Nadine R Mastroleo1,2, Don Operario1,2, Nancy P Barnett1,2, Suzanne M Colby1,3, Christopher W Kahler1,2, Peter M Monti1,2. 1. Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island. 2. Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island. 3. Department of Psychiatry and Human Behavior, Brown University School of Public Health, Providence, Rhode Island.
Abstract
BACKGROUND: The study aim was to assess the prevalence and co-occurrence of alcohol and sexual risk behaviors among emergency department (ED) patients in community hospitals. METHODS: Systematic screening of ED patients (N = 6,486; 56.5% female) was conducted in 2 community hospitals in the northeast during times with high patient volume, generally between the hours of 10 AM to 8 PM, Monday through Saturday. Screening occurred from May 2011 through November 2013. Assessment included validated measures of alcohol use and sexual risk behavior. RESULTS: Overall results identified high rates of alcohol use, sexual risk behaviors, and their co-occurrence in this sample of ED patients. Specifically, ED patients in between the ages of 18 and 35 were consistently highest in hazardous alcohol use (positive on the Alcohol Use Disorders Identification Test or endorsing heavy episodic drinking [HED]), sexual risk behaviors, and the co-occurrence of alcohol and sex-risk behaviors. CONCLUSIONS: Findings show a high co-occurrence of hazardous drinking and unprotected sex among ED patients and highlight the role of HED as a factor associated with sexual risk behavior. Efforts to integrate universal screening for the co-occurrence of alcohol and sexual risk behavior in ED settings are warranted; brief interventions delivered to ED patients addressing the co-occurrence of alcohol and sexual risk behaviors have the potential to decrease the risk of sexually transmitted infections and HIV among a large number of patients.
BACKGROUND: The study aim was to assess the prevalence and co-occurrence of alcohol and sexual risk behaviors among emergency department (ED) patients in community hospitals. METHODS: Systematic screening of ED patients (N = 6,486; 56.5% female) was conducted in 2 community hospitals in the northeast during times with high patient volume, generally between the hours of 10 AM to 8 PM, Monday through Saturday. Screening occurred from May 2011 through November 2013. Assessment included validated measures of alcohol use and sexual risk behavior. RESULTS: Overall results identified high rates of alcohol use, sexual risk behaviors, and their co-occurrence in this sample of ED patients. Specifically, ED patients in between the ages of 18 and 35 were consistently highest in hazardous alcohol use (positive on the Alcohol Use Disorders Identification Test or endorsing heavy episodic drinking [HED]), sexual risk behaviors, and the co-occurrence of alcohol and sex-risk behaviors. CONCLUSIONS: Findings show a high co-occurrence of hazardous drinking and unprotected sex among ED patients and highlight the role of HED as a factor associated with sexual risk behavior. Efforts to integrate universal screening for the co-occurrence of alcohol and sexual risk behavior in ED settings are warranted; brief interventions delivered to ED patients addressing the co-occurrence of alcohol and sexual risk behaviors have the potential to decrease the risk of sexually transmitted infections and HIV among a large number of patients.
Authors: Peter M Monti; Suzanne M Colby; Nadine R Mastroleo; Nancy P Barnett; Chad J Gwaltney; Timothy R Apodaca; Damaris J Rohsenow; Molly Magill; Aruna Gogineni; Michael J Mello; Walter L Biffl; William G Cioffi Journal: J Consult Clin Psychol Date: 2014-08-11
Authors: Peter M Monti; Nadine R Mastroleo; Nancy P Barnett; Suzanne M Colby; Christopher W Kahler; Don Operario Journal: J Consult Clin Psychol Date: 2016-03-17
Authors: Mark A Celio; James MacKillop; Amy J Caswell; Nadine R Mastroleo; Christopher W Kahler; Nancy P Barnett; Suzanne M Colby; Don Operario; Peter M Monti Journal: Alcohol Clin Exp Res Date: 2016-02-18 Impact factor: 3.455
Authors: Mark A Celio; Nadine R Mastroleo; Nancy P Barnett; Suzanne M Colby; Christopher W Kahler; Don Operario; Peter M Monti Journal: Psychol Addict Behav Date: 2019-04-08
Authors: Mark A Celio; Nadine R Mastroleo; Graham DiGuiseppi; Nancy P Barnett; Suzanne M Colby; Christopher W Kahler; Don Operario; Brian Suffoletto; Peter M Monti Journal: Addict Res Theory Date: 2017-01-18
Authors: Nadine R Mastroleo; Mark A Celio; Nancy P Barnett; Suzanne M Colby; Christopher W Kahler; Don Operario; Brian P Suffoletto; Peter M Monti Journal: Addict Res Theory Date: 2018-02-26
Authors: Eileen Fs Kaner; Fiona R Beyer; Colin Muirhead; Fiona Campbell; Elizabeth D Pienaar; Nicolas Bertholet; Jean B Daeppen; John B Saunders; Bernard Burnand Journal: Cochrane Database Syst Rev Date: 2018-02-24