Article: Changes in alcohol consumption and in sexually transmitted disease incidence rates in the United States: 1983-1998.

THERE IS substantial public health interest in the relationship between alcohol consumption and risky sexual behaviors that can contribute to the spread of sexually transmitted diseases (STDs), including HIV/AIDS (for reviews of this literature, see Donovan and McEwan, 1995; Leigh and Stall, 1993). It is important to note, however, that the study of the relationship between alcohol and high-risk sex has been dominated thus far by research at the level of the individual, with the exception of a very few studies that analyze this association at the level of larger populations (Chesson et al., 2000; Dee, 2001; Gallet, 2002; Scribner et al., 1998).

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