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Meta-Analysis of Alcohol and Serodiscordant Condomless Sex Among People Living with HIV

Overview of attention for article published in Archives of Sexual Behavior, October 2017
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Title
Meta-Analysis of Alcohol and Serodiscordant Condomless Sex Among People Living with HIV
Published in
Archives of Sexual Behavior, October 2017
DOI 10.1007/s10508-017-1050-1
Pubmed ID
Authors

Sarahmona M. Przybyla, Gabriela Krawiec, Stephanie A. Godleski, Cory A. Crane

Abstract

While observational studies have found that alcohol consumption is associated with serodiscordant condomless sex among people living with HIV (PLHIV), no meta-analysis has yet examined this trend. We conducted a meta-analysis to synthesize empirical evidence on the association between alcohol and condomless sex with partners at risk of HIV acquisition. To meet inclusion criteria, studies: (1) specifically targeted PLHIV or provided stratified data for HIV-infected participants; (2) provided a quantitative measure of alcohol use; (3) provided a quantitative measure of condomless sex with serodiscordant partners; and (4) reported the results of statistical tests examining the relationship between alcohol use and serodiscordant condomless sex. Using random-effects models, weighted effect sizes were calculated. Three separate analyses were conducted to examine serodiscordant condomless sex in association with any alcohol consumption, binge/problematic drinking, and alcohol in a sexual context. A total of 36 independent effect sizes from 27 studies (including 25,065 HIV-infected participants) were pooled in the meta-analysis. Any alcohol consumption, binge/problematic drinking, and alcohol use in a sexual context were each associated with condomless sex with serodiscordant partners [OR 1.64 (95% CI 1.46-1.85); OR 1.65 (95% CI 1.14-2.39); OR 2.88 (95% CI 2.01-4.12), respectively]. Meta-analytic findings demonstrate a consistent positive relationship between alcohol use and serodiscordant condomless sex among PLHIV. Future public health programming for HIV-infected individuals needs to address the role of alcohol consumption in sexual risk-taking behavior.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 56 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 56 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 8 14%
Researcher 7 13%
Student > Ph. D. Student 6 11%
Student > Master 5 9%
Unspecified 4 7%
Other 8 14%
Unknown 18 32%
Readers by discipline Count As %
Medicine and Dentistry 10 18%
Nursing and Health Professions 9 16%
Social Sciences 5 9%
Unspecified 4 7%
Psychology 3 5%
Other 5 9%
Unknown 20 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 November 2017.
All research outputs
#13,571,666
of 23,005,189 outputs
Outputs from Archives of Sexual Behavior
#2,656
of 3,479 outputs
Outputs of similar age
#162,908
of 323,064 outputs
Outputs of similar age from Archives of Sexual Behavior
#35
of 51 outputs
Altmetric has tracked 23,005,189 research outputs across all sources so far. This one is in the 39th percentile – i.e., 39% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,479 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 28.3. This one is in the 21st percentile – i.e., 21% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 323,064 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 47th percentile – i.e., 47% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 51 others from the same source and published within six weeks on either side of this one. This one is in the 29th percentile – i.e., 29% of its contemporaries scored the same or lower than it.