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International Journal of Behavioral Medicine

, Volume 24, Issue 2, pp 180–190 | Cite as

Prevalence of Alcohol Use, Sexual Risk Behavior, and HIV Among Russians in High-Risk Settings: a Systematic Review and Meta-Analysis

  • Chiao-Wen Lan
  • Lori A. J. Scott-Sheldon
  • Kate B. Carey
  • Blair T. Johnson
  • Michael P. Carey
Article

Abstract

Purpose

The purpose of this study was to examine the (a) prevalence of and (b) association between alcohol, risky sex, and HIV among Russians at risk for primary or secondary HIV transmission.

Method

Electronic databases were searched to locate studies that sampled Russians, assessed alcohol use, and included either a behavioral measure of risk or a biological measure of HIV. Weighted mean (logit) effect sizes were calculated using random-effects assumptions. Moderator analyses were conducted using meta-regression.

Results

Studies (19) sampled 12,916 Russians (M age = 29; 36 % women). Participants were recruited from clinical (52 %; e.g., sexually transmitted infection (STI) clinic, drug treatment), other high-risk community settings (32 %; e.g., sexual/drug networks), or both (16 %). Findings indicate that a substantial proportion of the participants used alcohol (77 %; 55 % heavy drinking). One half of participants reported using condoms (52 %), but only 29 % used condoms consistently. Most participants reported drinking before sex (64 %). Of the studies testing for HIV, 10 % of participants tested positive. Meta-regression analyses indicated that hazardous/harmful alcohol use was associated with increased risky behaviors (i.e., multiple partners, inconsistent condom use).

Conclusion

These findings support the need for and potential benefit of addressing alcohol use in HIV prevention programming in Russia.

Keywords

Alcohol use Sexual risk behaviors HIV Russia Meta-analysis 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Funding

Research reported in this paper was supported by the National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health under award number R01 AA021355 to Lori A. J. Scott-Sheldon, PhD. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Supplementary material

12529_2016_9596_MOESM1_ESM.docx (31 kb)
ESM 1 (DOCX 31.3 kb)
12529_2016_9596_MOESM2_ESM.docx (26 kb)
ESM 2 (DOCX 25.8 kb)

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Copyright information

© International Society of Behavioral Medicine 2016

Authors and Affiliations

  • Chiao-Wen Lan
    • 1
  • Lori A. J. Scott-Sheldon
    • 1
    • 2
    • 3
  • Kate B. Carey
    • 3
  • Blair T. Johnson
    • 4
  • Michael P. Carey
    • 1
    • 2
    • 3
  1. 1.Centers for Behavioral and Preventive MedicineThe Miriam HospitalProvidenceUSA
  2. 2.Department of Psychiatry and Human Behavior, Alpert School of MedicineBrown UniversityProvidenceUSA
  3. 3.Department of Behavioral and Social SciencesBrown University School of Public HealthProvidenceUSA
  4. 4.Department of PsychologyUniversity of ConnecticutStorrsUSA

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