title: Risky sexual behavior among married alcoholic men.
abstract: The current study explored whether the wives of men entering alcoholism treatment are at risk for sexually transmitted infections (STIs) exposure as a result of their husbands' sexual risk behaviors. The extramarital relationships of married alcoholic men entering outpatient treatment (n = 125) were compared with those of a demographically matched community sample of nonalcoholic married men (n = 125). The proportion of alcoholic men who reported 1 or more extramarital affairs in the previous year (14%) was significantly higher than that of the community sample (4%). Additionally, only 2 alcoholic husbands and 1 nonalcoholic husband reported that his wife was aware of the extramarital relationship. For both groups, none of the men who engaged in extramarital relationships reported consistent use of condoms when having sexual intercourse with their wives or with their extramarital partners. These results suggest that wives of alcoholic men are unknowingly placed at risk for indirect exposure to STIs as a result of their husbands' sexual risk behaviors. Thus, infidelity in treatment-seeking alcohol-abusing men represents a significant public health issue.
authors.affiliation: Department of Psychiatry, University of Rochester Medical Center, Rochester, NY 14642, USA.
authors.forename: Julie H
authors.initials: JH
authors.lastname: Hall
authors.forename: William
authors.initials: W
authors.lastname: Fals-Stewart
authors.forename: Frank D
authors.initials: FD
authors.lastname: Fincham
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000523:psychology* / Q000628:therapy; D018562:Disease Transmission, Infectious / Q000517:prevention & control / Q000706:statistics & numerical data; D005114:Extramarital Relations / Q000523:psychology*; D006801:Humans; D008297:Male; D012307:Risk Factors; D012309:Risk-Taking; D012749:Sexually Transmitted Diseases / Q000517:prevention & control / Q000523:psychology* / Q000635:transmission; D012959:Socioeconomic Factors; D018454:Spouses / Q000523:psychology* / Q000706:statistics & numerical data; D047568:Unsafe Sex / Q000517:prevention & control / Q000523:psychology* / Q000706:statistics & numerical data