The relationship between alcohol consumption and unprotected sex among known HIV-discordant couples in Rwanda and Zambia

AIDS Behav. 2008 Jul;12(4):594-603. doi: 10.1007/s10461-007-9304-x. Epub 2007 Aug 18.


Although alcohol abuse is highly prevalent in many countries in sub-Saharan Africa, little is known about the relationship between alcohol consumption and risky sexual behavior in these settings. An understanding of this relationship is particularly important given the high prevalence of HIV that exists in many of these countries. This study analyzes data collected from members of cohabiting HIV-discordant couples regarding alcohol consumption and self-reported condom use. After controlling for demographic and socioeconomic co-factors, alcohol use by male partners of HIV-discordant couples was associated with self-reported unprotected sex at follow-up. Counseling about alcohol use should be part of HIV testing and counseling programs, particularly among those found to be HIV-positive.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alcohol Drinking*
  • Condoms / statistics & numerical data
  • Demography
  • Family Characteristics*
  • Female
  • HIV Infections / prevention & control
  • HIV Infections / transmission
  • HIV Seronegativity*
  • HIV Seropositivity*
  • Humans
  • Male
  • Rwanda
  • Sexual Behavior
  • Sexual Partners
  • Social Class
  • Surveys and Questionnaires
  • Unsafe Sex*
  • Zambia