Alcohol Expectancies and Inhibition Conflict as Moderators of the Alcohol-Unprotected Sex Relationship: Event-Level Findings from a Daily Diary Study Among Individuals Living with HIV in Cape Town, South Africa.

Journal: AIDS and behavior

Volume: 20 Suppl 1

Issue: 0 1

Year of Publication: 2016

Affiliated Institutions:  Department of Community Health Care, University of Connecticut School of Medicine, Farmington, CT, USA. skiene@mail.sdsu.edu. Human Sciences Research Council, Social Aspects of HIV/AIDS and Health, Cape Town, South Africa. Department of Social Anthropology, University of Cape Town, Cape Town, South Africa.

Abstract summary 

Literature from sub-Saharan Africa and elsewhere supports a global association between alcohol and HIV risk. However, more rigorous studies using multiple event-level methods find mixed support for this association, suggesting the importance of examining potential moderators of this relationship. The present study explores the assumptions of alcohol expectancy theory and alcohol myopia theory as possible moderators that help elucidate the circumstances under which alcohol may affect individuals' ability to use a condom. Participants were 82 individuals (58 women, 24 men) living with HIV who completed daily phone interviews for 42 days which assessed daily sexual behavior and alcohol consumption. Logistic generalized estimating equation models were used to examine the potential moderating effects of inhibition conflict and sex-related alcohol outcome expectancies. The data provided some support for both theories and in some cases the moderation effects were stronger when both partners consumed alcohol.

Authors & Co-authors:  Kiene Susan M SM Simbayi Leickness C LC Abrams Amber A Cloete Allanise A

Study Outcome 

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Statistics
Citations :  Bryant KJ, Nelson S, Braithwaite RS, Roach D. Integrating HIV/AIDS and Alcohol Research. Alcohol Research & Health. 2010;33(3):167–78.
Authors :  4
Identifiers
Doi : 10.1007/s10461-015-1157-0
SSN : 1573-3254
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Alcohol myopia;Alcohol outcome expectancies;Event-level;South Africa
Study Design
Cross Sectional Study
Study Approach
Mixed Methods
Country of Study
South Africa
Publication Country
United States