Psychological distress, drug and alcohol use as correlates of condom use in HIV-serodiscordant heterosexual couples.
AIDS
; 7(11): 1493-9, 1993 Nov.
Article
em En
| MEDLINE
| ID: mdl-8280417
ABSTRACT
OBJECTIVE:
To investigate the relationship between psychological distress, alcohol, drug and condom use in HIV-serodiscordant heterosexual couples.METHODS:
Structured interviews were conducted to collect demographic information, detailed data on psychological distress, drug and alcohol use and sexual behavior.RESULTS:
Analyses were based on 106 pairs of sexually active discordant couples. Significant differences among heterosexual condom users and non-users varied according to gender and HIV serostatus. Affect domains of interpersonal sensitivity and hostility were significant, as were the variables of regular drug or alcohol use and combining sex with drugs or alcohol. Employment was strongly associated with condom use in HIV-negative women whose regular sexual partners were HIV-positive men.CONCLUSION:
The risk of vaginal sex without condoms in HIV-serodiscordant heterosexual couples may be reduced by specific psychological counseling and attention to drug and alcohol use as risk factors. Further research on the effect of employment of HIV-negative women is required.ABSTRACT
PIP The authors investigated the relationship of psychological distress and drug and alcohol use to reported condom use in 106 sexually active HIV-serodiscordant heterosexual couples. Significant differences were found among heterosexual condom users and non-users which varied according to gender and HIV serostatus. Affect domains of interpersonal sensitivity and hostility were significant, as were the variables of regular drug or alcohol use and combining sex with drugs or alcohol. Further, employment was strongly associated with condom use HIV-negative women whose regular sex partners were HIV-positive men. The authors therefore conclude that the risk of vaginal sex without condoms in HIV-serodiscordant heterosexual couples may be reduced by specific psychological counseling and attention to drug and alcohol use as risk factors. Further research is, however, called for on the effect of employment on HIV-negative women.
Palavras-chave
Alcohol Drinking; Americas; Barrier Methods; Behavior; Condom; Contraception; Contraceptive Methods; Contraceptive Usage--determinants; Couples; Data Collection; Decision Making; Developed Countries; Diseases; Drug Usage; Economic Factors; Employment--women; Family And Household; Family Characteristics; Family Planning; Heterosexuals; Hiv Infections; Interviews; Macroeconomic Factors; New Jersey; North America; Northern America; Psychological Factors; Research Methodology; Research Report; Sex Behavior; United States; Viral Diseases
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Base de dados:
MEDLINE
Assunto principal:
Estresse Psicológico
/
Infecções por HIV
/
Preservativos
/
Soronegatividade para HIV
/
Transtornos Relacionados ao Uso de Substâncias
/
Alcoolismo
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
1993
Tipo de documento:
Article