Supervisors info:
Θωμάς Παπαρρηγόπουλος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Ηλίας Τζαβέλλας, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Καλλιόπη Τριανταφύλλου, Επιστημονική Συνεργάτις, Ιατρική Σχολή, ΕΚΠΑ
Summary:
Introduction: Alcohol is a widespread psychoactive substance, with effects on sexual
behavior. Correlations and effects of alcohol consumption and abuse on sexual behavior of all
genders and ages have been identified worldwide. However, the Greek literature remains
relatively limited.
Research Purpose: The purpose of the study is to examine the relationships between
alcohol abuse and sexual behavior and to explore predictive models of unsafe sexual
practices.
Methodology: A cross-sectional, quantitative, descriptive study was conducted on 502
adults, 18 to 68 years old (M = 28.40, SD = 9.08), from Greece. Convenience sampling was
implemented with closed-ended questionnaires via Google Forms and social media between
December 2022 - February 2023. After sampling was completed, hypothesis testing statistical
analyses were performed.
Results: It was found that deviant sober sexual behaviors induced drunken sexual
behaviors associated with sexual partners mediated by alcohol abuse (β = .10, SE = .03,
CI95% [.05, .16]) and by positive attitudes toward sexual behaviors under the influence of
alcohol (β = .06, SE = .022, CI95% [.03, .09]), induced substance use-related drunken sexual
behaviors mediated by alcohol abuse (β = .17, SE = .04, CI95% [.10, .24]) and by positive
attitudes toward sexual behaviors under the influence of alcohol (β = .08, SE = .02, CI95%
[.03, .13]) and induced drunken sexual behaviors related to deviant practices mediated by
alcohol abuse (β = .05, SE = .02, CI95% [.01, .11]) and by positive attitudes toward sexual
behaviors under the influence of alcohol (β = .05, SE = .02, CI95 % [.02, .09]), only in
individuals who did not use other psychoactive substances. An effect of alcohol abuse levels
on unprotected sexual intercourse under the influence of alcohol was found, F(2,499) =
38.49, p < .001. More frequent unprotected sexual intercourse under the influence of alcohol
7
was found on moderate alcohol abusers (M = 2.08, SD = 1.18) compared low alcohol abusers
(M = 1.37, SD = .88) (p < .001), on high alcohol abusers (M = 2.63, SD = 1.33) compared
moderate alcohol abusers (M = 2.08, SD = 1.18) (p < .001) and on high alcohol abusers (M =
2.63, SD = 1.33) compared to low alcohol abusers (M = 1.37, SD = .88) (p < .001).
Conclusions: Sober sexual practices, attitudes toward sexual socialization, and alcohol
abuse were associated with a variety of drunken sexual practices in non-psychoactive
substance users. Also, levels of alcohol abuse were associated with unprotected sex.
Keywords:
Alcohol abuse, Sexual activity, Anxiety, Depression, Attitudes