Drugs, alcohol and sexual health: opportunities to influence risk behaviour.
BACKGROUND
Alcohol and drug consumption can affect judgment and may contribute towards an increased likelihood of engaging in risky sexual behaviour. In this cross sectional survey of clients attending STI services levels of drug and alcohol use were assessed using two standardised drug and alcohol screening instruments (the PAT and the SDS).


RESULTS
The rates of hazardous alcohol consumption were similar to those found among patients attending A&E departments. Approximately 15% of clients indicated possible dependence on alcohol or other drugs, and these clients were likely to cite their substance use as related to their attendance, and to accept the offer of help or advice.


CONCLUSIONS
The use of brief screening instruments as part of routine clinical practice is recommended. The STI clinic is well placed to identify substance use and to offer advice and/or onward referral to specialist services.
Patton
Robert
R
National Addiction Centre, Institute of Psychiatry, Kings College London, UK. r.patton@iop.kcl.ac.uk
Keaney
Francis
F
Brady
Michael
M