Alcohol use, partner characteristics, and condom use among HIV-infected Russian women: An event-level study

Jennifer L. Brown, Ralph J. Diclemente, Jessica M. Sales, Eve S. Rose, Nicole K. Gause, Polina Safonova, Olga Levina, Nikolay Belyakov, Vadim V. Rassokhin

Research output: Contribution to journalArticlepeer-review


Objective: Alcohol use is a prominent factor correlated with HIV risk behavior engagement. Hazardous drinking is prevalent among Russian women and may contribute to decreased condom use. Event-based studies suggest that HIV risk behaviors may vary based on situational factors including partner characteristics and alcohol use. This study investigated the effect of situational factors on condom use during the most recent sexual encounter among a sample of HIV-infected Russian women. Method: HIV-infected women (n = 239; mean age = 30.0 years) receiving medical care in St. Petersburg, Russia, completed an audio computer-assisted self-interview that assessed characteristics of their last sexual encounter. Multivariable logistic regression examined the associations between the following situational factors: (a) alcohol use, (b) partner type, (c) partner’s serostatus, and (d) partner’s alcohol use on whether a condom was used for vaginal and/or anal sex during the last sexual encounter. Results: A total of 54.0% engaged in unprotected vaginal and/or anal sex during their last sexual encounter. In an adjusted logistic regression model, unprotected sex did not differ by participants’ alcohol use (adjusted odds ratio [AOR] = 0.72, 95% CI [0.29, 1.8]) but was more likely with partners who had consumed alcohol (AOR = 2.3, 95% CI [1.1, 5.2]) and HIV-infected partners (AOR = 2.8, 95% CI [1.6, 4.9]) and less likely to occur in the context of nonsteady partnerships (AOR = 0.36, 95% CI [0.13, 0.99]). Conclusions: More stable, steady relationships with HIV-infected partners who consumed alcohol were associated with greater likelihood of noncondom use. Results highlight the need to address the intersection of alcohol and sexual risk engagement within the context of HIV-infected women’s relationships.

Original languageEnglish (US)
Pages (from-to)968-973
Number of pages6
JournalJournal of Studies on Alcohol and Drugs
Issue number6
StatePublished - Nov 2016

ASJC Scopus subject areas

  • Health(social science)
  • Toxicology
  • Psychiatry and Mental health


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