Skip to main content
Top
Published in: AIDS and Behavior 4/2008

01-07-2008 | Original Paper

The Relationship Between Alcohol Consumption and Unprotected Sex Among Known HIV-discordant Couples in Rwanda and Zambia

Authors: Matthew E. Coldiron, Rob Stephenson, Elwyn Chomba, Cheswa Vwalika, Etienne Karita, Kayitesi Kayitenkore, Amanda Tichacek, Leia Isanhart, Susan Allen, Alan Haworth

Published in: AIDS and Behavior | Issue 4/2008

Login to get access

Abstract

Although alcohol abuse is highly prevalent in many countries in sub-Saharan Africa, little is known about the relationship between alcohol consumption and risky sexual behavior in these settings. An understanding of this relationship is particularly important given the high prevalence of HIV that exists in many of these countries. This study analyzes data collected from members of cohabiting HIV-discordant couples regarding alcohol consumption and self-reported condom use. After controlling for demographic and socioeconomic co-factors, alcohol use by male partners of HIV-discordant couples was associated with self-reported unprotected sex at follow-up. Counseling about alcohol use should be part of HIV testing and counseling programs, particularly among those found to be HIV-positive.
Literature
go back to reference Allen, S., Meinzen-Derr, J., Kautzman M., Zulu, I., Trask, S., Fideli, U., Musonda, R., Kasolo, F., Gao, F., & Haworth, A. (2003). Sexual behavior of HIV discordant couples after HIV counseling and testing. AIDS, 17, 733–740.PubMedCrossRef Allen, S., Meinzen-Derr, J., Kautzman M., Zulu, I., Trask, S., Fideli, U., Musonda, R., Kasolo, F., Gao, F., & Haworth, A. (2003). Sexual behavior of HIV discordant couples after HIV counseling and testing. AIDS, 17, 733–740.PubMedCrossRef
go back to reference Allen, S., Tice, J., Van de Perre, P., Serufilira A., Hudes, E., Nsengumuremyi, F., Bogaerts, J., Lindan, C., & Hulley, S. (1992). Effect of serotesting with counselling on condom use and seroconversion among HIV discordant couples in Africa. British Medical Journal, 304, 1605–1609.PubMedCrossRef Allen, S., Tice, J., Van de Perre, P., Serufilira A., Hudes, E., Nsengumuremyi, F., Bogaerts, J., Lindan, C., & Hulley, S. (1992). Effect of serotesting with counselling on condom use and seroconversion among HIV discordant couples in Africa. British Medical Journal, 304, 1605–1609.PubMedCrossRef
go back to reference Bagasra, O., Kajdacsy-Balla, A., Lischner H. W., & Pomerantz, R. J. (1993). Alcohol intake increases human immunodeficiency virus type 1 replication in human peripheral blood mononuclear cells. Journal of Infectious Diseases, 167, 789–797.PubMed Bagasra, O., Kajdacsy-Balla, A., Lischner H. W., & Pomerantz, R. J. (1993). Alcohol intake increases human immunodeficiency virus type 1 replication in human peripheral blood mononuclear cells. Journal of Infectious Diseases, 167, 789–797.PubMed
go back to reference Cook, R. T., Stapleton, J. T., Ballas, Z. K., & Klinzman, D. (1997). Effect of a single ethanol exposure on HIV replication in human lymphocytes. Journal of Investigative Medicine, 45, 265–271. .PubMed Cook, R. T., Stapleton, J. T., Ballas, Z. K., & Klinzman, D. (1997). Effect of a single ethanol exposure on HIV replication in human lymphocytes. Journal of Investigative Medicine, 45, 265–271. .PubMed
go back to reference Crosby, R., DiClemente, R. J., Wingood, G. M., Harrington, K., Davies, S. L., Hook, E. W., & Oh, M. K. (2002). Predictors of infection with Trichomonas vaginalis: A prospective study of low income African-American adolescent females. Sexually Transmitted Infections, 78, 360–364.PubMedCrossRef Crosby, R., DiClemente, R. J., Wingood, G. M., Harrington, K., Davies, S. L., Hook, E. W., & Oh, M. K. (2002). Predictors of infection with Trichomonas vaginalis: A prospective study of low income African-American adolescent females. Sexually Transmitted Infections, 78, 360–364.PubMedCrossRef
go back to reference Crum, R. M., Galai, N., Cohn, S., Celentano, D. D., & Vlahov, D. (1996). Alcohol use and T-lymphocyte subsets among injection drug users with HIV-1 infection: A prospective analysis. Alcoholism: Clinical and Experimental Research, 20, 364–371.CrossRef Crum, R. M., Galai, N., Cohn, S., Celentano, D. D., & Vlahov, D. (1996). Alcohol use and T-lymphocyte subsets among injection drug users with HIV-1 infection: A prospective analysis. Alcoholism: Clinical and Experimental Research, 20, 364–371.CrossRef
