title: Association between alcohol use and sexually transmitted infection incidence among kenyan women engaged in transactional sex.
abstract: Few prospective studies have evaluated the association between alcohol use and STI acquisition among African women. We examined the association between baseline drinking frequency and STIs in a cohort of Kenyan women reporting transactional sex. The association between alcohol use and STI differed significantly by HIV status. Among 139 HIV-positive women, STI acquisition was significantly associated with consuming 1-7 drinks/week and marginally associated with ≥8 drinks/week in unadjusted analyses. However, no association between alcohol use and STIs was observed among 335 HIV-negative women. Addressing alcohol use within comprehensive HIV care may also reduce the burden of STIs among high-risk women.
authors.affiliation: Department of Epidemiology, University of Washington, 325 Ninth Ave, Box 359909, Seattle, WA, 98104, USA, ksw@uw.edu.
authors.forename: Kate S
authors.initials: KS
authors.lastname: Wilson
authors.forename: Katherine
authors.initials: K
authors.lastname: Odem-Davis
authors.forename: Juma
authors.initials: J
authors.lastname: Shafi
authors.forename: Francis
authors.initials: F
authors.lastname: Kashonga
authors.forename: George
authors.initials: G
authors.lastname: Wanje
authors.forename: Linnet
authors.initials: L
authors.lastname: Masese
authors.forename: Kishor
authors.initials: K
authors.lastname: Mandaliya
authors.forename: Walter
authors.initials: W
authors.lastname: Jaoko
authors.forename: R Scott
authors.initials: RS
authors.lastname: McClelland
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007630:Kenya / Q000453:epidemiology; D008137:Longitudinal Studies; D008875:Middle Aged; D011446:Prospective Studies; D012307:Risk Factors; D012309:Risk-Taking; D011477:Sex Work; D060386:Sex Workers / Q000523:psychology / Q000706:statistics & numerical data*; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000517:prevention & control