Cent Eur J Public Health 2015, 23(2):135-141 | DOI: 10.21101/cejph.a3954

Time-Site Survey of Substance Use, Sexual Behaviours and HIV-Testing Practices among Women Attending Social Venues in Prague

M. Susan Stemmler1,3, Timothy M. Hall1, Petr Prokopík2, Steven Shoptaw1
1 Center for Behavioral and Addiction Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, United States
2 Charles University, Prague, Czech Republic
3 California State University, Dominguez Hills, Carson, CA, United States

Aim: The rates of HIV acquired through heterosexual contact are increasing in the Czech Republic. This study explored potential HIV risk associations with alcohol, illicit drugs and sexual behaviours among adults from a community-based sample attending gay- and non-gay venues in Prague.

Methods: Women attending bars, cafes and beer gardens in central Prague responded to the self-administered, time-site survey. Alcohol use was measured by the AUDIT-C and CAGE questionnaires. Sexual network structuring identified number, gender and coital frequency with current and recent sexual partners. Statistical analysis included central tendency, chi-square and logistic regression. Female participants (n=124) ranged from 18 to 67 years of age (mean 29 years); 25% self-identified as non-heterosexual.

Results: We found alcohol to be the preferred drug of choice. Younger heterosexual women with new and casual sexual partners were more likely to use alcohol excessively. Women with children reported the least alcohol use. Sixty percent of the sample had never used condoms; condom-use was associated with longer relationship duration and discussions about HIV status with a sexual partner; non-use tended to occur among unmarried women with multiple male partners in short, serial sexual relationships. Women who sought HIV testing tended to be younger and more self-identified as non-heterosexual. Protective practices were rarely reported even when HIV transmission increases via heterosexual sexual partnering.

Conclusion: Further research is recommended regarding cultural and contextual influences on HIV risk behaviours among Czech women.

Keywords: Czech Republic, women, alcohol consumption, sexual behaviour, HIV risk, female homosexuality

Received: September 12, 2013; Revised: January 20, 2015; Accepted: January 20, 2015; Published: June 1, 2015  Show citation

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Stemmler MS, Hall TM, Prokopík P, Shoptaw S. Time-Site Survey of Substance Use, Sexual Behaviours and HIV-Testing Practices among Women Attending Social Venues in Prague. Cent Eur J Public Health. 2015;23(2):135-141. doi: 10.21101/cejph.a3954. PubMed PMID: 26851424.
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