AIM: The rates of HIV acquired through heterosexual contact are increasing in the Czech Republic. This study explored potential HIV risk associa-tions 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, HIV risk, alcohol consumption, female homosexuality, sexual behaviour, women,
• MeSH
• Adult MeSH
• HIV Infections diagnosis   transmission   MeSH
• Middle Aged MeSH
• Humans MeSH
• Adolescent MeSH
• Alcohol Drinking epidemiology   MeSH
• Substance-Related Disorders epidemiology   MeSH
• Surveys and Questionnaires MeSH
• Risk-Taking MeSH
• Risk Factors MeSH
• Aged MeSH
• Sexual Behavior statistics & numerical data   MeSH
• Social Behavior * MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Adolescent MeSH
• Aged MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Research Support, N.I.H., Extramural MeSH
• Geographicals
• Czech Republic epidemiology   MeSH