Alcohol Consumption and HIV Risk Behavior among Heterosexual Men

The HIV epidemic is increasing among heterosexual men living in urban areas. Previous research suggests alcohol use is associated with greater HIV risk behaviors in at-risk populations. This study examines alcohol consumption among men visiting an STD clinic in relation to HIV risk behavior and perceptions of risk.

The HIV Testing Survey 2002 was developed to monitor HIV testing patterns and evaluate risk behaviors associated with HIV infection. Ninety male participants seeking treatment at a STD clinic in Milwaukee, WI were anonymously surveyed. Participants identified as African-American (86 %), multiracial (8 %), and other (6 %). The average age was 36 years and most reported an income below $3,000 per month (94 %).

Many respondents (39%) reported having an alcoholic binge in the past month and 36% reported having unprotected sex with both primary and non-primary partners in the past year. Frequent alcohol binges in the past month were associated with unprotected vaginal sex with non-primary partners (r = 0.22, p < 0.05). A greater perceived risk of contracting HIV was correlated with having more non-primary partners (r = 0.31, p < 0.05) and having more frequent alcohol binges in the past month (r = 0.301, p < 0.01).

The results of this study suggest perception of HIV risk is insufficient to decrease risk behavior. Binge drinking may contribute to increased risk behavior. Further studies are needed to examine how alcohol consumption affects HIV risk behavior and perceptions of HIV risk among heterosexual men living in urban areas.