title: Alcohol, Intercourse, and Condom Use Among Women Recently Involved in the Criminal Justice System: Findings from Integrated Global-Frequency and Event-Level Methods.
abstract: The scientific literature on alcohol and sexual risk behavior is marked by multiple theoretical perspectives and inconsistent findings from global-frequency and event-level studies. Multilevel measures of alcohol use and multiple sexual risk outcomes can be used to evaluate these perspectives and resolve these inconsistencies. Among women recently involved in the criminal justice system in Portland, Oregon, daily alcohol use and sexual behavior were measured during four 30-day intervals over one year. In mixed effects models, person-level, month-level, and day-level alcohol use were significantly associated with the occurrence of intercourse but not with the use of condoms during intercourse. Findings are also reported for main, casual, and exchange partners. The relationships between alcohol use and sexual risk behavior are complex: No single theoretical perspective is sufficient to account for the study findings, and increased risk may be mediated through changes in intercourse rather than through changes in condom use.
authors.affiliation: Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, E7133, Baltimore, MD, 21205, USA, bweir@jhsph.edu.
authors.forename: Brian W
authors.initials: BW
authors.lastname: Weir
authors.forename: Carl A
authors.initials: CA
authors.lastname: Latkin
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000523:psychology*; D003075:Coitus; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control*; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D062405:Motivational Interviewing; D055361:Multilevel Analysis; D009922:Oregon; D011330:Prisons; D012307:Risk Factors; D012309:Risk-Taking; D021841:Safe Sex / Q000706:statistics & numerical data; D012725:Sexual Behavior; D012747:Sexual Partners; D011795:Surveys and Questionnaires; D014754:Violence / Q000517:prevention & control* / Q000523:psychology
references.citation: J Acquir Immune Defic Syndr. 2010 Jan;53(1):136-43
references.pmid: 19734802
references.citation: J Adolesc Health. 1996 Nov;19(5):331-6
references.pmid: 8934293
references.citation: AIDS Behav. 2011 Apr;15(3):509-20
references.pmid: 20677019
references.citation: Int J Public Health. 2010 Jun;55(3):159-66
references.pmid: 19949966
references.citation: AIDS Care. 1996 Dec;8(6):655-69
references.pmid: 8993716
references.citation: J Adolesc Health. 2009 Jan;44(1):73-80
references.pmid: 19101461
references.citation: J Consult Clin Psychol. 1972 Oct;39(2):308-21
references.pmid: 4403912
references.citation: Am Psychol. 1986 Jul;41(7):751-64
references.pmid: 3527002
references.citation: J Stud Alcohol Drugs. 2009 Jul;70(4):508-15
references.pmid: 19515290
references.citation: Am Psychol. 1993 Oct;48(10):1035-45
references.pmid: 8256876
references.citation: J Abnorm Psychol. 1976 Dec;85(6):587-94
references.pmid: 993455
references.citation: J Pers Assess. 1994 Jun;62(3):385-97
references.pmid: 8027907
references.citation: Drug Alcohol Depend. 1996 Nov;42(3):175-81
references.pmid: 8912800
references.citation: Int J STD AIDS. 2001 Jun;12(6):365-75
references.pmid: 11368817
references.citation: Am Psychol. 1990 Aug;45(8):921-33
references.pmid: 2221564
references.citation: Alcohol Clin Exp Res. 2001 Oct;25(10):1487-93
references.pmid: 11696669
references.citation: Arch Sex Behav. 1996 Apr;25(2):141-54
references.pmid: 8740520
references.citation: Addict Behav. 1996 Mar-Apr;21(2):249-57
references.pmid: 8730528
references.citation: AIDS Behav. 2009 Jun;13(3):509-22
references.pmid: 18636325
references.citation: J Sex Res. 2002 May;39(2):145-52
references.pmid: 12476247
references.citation: AIDS Behav. 2009 Aug;13(4):757-82
references.pmid: 18236149
references.citation: Health Educ Res. 2004 Oct;19(5):492-500
references.pmid: 15155589
references.citation: Drug Alcohol Depend. 1996 Sep;42(1):49-54
references.pmid: 8889403
references.citation: Sex Transm Dis. 2002 Aug;29(8):476-82
references.pmid: 12172533
references.citation: AIDS. 1999 Dec 3;13(17):2459-68
references.pmid: 10597788
references.citation: Br J Addict. 1990 Jul;85(7):919-28
references.pmid: 2397319
references.citation: AIDS Care. 2005 Jun;17 Suppl 1:S102-13
references.pmid: 16096122
references.citation: Alcohol Res Health. 2010;33(3):167-78
references.pmid: 23584058
references.citation: Am J Prev Med. 2007 Jun;32(6 Suppl):S234-41
references.pmid: 17543716
references.citation: Am J Public Health. 2005 Mar;95(3):465-70
references.pmid: 15727978
references.citation: J Nerv Ment Dis. 1998 May;186(5):276-82
references.pmid: 9612444
references.citation: Subst Use Misuse. 2006;41(10-12):1465-507
references.pmid: 17002990
references.citation: Addiction. 2012 Jan;107(1):51-9
references.pmid: 22151318
references.citation: J Pers Soc Psychol. 1997 Nov;73(5):1052-63
references.pmid: 9364760
references.citation: Soc Sci Med. 2006 Oct;63(8):2010-21
references.pmid: 16782250
references.citation: Annu Rev Sex Res. 2000;11:125-57
references.pmid: 11351830
references.citation: Health Educ Q. 1986 Winter;13(4):359-71
references.pmid: 3781860
references.citation: J Pers Soc Psychol. 2000 Apr;78(4):605-19
references.pmid: 10794369
references.citation: AIDS Behav. 2007 Nov;11(6 Suppl):31-44
references.pmid: 17828588