title: Alcohol, helping young adults to have unprotected sex with casual partners: findings from a daily diary study of alcohol use and sexual behavior.
abstract: OBJECTIVE
  To examine the event-level association between alcohol consumption and the likelihood of unprotected sex among college-age young adults considering contextual factors of partner type and amount of alcohol consumed.
  
  
  METHODS
  A 30-day, Web-based, structured daily diary was used to collect daily reports of sexual behaviors and alcohol use from 116 sexually active young adults, yielding 2,764 diary records. Each day we assessed the prior evening's behavior regarding alcohol consumption, opportunities for sex, sexual intercourse, condom use, and contextual factors including type of sexual partner.
  
  
  RESULTS
  Based on multilevel models, drinking proximal to events of sexual intercourse increased the likelihood of unprotected sex with casual but not steady partners. For women there was a positive association between number of drinks and a greater likelihood of unprotected sex with casual partners but a negative association with steady partners. Drinking during situations involving opportunities for sex with casual partners increased the likelihood of sex. For women especially, drinking more increased the likelihood of sex occurring regardless of partner type.
  
  
  CONCLUSIONS
  Failure to assess the contextual determinants of the alcohol-unprotected sex association may result in underestimates of the magnitude of this association. These data highlight an important area for intervention with young adults: reducing alcohol-involved sexual risk behavior with casual partners, especially among women.
authors.affiliation: Department of Medicine, The Warren Alpert Medical School of Brown University and Substance Abuse Research Unit, Rhode Island Hospital, Providence, Rhode Island, USA.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Kiene
authors.forename: William D
authors.initials: WD
authors.lastname: Barta
authors.forename: Howard
authors.initials: H
authors.lastname: Tennen
authors.forename: Stephen
authors.initials: S
authors.lastname: Armeli
mesh_terms: D000428:Alcohol Drinking / Q000453:epidemiology*; D015331:Cohort Studies; D003237:Connecticut / Q000453:epidemiology; D005260:Female; D006801:Humans; D020407:Internet; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D015233:Models, Statistical; D011446:Prospective Studies; D012307:Risk Factors; D012650:Self Disclosure; D012737:Sex Factors; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D013334:Students; D014495:Universities; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D055815:Young Adult