Alcohol use has been associated with multiple types of sexual risk behaviors, such as condomless sex or having multiple sexual partners, behaviors that are linked to the risk of sexually transmitted infections (STIs). The aim of this review was to present updated evidence to demonstrate an association between alcohol consumption and STIs and evaluate the causal nature of this link, as well as to present interventions that reduce alcohol consumption and its effect on STIs. We conducted a systematic review according to the PRISMA guidelines using PubMed and Embase databases. Cohort studies and case-control studies were included. Any level of alcohol use served as the exposure variable, with the outcome restricted to non-HIV STIs, as reviews on alcohol use and HIV already exist. In total, 11 publications satisfied the inclusion criteria. The evidence suggests that there is an association between alcohol use, especially heavy drinking occasions, and STIs, with eight articles finding a statistically significant association. In addition to these results, there is indirect causal evidence from policy studies, and from the field of decision-making and sexual behavior with experimental evidence, that alcohol use increases the likelihood of risk-taking sexual behavior. It is important to have a deeper understanding of the association to develop effective prevention programs at community and individual levels. Preventive interventions should be implemented targeting the general population, in addition to specific campaigns directed at vulnerable subpopulations in order to reduce the risks.

中文翻译：

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关于饮酒对性传播感染影响的系统评价。

饮酒与多种类型的性风险行为有关，例如无安全套性行为或有多个性伴侣，这些行为与性传播感染 (STI) 的风险有关。本综述的目的是提供最新证据，证明饮酒与性传播感染之间存在关联，并评估这种联系的因果关系，并提出减少饮酒及其对性传播感染影响的干预措施。我们根据 PRISMA 指南使用 PubMed 和 Embase 数据库进行了系统评价。包括队列研究和病例对照研究。任何水平的酒精使用都作为暴露变量，结果仅限于非 HIV 性传播感染，因为已经存在关于酒精使用和 HIV 的评论。总共有 11 篇出版物符合纳入标准。证据表明，饮酒（尤其是大量饮酒场合）与性传播感染之间存在关联，有八篇文章发现了具有统计学意义的关联。除了这些结果之外，还有来自政策研究的间接因果证据，以及来自决策和性行为领域的实验证据，表明饮酒会增加冒险性行为的可能性。重要的是要对协会有更深入的了解，以便在社区和个人层面制定有效的预防计划。为了降低风险，除了针对弱势群体的特定运动之外，还应针对普通人群实施预防性干预措施。和 STI，其中 8 篇文章发现了统计上显着的关联。除了这些结果之外，还有来自政策研究的间接因果证据，以及来自决策和性行为领域的实验证据，表明饮酒会增加冒险性行为的可能性。重要的是要对协会有更深入的了解，以便在社区和个人层面制定有效的预防计划。为了降低风险，除了针对弱势群体的特定运动之外，还应针对普通人群实施预防性干预措施。和 STI，其中 8 篇文章发现了统计上显着的关联。除了这些结果之外，还有来自政策研究的间接因果证据，以及来自决策和性行为领域的实验证据，表明饮酒会增加冒险性行为的可能性。重要的是要对协会有更深入的了解，以便在社区和个人层面制定有效的预防计划。为了降低风险，除了针对弱势群体的特定运动之外，还应针对普通人群实施预防性干预措施。从决策和性行为领域的实验证据来看，饮酒会增加冒险性行为的可能性。重要的是要对协会有更深入的了解，以便在社区和个人层面制定有效的预防计划。为了降低风险，除了针对弱势群体的特定运动之外，还应针对普通人群实施预防性干预措施。从决策和性行为领域的实验证据来看，饮酒会增加冒险性行为的可能性。重要的是要对协会有更深入的了解，以便在社区和个人层面制定有效的预防计划。为了降低风险，除了针对弱势群体的特定运动外，还应针对普通人群实施预防性干预措施。