@article{6163e93aaef045d68c2b9496fc78c7fd,
title = "Relationship between alcohol consumption prior to sex, unprotected sex and prevalence of STI/HIV among socially marginalized men in three coastal cities of Peru",
abstract = "This article presents data about the relationship between alcohol consumption prior to sex and unprotected sex and the prevalence of at least one sexually transmitted infection (STI) including HIV among socially marginalized men in three coastal Peruvians cities. During an epidemiological survey with 2,146 men, we assessed their STI prevalence, frequency of alcohol consumption prior to sex, unprotected sex and other sexual risk behaviors. The overall prevalence of at least one STI/HIV was 8.5 % (95 % CI 7.3-9.7), the prevalence of unprotected sex was 79.1 % (95 % CI 77.8-80.3) and alcohol consumption prior to sex with any of the last five sex partners in the previous 6 months was 68.9 % (95 % CI 66.9-70.9). Bivariate and multivariate analysis showed that alcohol consumption of participants or their partners prior to sex were associated with the prevalence of at least one STI, adjusted Prevalence Ratio (aPR) = 1.3 (95 % CI 1.01-1.68). Unprotected sex was significantly associated with alcohol consumption prior to sex when both partners used alcohol, aPR = 1.15 (95 % CI 1.10-1.20) or when either one of them used alcohol aPR = 1.14 (95 % CI 1.09-1.18). These findings concur with previous literature suggesting a relationship between alcohol consumption prior to sex and STI and HIV. These data improve our understanding of this relationship in this context and could be used to enhance STI and HIV prevention strategies for socially marginalized men in Peru.",
keywords = "Alcohol consumption, Human immunodeficiency virus, Marginalized population, Sexual risk behavior, Sexually transmitted diseases, Unprotected sex",
author = "Magui{\~n}a, {Jorge L.} and Konda, {Kelika A.} and Leon, {Segundo R.} and Lescano, {Andr{\'e}s G.} and Clark, {Jesse L.} and Hall, {Eric R.} and Klausner, {Jeffrey D.} and Coates, {Tom J.} and Caceres, {Carlos F.}",
note = "Funding Information: Disclaimer The views expressed in this article are those of the authors and do not necessarily the official policy or position of the Department of the Navy, Department of Defense, nor the US Government. This work was funded by the US National Institute of Mental Health (NIMH) and conducted following Institutional Review Board approval by NAMRU-6, UCLA, UCSF and UPCH in compliance with all applicable US and Peruvian regulations governing research with human subjects. The authors include military service members or employees of the US Government. This work was prepared as part of their official duties. Title 17 USC §105 provides that {\textquoteleft}{\textquoteleft}Copyright protection under this title is not available for any work of the United States Government{\textquoteright}{\textquoteright}. Title 17 USC §101 defines a US Government work as a work prepared by a military member or employee of the US Government as part of that person{\textquoteright}s official duties. This article was partially prepared as part of the activities of the Masters in Clinical epidemiology with mention in quantitative methods offered jointly by the Universidad Peruana Cayetano Heredia (UPCH) and NAMRU-6, Peru. This program is part of the grant 2D43 TW007393 {\textquoteleft}{\textquoteleft}Peru Infectious Diseases Epidemiology Research Training Consortium{\textquoteright}{\textquoteright}, sponsored by the Fogarty International Center of the US National Institutes of Health (NIH/FIC). The author is thankful for the support and guidance received from the faculty and fellow students of the program. Funding Information: Acknowledgments This study was funded by NIH/NIMH grant number U10 MH61536 which is a 5-country Cooperative Agreement being conducted in China, India, Peru, Russia, and Zimbabwe. Each site has selected a different venue and population with which to implement the prevention program entitled Community Public Opinion Leader (C-POL) Intervention.",
year = "2013",
month = jun,
doi = "10.1007/s10461-012-0310-2",
language = "Ingl{\'e}s",
volume = "17",
pages = "1724--1733",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "5",
}
