Alcohol Use, Risky Sexual Behavior, and Condom Possession among Bar Patrons
Background: Previous studies indicate that the higher one’s blood alcohol content (BAC), the higher the intentions to engage in risky sex. However, much of this research is limited to experimentally controlled studies focusing on intentions, rather than actual condom use or possession. Purpose: This field study assesses: 1) the relationship between alcohol consumption and intentions to engage in unprotected sex, and 2) identified covariates (race, sex, BrAC, intentions to engage in sex, hazardous drinking rates) as significant predictors of condom possession. Methods: Data were collected from 940 bar patrons to assess alcohol use, using the Alcohol Use Disorders Identification Test (AUDIT-C), breath alcohol concentration (BrAC), intentions to engage in risky sex, and condom possession. Correlational analysis and hierarchical binary logistic regression was conducted using SPSS. Results: Correlational analysis indicated a positive relationship between AUDIT-C scores and intentions to engage in unprotected sex (r = 0.317, p=0.00). Over 70% of participants (n=660) intended to use a condom if they engaged in sex that night; however, only 34% (n=224) had a condom to use. The regression analysis indicated the predictive model (χ2 = 107.81, df=7, p<0.000) was statistically significant, and correctly classified 72.8% of those in possession of a condom. Although 66% of females intending to have sex indicated they would use a condom, males were 4 times more likely to actually possess condoms. Conclusions: Alcohol consumption impacted intentions to have unprotected sex; however, intentions to engage in protected sex and condom possession varied by sex and BrAC levels.
Learning Areas:Public health or related education
Public health or related research
Social and behavioral sciences
Explain the association between alcohol use and intentions to engage in risky sexual behaviors among participants in this sample. Describe the covariates that are predictors of condom possession among participants in the sample.
Keyword(s): Alcohol Use, Sexual Risk Behavior
Qualified on the content I am responsible for because: Supervising the data collection, data analysis, and overall project implementation. I serve as PI on this project, and therefore, am qualified to present the findings.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.