title: The use of qualitative comparative analysis for critical event research in Alcohol and HIV in Mumbai, India.
abstract: In this paper we use Qualitative Comparative Analysis (QCA) in critical event analysis to identify under what conditions alcohol is necessary in contributing to unprotected sex. The paper is based on a set of in-depth interviews with 84 men aged 18 = 29 from three typical low income communities in Mumbai who reported using alcohol and having sex with at least one nonspousal partner once or more in the 30 days prior to the interview. The interviews included narratives of critical events defined as recent (past 30-60 day) events involving sexual behavior with or without alcohol. The paper identifies themes related to alcohol, sexuality and condom use, uses QCA to identify and explain configurations leading to protected and unprotected sex, and explains the differences. The analysis shows that alcohol alone is not sufficient to explain any cases involving unprotected sex but alcohol in combination with partner type and contextual factors does explain unprotected sex for subsets of married and unmarried men.
authors.affiliation: Institute For Community Research, 2 Hartford Square West, Ste 100, Hartford, CT 06106, USA. Jean.schensul@icrweb.org
authors.forename: Jean J
authors.initials: JJ
authors.lastname: Schensul
authors.forename: Devyani
authors.initials: D
authors.lastname: Chandran
authors.forename: S K
authors.initials: SK
authors.lastname: Singh
authors.forename: Marlene
authors.initials: M
authors.lastname: Berg
authors.forename: Sharad
authors.initials: S
authors.lastname: Singh
authors.forename: Kamla
authors.initials: K
authors.lastname: Gupta
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology*; D017280:Condoms / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D006801:Humans; D007194:India / Q000453:epidemiology; D007407:Interviews as Topic; D008297:Male; D017533:Marital Status; D011204:Poverty Areas; D012107:Research Design; D012725:Sexual Behavior; D012747:Sexual Partners; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D014505:Urban Population; D055815:Young Adult