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AIDS and Behavior
Published in: AIDS and Behavior 6/2015

01-06-2015 | Original Paper

Alcohol, Intercourse, and Condom Use Among Women Recently Involved in the Criminal Justice System: Findings from Integrated Global-Frequency and Event-Level Methods

Authors: Brian W. Weir, Carl A. Latkin

Published in: AIDS and Behavior | Issue 6/2015

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Abstract

The scientific literature on alcohol and sexual risk behavior is marked by multiple theoretical perspectives and inconsistent findings from global-frequency and event-level studies. Multilevel measures of alcohol use and multiple sexual risk outcomes can be used to evaluate these perspectives and resolve these inconsistencies. Among women recently involved in the criminal justice system in Portland, Oregon, daily alcohol use and sexual behavior were measured during four 30-day intervals over one year. In mixed effects models, person-level, month-level, and day-level alcohol use were significantly associated with the occurrence of intercourse but not with the use of condoms during intercourse. Findings are also reported for main, casual, and exchange partners. The relationships between alcohol use and sexual risk behavior are complex: No single theoretical perspective is sufficient to account for the study findings, and increased risk may be mediated through changes in intercourse rather than through changes in condom use.
Appendix
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Footnotes
1
Although the odds ratios for person-level and month-level alcohol use are smaller than the odds ratio for day-level alcohol use, these odds ratios are on different scales and they are applicable to different sets of days. The increased odds of unprotected intercourse associated with day-level alcohol use apply only to days on which alcohol use occurred, whereas the increased odds associated with month-level alcohol use apply to all days within the month and the increased odds associated with person-level alcohol use apply to all days across all assessments.
 
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Metadata
Title
Alcohol, Intercourse, and Condom Use Among Women Recently Involved in the Criminal Justice System: Findings from Integrated Global-Frequency and Event-Level Methods
Authors
Brian W. Weir
Carl A. Latkin
Publication date
01-06-2015
Publisher
Springer US
Published in
AIDS and Behavior / Issue 6/2015
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-014-0857-1

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