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2015 ; 19
(3
): 412-21
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Intoxication at last sexual intercourse and unprotected sex among HIV-positive
and HIV-negative individuals in Uganda: an event-level analysis
#MMPMID25074735
Kerridge BT
; Tran P
; Hasin DS
AIDS Behav
2015[Mar]; 19
(3
): 412-21
PMID25074735
show ga
This study examined, for the first time, the association between intoxication at
last sexual intercourse and unprotected sex separately among HIV-positive and
HIV-negative individuals. Data were derived from a nationally-representative
survey of Uganda in 2011. Multivariable logistic regression analyses of the
intoxication-unprotected sex association included adjustment for sociodemographic
and behavioral covariates that were also examined as moderators of the
association. Among HIV-positive individuals, intoxication was associated with
unprotected sex, whereas among HIV-negative individuals, the
intoxication-unprotected sex association was moderated by knowledge that condoms
prevent HIV transmission. The odds of unprotected sex was 2.67 times greater
among HIV-negative individuals who were unaware that condoms prevent HIV, an
association not observed among those who possessed such knowledge. The results
suggest that the intoxication-unprotected sex link be incorporated within Ugandan
National HIV Prevention Strategies among HIV-positive and HIV-negative
individuals. HIV-negative individuals who are unaware that condoms prevent HIV
should be targeted for interventions focusing on increasing HIV transmission
knowledge especially on the role of condoms in preventing the disease. The latter
interventions should also identify those sociocultural and political beliefs
about condom use that may serve as barriers to consistent condom use.