title: Sex-related alcohol expectancies and high-risk sexual behaviour among drinking adults in Kampala, Uganda.
abstract: Alcohol consumption, a risk factor for HIV transmission in sub-Saharan Africa, is considered high in Uganda. A cross sectional study was conducted to determine whether sex-related expectations about the effects of alcohol explain the association between alcohol use and risky sexual behaviours in a population-based sample of adults in Kampala. Associations between alcohol use (current and higher risk drinking) and high-risk sexual behaviours (multiple regular partners and casual sex) were tested. In age-sex-adjusted models, having multiple regular partners was associated with current drinking (odds ratio [OR] = 2.76, 95% confidence intervals [CIs] = 1.15, 6.63) and higher risk drinking (OR = 3.35, 95% CI = 1.28, 8.71). Associations were similar but not statistically significant for having a causal sex partner. Sex-related alcohol outcome expectancy was associated with both alcohol use and high-risk sexual behaviour and attenuated relationships between multiple regular partners and both current drinking (OR = 1.94, 95% CI = 0.57, 6.73) and higher risk drinking (OR = 2.44, 95% CI = 0.68, 8.80). In this setting sexual behaviours related with alcohol consumption were explained, in part, by sex-related expectations about the effects of alcohol. These expectations could be an important component to target in HIV education campaigns.
authors: a Trachoma Control Program, The Carter Center , Atlanta , GA , USA.
authors: Scott D
authors: SD
authors: Nash
authors: b Department of Medicine , Makerere University School of Medicine , Kampala , Uganda.
authors: Achilles
authors: A
authors: Katamba
authors: c Department of Social Work and Social Administration, Center for Social Science Research on AIDS , Makerere University School of Social Sciences , Kampala , Uganda.
authors: David Kaawa
authors: DK
authors: Mafigiri
authors: d Division of Cancer Epidemiology and Genetics, Department of Health and Human Services , National Cancer Institute, National Institutes of Health , Bethesda , MD , USA.
authors: Sam M
authors: SM
authors: Mbulaiteye
authors: e Department of Population Health Sciences , University of Wisconsin School of Medicine and Public Health , Madison , WI , USA.
authors: Ajay K
authors: AK
authors: Sethi
mesh_terms: D000328:Adult; D000428:Alcohol Drinking; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000635:transmission; D006801:Humans; D008297:Male; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior; D012747:Sexual Partners; D014454:Uganda; D047568:Unsafe Sex
keywords: Alcohol-related expectancies; HIV/AIDS; Uganda; high-risk sexual behaviour