Excessive alcohol consumption and a high rate of extramarital sexual activity are common among certain groups of expatriates (Lange and McCune, 1989; Mac-nair, 1995; De Graaf et al., 1998a). In some cases these behaviors are related to peer pressure and expectations, while in other instances they are a consequence of stress, or an attempt to avoid unpleasant thoughts and feelings, or a result of loneliness and separation from the social support network (perhaps including the spouse). Boredom and a lack of opportunity for recreational activities may also be a factor. In many cases expatriates do not use condoms during sexual activity (Moore et al., 1995), increasing the risk of HIV infection and other sexually transmitted diseases.
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