Alcohol misuse, sexual risk behaviour and adverse sexual health outcomes: evidence from Britain's national probability sexual behaviour surveys

Aicken, Catherine; Nardone, Anthony; Mercer, Catherine H

doi:10.1093/pubmed/fdq056

Cited by 50 publications

(38 citation statements)

References 31 publications

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“…Numerous studies have shown associations between smoking, cervical cancer and HPV infection 22. We have previously shown that those who have more partners are likely to smoke and drink more alcohol 23 24. In our study, the association between smoking and HPV infection no longer remained significant in multivariate analysis suggesting confounding of the association by sexual behaviour.…”

Section: Discussioncontrasting

confidence: 49%

Epidemiology of, and behavioural risk factors for, sexually transmitted human papillomavirus infection in men and women in Britain

Johnson

Mercer

Beddows³

et al. 2012

Sex Transm Infect

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ObjectivesPersistent infection with high-risk sexually transmitted human papillomaviruses (HR-HPVs) can lead to development of cervical and other cancers, while low-risk types (low-risk HPV) may cause genital warts. We explored the epidemiology of different HPV types in men and women and their association with demographic and behavioural variables.MethodsWe analysed data collected for the British National Survey of Sexual Attitudes and Lifestyles, a cross-sectional survey undertaken in 1999–2001. Half of all sexually experienced male and female respondents aged 18–44 years were invited to provide a urine sample. We tested 3123 stored urine samples using an in-house Luminex-based HPV genotyping system.ResultsHPV DNA was detected in 29.0% (95% CI 26.7% to 31.3%) of samples from women and 17.4% (95% CI 15.1% to 19.8%) from men. Any of 13 HR-HPV types was detected in 15.9% (95% CI 14.1% to 17.8%) of women and 9.6% (95% CI 8.0% to 11.6%) of men. HPV types 16/18 were found in 5.5% (95% CI 4.5% to 6.8%) of women and 3.0% (95% CI 2.1% to 4.3%) of men; and types 6/11 in 4.7% (95% CI 1.8% to 5.9%) of women and 2.2% (95% CI 1.5% to 3.1%) of men. In multivariate analysis, HR-HPV was associated with new partner numbers, in women with younger age, single status and partner concurrency, and in men with number of partners without using condom(s) and age at first intercourse.ConclusionsHPV DNA was detectable in urine of a high proportion of the sexually active British population. In both genders, HR-HPV was strongly associated with risky sexual behaviour. The minority of HPV infections were of vaccine types. It is important to monitor HPV prevalence and type distribution following the introduction of vaccination of girls.

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Section: Discussioncontrasting

confidence: 49%

Epidemiology of, and behavioural risk factors for, sexually transmitted human papillomavirus infection in men and women in Britain

Johnson

Mercer

Beddows³

et al. 2012

Sex Transm Infect

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“…Muitos fatores podem ser explicados em consequência das mulheres terem mais acesso ao mercado de trabalho e à escolaridade, logo novas configurações e possibilidades nas relações familiares, sexuais e sociais ocorreram 22 . Em concordância com outros estudos 13,14,21,23 , a prevalência desses comportamentos de risco tende a ser maior entre os grupos de menor renda, entretanto, o gap diminuiu na última década, especialmente para a iniciação sexual. Em geral, comportamentos sexuais de risco e alguns eventos adversos em saúde sexual estão associados com o consumo de álcool.…”

Section: Discussionunclassified

Tendências e desigualdades nos comportamentos de risco em adolescentes: comparação das coortes de nascimentos de Pelotas, Rio Grande do Sul, Brasil

et al. 2016

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Resumo: O objetivo do presente trabalho é descrever tendências e desigualdades nos comportamentos de risco à saúde em adolescentes. Estudo transversal, comparando duas coortes de nascimentos da cidade de Pelotas, Rio Grande do Sul, Brasil. Foram incluídos 1.281 adolescentes da coorte de 1982 e 4.106 da coorte de 1993 acompanhados em 2001 e 2011, respectivamente. Foi avaliado o consumo de álcool, uso de drogas ilícitas, uso de tabaco, iniciação sexual < 16 anos, não uso de preservativo e múltiplos parceiros sexuais. Foram calculadas prevalências totais para cada coorte, estratificadas por sexo e renda per capita, e medidas de desigualdades absoluta e relativa. Houve diminuição, de 2001 para 2011, na prevalência de uso experimental de álcool, uso de drogas, fumo e não uso de preservativos, e aumento no número de parceiros sexuais. O gap na prevalência conforme sexo aumentou para o não uso de preservativo, e para os outros aumentou. O gap entre grupos de renda diminuiu para iniciação sexual < 16 anos e aumentou para episódios de embriaguez. Apesar da tendência de diminuição na prevalência dos comportamentos de risco, as desigualdades socioeconômicas persistiram.

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“…Research has highlighted stimulants, especially cocaine [Edlin et al, 1994; Mathers et al, 2008] and methamphetamine [Colfax, 2004; Shoptaw & Reback, 2006], as a driver of sexual risk behavior. There is increasing evidence that alcohol, through disinhibition, may exert a similar effect on sexual risk [Castilla, Barrio, Belza and de la Fuente, 1999; Aicken, Nardone and Mercer, 2011; Van Tieu and Koblin, 2009]. In contrast, opiates, as potential inhibitors of libido and sexual function [Lejuez et al, 2005], have not been found to be consistent predictors of sexual risk behavior.…”

mentioning

confidence: 99%

Substance Use, Depression and Sociodemographic Determinants of HIV Sexual Risk Behavior in Outpatient Substance Abuse Treatment Patients

Tross

Feaster

Thorens

et al. 2015

Journal of Addiction Medicine

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Alcohol misuse, sexual risk behaviour and adverse sexual health outcomes: evidence from Britain's national probability sexual behaviour surveys

Abstract: In Britain, sexual risk behaviours and some adverse sexual health outcomes continue to be associated with excess alcohol consumption. These findings support addressing the link between alcohol misuse and sexual health in health services and through broader health promotion.

Cited by 50 publications

References 31 publications

Epidemiology of, and behavioural risk factors for, sexually transmitted human papillomavirus infection in men and women in Britain

Epidemiology of, and behavioural risk factors for, sexually transmitted human papillomavirus infection in men and women in Britain

Tendências e desigualdades nos comportamentos de risco em adolescentes: comparação das coortes de nascimentos de Pelotas, Rio Grande do Sul, Brasil

Substance Use, Depression and Sociodemographic Determinants of HIV Sexual Risk Behavior in Outpatient Substance Abuse Treatment Patients

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