title: Inebriation, drinking motivations and sexual risk taking among sexually transmitted disease clinic patients in St. Petersburg, Russia.
abstract: We investigated whether inebriation was associated with having non-main partners and unprotected sex with non-main partners and whether drinking motivations were associated with sexual risk behaviors among patients attending an STD clinic in St Petersburg, Russia. A cross-sectional behavior survey was applied to 362 participants between 2008 and 2009. Multivariate logistic regression was used for analysis. At-risk drinking per Alcohol Use Disorders Identification Test (AUDIT-C) criteria (OR 2.5, 95% CI 1.4-4.4) was independently associated with having non-main sexual partners. Inebriation (OR 3.2, 95% CI 1.3-8.1) but not at-risk drinking or drinking prior to sex was associated with unprotected sex with non-main partners. Among drinkers, the consumption of alcohol to facilitate sexual encounters (OR 2.7, 95% CI 1.6-4.5) was associated with having non-main sexual partners. HIV prevention programs in Russia must address inebriation in addition to conventional patterns of problem drinking such as those measured by AUDIT-C and consider individuals' motivations to drink that lead to sexual risk taking.
authors.affiliation: Yale School of Public Health, 60 College Street, New Haven, CT, 06520, USA. nadia.abdala@yale.edu
authors.forename: Nadia
authors.initials: N
authors.lastname: Abdala
authors.forename: Lauretta E
authors.initials: LE
authors.lastname: Grau
authors.forename: Weihai
authors.initials: W
authors.lastname: Zhan
authors.forename: Alla V
authors.initials: AV
authors.lastname: Shaboltas
authors.forename: Roman V
authors.initials: RV
authors.lastname: Skochilov
authors.forename: Andrei P
authors.initials: AP
authors.lastname: Kozlov
authors.forename: Tatiana V
authors.initials: TV
authors.lastname: Krasnoselskikh
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects* / Q000453:epidemiology; D000435:Alcoholic Intoxication / Q000453:epidemiology*; D000554:Ambulatory Care Facilities; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D006801:Humans; D008297:Male; D009042:Motivation; D012309:Risk-Taking; D012426:Russia; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D011795:Surveys and Questionnaires; D047568:Unsafe Sex / Q000706:statistics & numerical data; D055815:Young Adult