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Published in: AIDS and Behavior 1/2016

01-01-2016 | Original Paper

Alcohol Expectancies and Inhibition Conflict as Moderators of the Alcohol–Unprotected Sex Relationship: Event-Level Findings from a Daily Diary Study Among Individuals Living with HIV in Cape Town, South Africa

Authors: Susan M. Kiene, Leickness C. Simbayi, Amber Abrams, Allanise Cloete

Published in: AIDS and Behavior | Special Issue 1/2016

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Abstract

Literature from sub-Saharan Africa and elsewhere supports a global association between alcohol and HIV risk. However, more rigorous studies using multiple event-level methods find mixed support for this association, suggesting the importance of examining potential moderators of this relationship. The present study explores the assumptions of alcohol expectancy theory and alcohol myopia theory as possible moderators that help elucidate the circumstances under which alcohol may affect individuals’ ability to use a condom. Participants were 82 individuals (58 women, 24 men) living with HIV who completed daily phone interviews for 42 days which assessed daily sexual behavior and alcohol consumption. Logistic generalized estimating equation models were used to examine the potential moderating effects of inhibition conflict and sex-related alcohol outcome expectancies. The data provided some support for both theories and in some cases the moderation effects were stronger when both partners consumed alcohol.
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Metadata
Title
Alcohol Expectancies and Inhibition Conflict as Moderators of the Alcohol–Unprotected Sex Relationship: Event-Level Findings from a Daily Diary Study Among Individuals Living with HIV in Cape Town, South Africa
Authors
Susan M. Kiene
Leickness C. Simbayi
Amber Abrams
Allanise Cloete
Publication date
01-01-2016
Publisher
Springer US
Published in
AIDS and Behavior / Issue Special Issue 1/2016
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-015-1157-0

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