Alcohol and HIV Risk Among Russian Women of Childbearing Age.
Russia has one of the fastest rising rates of HIV among women in the world. This study sought to identify key factors in HIV transmission among women in Russia. Data were collected as part of a larger clinical trial to prevent alcohol-exposed pregnancies (AEP). Women at risk for an AEP were recruited at women's clinics; 708 women, aged 18-44 (M = 29.04 years), completed HIV risk surveys. Structural Equation Modeling was used to test the relationships between alcohol use and sex behavior constructs with HIV/STI risk. While the model indicated that multiple factors are involved in women's HIV/STI risk, the independent alcohol use variable explains 20 % of the variance in women's HIV/STI risk. The findings suggest that alcohol use directly and indirectly predicts HIV/STI risk among women, and its effect is mediated by alcohol use before sex.
Department of Pediatrics, The University of Oklahoma Health Sciences Center, 940 N.E. 13th Street, Nicholson Tower, Suite 4900, Oklahoma City, OK, 73104, USA. Tatiana-Balachova@ouhsc.edu.
Tatiana
T
Balachova
Psychology Department, St. Petersburg State University, St. Petersburg, Russia.
Alla
A
Shaboltas
Psychology Department, St. Petersburg State University, St. Petersburg, Russia.
Andrey
A
Nasledov
Department of Pediatrics, The University of Oklahoma Health Sciences Center, 940 N.E. 13th Street, Nicholson Tower, Suite 4900, Oklahoma City, OK, 73104, USA.|School of Public Health, Georgia State University, Atlanta, GA, USA.
Mark
M
Chaffin
Psychology Department, St. Petersburg State University, St. Petersburg, Russia.
Julia
J
Batluk
Department of Pediatrics, The University of Oklahoma Health Sciences Center, 940 N.E. 13th Street, Nicholson Tower, Suite 4900, Oklahoma City, OK, 73104, USA.
Som
S
Bohora
Department of Pediatrics, The University of Oklahoma Health Sciences Center, 940 N.E. 13th Street, Nicholson Tower, Suite 4900, Oklahoma City, OK, 73104, USA.
Barbara
B
Bonner
National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Rockville, USA.
Kendall
K
Bryant
Psychology Department, St. Petersburg State University, St. Petersburg, Russia.
Larissa
L
Tsvetkova
Psychology Department, St. Petersburg State University, St. Petersburg, Russia.|Nizhny Novgorod State Pedagogical University, Nizhny Novgorod, Russia.
Elena
E
Volkova
D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology*; D000437:Alcoholism / Q000453:epidemiology*; D063425:Binge Drinking / Q000453:epidemiology*; D005260:Female; D015658:HIV Infections / Q000453:epidemiology*; D006801:Humans; D018570:Risk Assessment; D012426:Russia / Q000453:epidemiology; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012749:Sexually Transmitted Diseases / Q000453:epidemiology; D011795:Surveys and Questionnaires; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D055815:Young Adult
At-risk drinking; HIV/AIDS; Russia; Structural equation modeling; Women of childbearing age