–268. - PubMed
5. 1. Hingson RW, Strunin L, Berlin BM, Heeren T. Beliefs about AIDS, use of alcohol and drugs, and unprotected sex among Massachusetts adolescents. American Journal of Public Health. 1990a;80:295–299. - PMC - PubMed

III. Event analyses: Relationship of alcohol or drug use in sexual encounter to risky sex

1. 1. Cooper ML, Peirce RS, Huselid RF. Substance use and sexual risk taking among black and white adolescents. Health Psychology. in press. - PubMed
2. 1. Flanigan BJ, Hitch MA. Alcohol use, sexual intercourse, and contraception: An exploratory study. Journal of Alcohol and Drug Education. 1986;31(3):6–40. - PubMed
3. 1. Freimuth VS, Hammond SL, Edgar T, McDonald DA, Fink EL. Factors explaining intent, discussion and use of condoms in first-time sexual encounters. Health Education Research. 1992;7:203–215.
4. 1. Gold RS, Karmiloff-Smith A, Skinner MJ, Morton J. Situational factors and thought processes associated with unprotected intercourse in heterosexual students. AIDS Care. 1992;4:305–323. - PubMed
5. 1. Gold RS, Skinner MJ. Situational factors and thought processes associated with unprotected intercourse in young gay men. AIDS. 1992;6:1021–1030. - PubMed

Publication types

MeSH terms

LinkOut - more resources

• Full Text Sources

  • American Psychological Association
  • Europe PubMed Central
  • Ovid Technologies, Inc.
  • PubMed Central

• Medical

  • MedlinePlus Consumer Health Information
  • MedlinePlus Health Information