Alcohol or Drug Use and Compliance With Safer Sex Guidelines for STD/HIV Infection: Results From the French National Survey on Sexual Behavior (ACSF) Among Heterosexuals

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A vailable literature shows that association of alcohol and/or drug use with unsafe sexual practices is not established, in contradistinction to the well-established association between such substance use and the sexual milieu itself.


To analyze these two kinds of associations in a population- based sample of heterosexuals in France.

Study Design:

Cross-sectional telephone survey of the French adult heterosexual population in the early 1990s (n= 4213).


Subjects at risk were more likely than those not at risk to have consumed alcohol before sex; this was not the case for drug use. However, at-risk subjects who engaged in unsafe practice(s) were not more likely to have consumed alcohol or drugs.


Alcohol consumption appears to be a marker for being in an at-risk situation in France and may be used as such by public health providers. In contrast, the association between alcohol/drug use and unsafe sexual practices is not supported by our study and thus conflicts with prevention strategies to increase compliance with safer sex through alcohol/drug abstinence.

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