TY - JOUR
T1 - Co-occurrence of intoxication during sex and sexually transmissible infections among young African American women
T2 - Does partner intoxication matter?
AU - Crosby, Richard A.
AU - Diclemente, Ralph J.
AU - Wingood, Gina M.
AU - Salazar, Laura F.
AU - Lang, Delia
AU - Rose, Eve
AU - McDermott-Sales, Jessica
PY - 2008
Y1 - 2008
N2 - Background: The co-occurrence of a behaviour (being intoxicated on alcohol/drugs during sex) with a disease outcome [laboratory-confirmed sexually transmissible infection (STI) prevalence] among young African American women and their male sex partners was studied. Methods: A cross-sectional study was conducted. Recruitment and data collection occurred in three clinics located in a metropolitan city of the Southern USA. A total of 715 African American adolescent females (15-21 years old) were enrolled (82% participation rate). The primary outcome measure was the analysis of self-collected vaginal swabs using nucleic acid amplification assays for Trichomonas vaginalis, Chlamydia trachomatis, and Neisseria gonorrhoeae. Results: After controlling for age and self-efficacy to negotiate condom use, young women's alcohol/drug use while having sex was not significantly associated with STI prevalence [adjusted odds ratios (AOR):≤:1.29, 95% confidence interval (CI):≤:0.90-1.83]. However, using the same covariates, the association between male partners' alcohol/drug use and sexually transmitted disease prevalence was significant (AOR:≤:1.44, 95% CI:≤:1.03-2.02). Young women reporting that their sex partners had been drunk or high while having sex (at least once in the past 60 days) were ∼1.4 times more likely to test positive for at least one of the three assessed STIs. Conclusion: Young African American women reporting a male sex partner had been intoxicated during sex were significantly more likely to have an STI. The nature of this phenomenon could be a consequence of women's selection of risky partners and lack of condom use possibly stemming from their intoxication or their partners' intoxication.
AB - Background: The co-occurrence of a behaviour (being intoxicated on alcohol/drugs during sex) with a disease outcome [laboratory-confirmed sexually transmissible infection (STI) prevalence] among young African American women and their male sex partners was studied. Methods: A cross-sectional study was conducted. Recruitment and data collection occurred in three clinics located in a metropolitan city of the Southern USA. A total of 715 African American adolescent females (15-21 years old) were enrolled (82% participation rate). The primary outcome measure was the analysis of self-collected vaginal swabs using nucleic acid amplification assays for Trichomonas vaginalis, Chlamydia trachomatis, and Neisseria gonorrhoeae. Results: After controlling for age and self-efficacy to negotiate condom use, young women's alcohol/drug use while having sex was not significantly associated with STI prevalence [adjusted odds ratios (AOR):≤:1.29, 95% confidence interval (CI):≤:0.90-1.83]. However, using the same covariates, the association between male partners' alcohol/drug use and sexually transmitted disease prevalence was significant (AOR:≤:1.44, 95% CI:≤:1.03-2.02). Young women reporting that their sex partners had been drunk or high while having sex (at least once in the past 60 days) were ∼1.4 times more likely to test positive for at least one of the three assessed STIs. Conclusion: Young African American women reporting a male sex partner had been intoxicated during sex were significantly more likely to have an STI. The nature of this phenomenon could be a consequence of women's selection of risky partners and lack of condom use possibly stemming from their intoxication or their partners' intoxication.
KW - Adolescent females
KW - Condom use
KW - Sexual behaviour
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U2 - 10.1071/SH07098
DO - 10.1071/SH07098
M3 - Article
C2 - 18771645
AN - SCOPUS:49449084865
SN - 1448-5028
VL - 5
SP - 285
EP - 289
JO - Sexual Health
JF - Sexual Health
IS - 3
ER -