Browsing by Author "Zablotska, Iryna B."

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    Alcohol use before sex and HIV acquisition: a longitudinal study in Rakai, Uganda
    (Aids, 2006) Zablotska, Iryna B.; Gray, Ronald H.; Serwadda, David; Nalugoda, Fred; Kigozi, Godfrey; Sewankambo, Nelson; Lutalo, Tom; Wabwire-Mangen, Fred; Wawer, Maria
    Alcohol abuse is a major public health problem and is associated with sexually transmitted infections, but the association with HIV is unclear [2]. Alcohol use is common, and disinhibition as a result of alcohol may precipitate and reinforce sexual risk-taking [2–13]. Two cross-sectional studies in Uganda have suggested associations between alcohol use, risk behaviors and prevalent HIV infection [12,14]. However, there are no prospective studies of alcohol use in conjunction with sex and HIV acquisition. We used data from a population based cohort in Rakai, Uganda, to determine whether alcohol use before sex was associated with the risk of HIV acquisition, and risk behaviors.
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    Alcohol Use, Intimate Partner Violence, Sexual Coercion and HIV among Women Aged 15–24 in Rakai, Uganda
    (AIDS and Behavior, 2009) Zablotska, Iryna B.; Gray, Ronald H.; Koenig, Michael A.; Serwadda, David; Nalugoda, Fred; Kigozi, Godfrey; Sewankambo, Nelson; Lutalo, Tom; Wabwire-Mangen, Fred; Wawer, Maria
    Disinhibition due to alcohol may induce intimate partner violence and sexual coercion and increased risk of HIV infection. In a sample of 3,422 women aged 15–24 from the Rakai cohort, Uganda, we examined the association between self-reported alcohol use before sex, physical violence/sexual coercion in the past and prevalent HIV, using adjusted odds ratios (Adj OR) and 95% confidence intervals (95% CI). During the previous year, physical violence (26.9%) and sexual coercion (13.4%) were common, and alcohol use before sex was associated with a higher risk of physical violence/sexual coercion. HIV prevalence was significantly higher with alcohol consumption before sex (Adj OR = 1.45, 95% CI: 1.06– 1.98) and especially when women reported both prior sexual coercion and alcohol use before sex (Adj OR = 1.79, 95% CI: 1.25–2.56). Alcohol use before sex was associated with physical violence and sexual coercion, and both are jointly associated with HIV infection risk in