Sexual Practices in High Risk Settings: how far Alcohol Use Influence on the Relationship of Cognitive Correlates of Behaviour

Lack of safe sexual practices in varying context has been a major issue in both developed and developing nation. Many studies have supported the efficacy of condom in reducing the risk of HIV/AIDS transmission in heterosexual intercourse but there is a very limited study which could correlate the condom attitude and condom use behaviour. This study aims to understand the variation of condom attitude in high risk settings and how far condom use varies with varying sexual partner, as well as to explore the relationship between interface of alcohol consumption and condom use using a unique set of data (ASHRA) collected in 2007-08 among young men in low income communities in Mumbai. Health Belief Model and AIDS Risk Reduction Model would provide the theoretical orientation for this research. Risky sexual behaviour can be viewed in the context of the number and types of partnerships, and sexual acts. Logistic Regression revealed that young men in the high risk settings are significantly five times more likely to indulge in the risky sexual behaviour under the effect of alcohol. So relationship between the knowledge of the effectiveness of condom is a major contradiction and challenge in the fight against HIV/AIDS in the society.