go back to reference Fong, I. W., Read, S., Wainberg, M. A., Chia, W. K., & Major, C. (1994). Alcoholism and rapid progression to AIDS after seroconversion. Clinical Infectious Diseases, 19, 337–338.PubMed Fong, I. W., Read, S., Wainberg, M. A., Chia, W. K., & Major, C. (1994). Alcoholism and rapid progression to AIDS after seroconversion. Clinical Infectious Diseases, 19, 337–338.PubMed
go back to reference Hugonnet, S., Mosha, F., Todd, J., Mugeye, K., Klokke, A., Ndeki, L., Ross, D., Grosskurth, H., & Hayes, R. (2002). Incidence of HIV infection in stable sexual partnerships: A retrospective cohort study of 1802 couples in Mwanza Region, Tanzania. Journal of Acquired Immune Deficiency Syndromes, 30, 73–80.PubMedCrossRef Hugonnet, S., Mosha, F., Todd, J., Mugeye, K., Klokke, A., Ndeki, L., Ross, D., Grosskurth, H., & Hayes, R. (2002). Incidence of HIV infection in stable sexual partnerships: A retrospective cohort study of 1802 couples in Mwanza Region, Tanzania. Journal of Acquired Immune Deficiency Syndromes, 30, 73–80.PubMedCrossRef
go back to reference Jonsson, M., Karlsson, R., Rylander, E., Gustavsson, A., & Wadell, G. (1997). The associations between risk behaviour and reported history of sexually transmitted diseases among young women: a population-based study. International Journal of STD and AIDS, 8, 501–505.PubMedCrossRef Jonsson, M., Karlsson, R., Rylander, E., Gustavsson, A., & Wadell, G. (1997). The associations between risk behaviour and reported history of sexually transmitted diseases among young women: a population-based study. International Journal of STD and AIDS, 8, 501–505.PubMedCrossRef
go back to reference Lopez A. D., & Matthers C. D. (Eds.) (2006). Global burden of disease and risk factors. Geneva: World Health Organization. Lopez A. D., & Matthers C. D. (Eds.) (2006). Global burden of disease and risk factors. Geneva: World Health Organization.
go back to reference McKenna, S. L., Muyinda, G. K., Roth, D., Mwali, M., Ng’andu, N., Myrick, A., Luo, C., Priddy, F. H., Hall, V. M., von Lieven, A. A., Sabatino, J. R., Mark, K., & Allen, S. A. (1997). Rapid HIV testing and counseling for voluntary testing centers in Africa. AIDS, 11, S103–S110.PubMed McKenna, S. L., Muyinda, G. K., Roth, D., Mwali, M., Ng’andu, N., Myrick, A., Luo, C., Priddy, F. H., Hall, V. M., von Lieven, A. A., Sabatino, J. R., Mark, K., & Allen, S. A. (1997). Rapid HIV testing and counseling for voluntary testing centers in Africa. AIDS, 11, S103–S110.PubMed
go back to reference Palen, L.-A., Smith, E. A., Flisher, A. J., Caldwell, L. L., & Mpofu, E. (2006). Substance use and sexual risk behavior among South African eighth grade students. Journal of Adolescent Health, 39, 761–763. .PubMedCrossRef Palen, L.-A., Smith, E. A., Flisher, A. J., Caldwell, L. L., & Mpofu, E. (2006). Substance use and sexual risk behavior among South African eighth grade students. Journal of Adolescent Health, 39, 761–763. .PubMedCrossRef
go back to reference Quinn, T. C., Wawer, M. J., Sewankambo, N., Serwadde, D., Li, C., Wabwire-Mangen, F., Meehan, M. O., Lutalo, T., & Gray, R. H. (2000). Viral load and heterosexual transmission of human immunodeficiency virus type 1. New England Journal of Medicine, 342, 921–929.PubMedCrossRef Quinn, T. C., Wawer, M. J., Sewankambo, N., Serwadde, D., Li, C., Wabwire-Mangen, F., Meehan, M. O., Lutalo, T., & Gray, R. H. (2000). Viral load and heterosexual transmission of human immunodeficiency virus type 1. New England Journal of Medicine, 342, 921–929.PubMedCrossRef
go back to reference Radcliffe, K. W., Ahmad, S., Gilleran, G., & Ross, J. D. C. (2001). Demographic and behavioural profile of adults infected with chlamydia: A case–control study. Sexually Transmitted Infections, 77, 265–270.PubMedCrossRef Radcliffe, K. W., Ahmad, S., Gilleran, G., & Ross, J. D. C. (2001). Demographic and behavioural profile of adults infected with chlamydia: A case–control study. Sexually Transmitted Infections, 77, 265–270.PubMedCrossRef
