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Health Education & Behavior
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Alcohol and Drug Use During Sexual Activity and Compliance with Safe Sex Guidelines for AIDS: The AIDS Behavioral Research Project

Ron Stall, PhD, MPH

Alcohol Research Group, Medical Research Institute of San Francisco, 1816 Scenic Avenue, Berkeley CA 94709 and Department of Urban Studies, Rutgers University, New Brunswick, NJ 08903

Leon McKusick, PhD

Division of General Internal Medicine, University of California, San Francisco CA 94143

James Wiley, PhD

Survey Research Center, University of California, Berkeley CA 94720

Thomas J. Coates, PhD

Division of General Internal Medicine, University of California, San Francisco CA 94143

David G. Ostrow, MD, PhD

Department of Psychiatry, School of Medicine and Institute for Social Research, University of Michigan, Ann Arbor MI 48109

This article describes the association between drug and alcohol use during sexual activity and high-risk sex for AIDS. Data to test this association are drawn from a pros pective study of the behavioral changes made by gay men in San Francisco in response to the AIDS epidemic. Findings drawn from the May, 1984 and May 1985 waves of data collection are described. The cross-sectional analysis showed that use of particular drugs during sex, the number of drugs used during such activity, and the frequency of combining drugs and sex are all positively associated with risky sexual activity for AIDS. The retrospective data showed that men who currently abstained from com bining drug use with sexual activity were likely to have been at no risk for AIDS over two measurement points during the previous year. The men who currently combined drug use with sex were most likely to have a history of high-risk sexual activity over the previous year. These findings show a strong relationship between drug and alcohol use during sex and non-compliance with safe sex techniques to prevent the spread of AIDS. Implications of this relationship for AIDS health education efforts are dis cussed.

Health Education & Behavior, Vol. 13, No. 4, 359-371 (1986)
DOI: 10.1177/109019818601300407
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Journal of Black Psychology, February 1, 2008; 34(1): 70 - 93.
[Abstract] [PDF]