Format

Send to

Choose Destination
AIDS Behav. 2016 Jan;20 Suppl 1:S19-39. doi: 10.1007/s10461-015-1108-9.

Alcohol Use Predicts Sexual Decision-Making: A Systematic Review and Meta-Analysis of the Experimental Literature.

Author information

1
Centers for Behavioral and Preventive Medicine, The Miriam Hospital, CORO Building, Suite 309, 164 Summit Ave., Providence, RI, 02906, USA. lori_scott-sheldon@brown.edu.
2
Department of Psychiatry and Human Behavior, Alpert School of Medicine, Brown University, Providence, RI, USA. lori_scott-sheldon@brown.edu.
3
Department of Behavioral and Social Sciences, Brown School of Public Health, Providence, RI, USA. lori_scott-sheldon@brown.edu.
4
Center for Alcohol and Addiction Studies, Brown School of Public Health, Providence, RI, USA.
5
Centers for Behavioral and Preventive Medicine, The Miriam Hospital, CORO Building, Suite 309, 164 Summit Ave., Providence, RI, 02906, USA.
6
Department of Psychiatry and Human Behavior, Alpert School of Medicine, Brown University, Providence, RI, USA.
7
Bradley/Hasbro Children's Research Center, Rhode Island Hospital, Providence, RI, USA.
8
Department of Psychology, University of Connecticut, Storrs, CT, USA.
9
Department of Behavioral and Social Sciences, Brown School of Public Health, Providence, RI, USA.

Abstract

Alcohol is associated with HIV and other sexually transmitted infections through increased sexual risk-taking behavior. Establishing a causal link between alcohol and sexual behavior has been challenging due to methodological limitations (e.g., reliance on cross-sectional designs). Experimental methods can be used to establish causality. The purpose of this meta-analysis was to evaluate the effects of alcohol consumption on unprotected sex intentions. We searched electronic bibliographic databases for records with relevant keywords; 26 manuscripts (k = 30 studies) met inclusion criteria. Results indicate that alcohol consumption is associated with greater intentions to engage in unprotected sex (d +s = 0.24, 0.35). The effect of alcohol on unprotected sex intentions was greater when sexual arousal was heightened. Alcohol consumption is causally linked to theoretical antecedents of sexual risk behavior, consistent with the alcohol myopia model. Addressing alcohol consumption as a determinant of unprotected sex intentions may lead to more effective HIV interventions.

KEYWORDS:

Alcohol; Experimental methods; Meta-analysis; Sexual behavior; Unprotected sex

PMID:
26080689
PMCID:
PMC4683116
DOI:
10.1007/s10461-015-1108-9
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Springer Icon for PubMed Central
Loading ...
Support Center