go back to reference Rehm, J., Room, R., Monteiro, M., Gmel, G., Graham, K., Rehn, N., Sempos, C. T., Frick, U., & Jernigan, D. (2004). Alcohol use. In M. Ezzati, A. D. Lopez, A. Rodgers, & C. J. L. Murray (Eds.), Comparative quantification of health risks: Global and regional burden of disease attributable to several major risk factors (Chapter 12. Vol. 1). Geneva, Switzerland: WHO. Rehm, J., Room, R., Monteiro, M., Gmel, G., Graham, K., Rehn, N., Sempos, C. T., Frick, U., & Jernigan, D. (2004). Alcohol use. In M. Ezzati, A. D. Lopez, A. Rodgers, & C. J. L. Murray (Eds.), Comparative quantification of health risks: Global and regional burden of disease attributable to several major risk factors (Chapter 12. Vol. 1). Geneva, Switzerland: WHO.
go back to reference Simbayi, L. C., Kalichman, S. C., Jooste, S., Mathiti, V., Cain, D., & Cherry, C. (2004). Alcohol use and sexual risks for HIV infection among men and women receiving sexually transmitted infection clinic services in Cape Town, South Africa. Journal of Studies on Alcohol, 65, 434–442.PubMed Simbayi, L. C., Kalichman, S. C., Jooste, S., Mathiti, V., Cain, D., & Cherry, C. (2004). Alcohol use and sexual risks for HIV infection among men and women receiving sexually transmitted infection clinic services in Cape Town, South Africa. Journal of Studies on Alcohol, 65, 434–442.PubMed
go back to reference United Nations Joint Programme on HIV/AIDS (UNAIDS) and World Health Organization (WHO). (2006). 2006 UNAIDS/WHO AIDS epidemic update (UNAIDS/06.29E). Geneva: UNAIDS. . United Nations Joint Programme on HIV/AIDS (UNAIDS) and World Health Organization (WHO). (2006). 2006 UNAIDS/WHO AIDS epidemic update (UNAIDS/06.29E). Geneva: UNAIDS. .
go back to reference Wang X., Douglas S. D., Metzger D. S., Guo C. J., Li Y., O’Brien C. P., et al. (2002). Alcohol potentiates HIV-1 infection of human blood mononuclear phagocytes. Alcohol Clinical and Experimental Research, 26, 1880–1886. Wang X., Douglas S. D., Metzger D. S., Guo C. J., Li Y., O’Brien C. P., et al. (2002). Alcohol potentiates HIV-1 infection of human blood mononuclear phagocytes. Alcohol Clinical and Experimental Research, 26, 1880–1886.
go back to reference Weiser S. D., Leiter, K., Heisler, M., McFarland, W., Percy-de-Korte, F., DeMonner, S. M., Tlou, S., Phaladze, N., Iacopino, V., & Bangsberg, D. R. (2006). A population-based study on alcohol and high-risk sexual behaviors in Botswana. PLoS Medicine, 3, e392 (DOI: 10.1371/journal.pmed.0030392). Weiser S. D., Leiter, K., Heisler, M., McFarland, W., Percy-de-Korte, F., DeMonner, S. M., Tlou, S., Phaladze, N., Iacopino, V., & Bangsberg, D. R. (2006). A population-based study on alcohol and high-risk sexual behaviors in Botswana. PLoS Medicine, 3, e392 (DOI: 10.1371/journal.pmed.0030392).
go back to reference WHO (2001). AUDIT: The alcohol use disorders identification test: Guidelines for use in primary care (2nd ed.). Geneva: Department of Mental Health and Substance Dependence, World Health Organization. WHO (2001). AUDIT: The alcohol use disorders identification test: Guidelines for use in primary care (2nd ed.). Geneva: Department of Mental Health and Substance Dependence, World Health Organization.
go back to reference Zablotska, I. B., Gray, R. H., Serwadda, D., Sewankambo, K. K., & Lutalo, T. (2006). Alcohol use before sex and HIV acquisition: A longitudinal study in Rakai, Uganda. AIDS, 20, 1191–1196.PubMedCrossRef Zablotska, I. B., Gray, R. H., Serwadda, D., Sewankambo, K. K., & Lutalo, T. (2006). Alcohol use before sex and HIV acquisition: A longitudinal study in Rakai, Uganda. AIDS, 20, 1191–1196.PubMedCrossRef
Metadata
Title
The Relationship Between Alcohol Consumption and Unprotected Sex Among Known HIV-discordant Couples in Rwanda and Zambia
Authors
Matthew E. Coldiron
Rob Stephenson
Elwyn Chomba
Cheswa Vwalika
Etienne Karita
Kayitesi Kayitenkore
Amanda Tichacek
Leia Isanhart
Susan Allen
Alan Haworth
Publication date
01-07-2008
Publisher
Springer US
Published in
AIDS and Behavior / Issue 4/2008
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-007-9304-x

Other articles of this Issue 4/2008

AIDS and Behavior 4/2008 Go to the issue