Intersecting epidemics among pregnant women: alcohol use, interpersonal violence, and HIV infection in South Africa.
Intersecting epidemics among pregnant women: alcohol use, interpersonal violence, and HIV infection in South Africa.
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DOI：
10.1007/s11904-012-0145-5
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发表时间：
2013-03
影响因子：
4.6
通讯作者：
Petersen-Williams, Petal
中科院分区：
文献类型：
--
作者：
Russell, Beth S.;Eaton, Lisa A.;Petersen-Williams, Petal
关键词：
了解负面健康后果的一个关键因素是认识到健康问题集群造成的协同效应。解决一系列健康问题的一个重要步骤是认识到将这些问题联系在一起的各种背景因素。本文考虑了三个相辅相成的健康问题：酗酒、人际暴力(IPV)和居住在南非的孕妇中的艾滋病毒感染。我们探讨了SAVA(物质滥用、暴力和艾滋病)--一种与症状相关的理论--如何强调在心理社会健康和总体福祉的各个领域进行干预的迫切需要。根据世界卫生组织的数据，我们强调，与世界其他国家的妇女相比，南非妇女的饮酒率、IPV和艾滋病毒感染率非常高。最后，我们强调需要更好地认识这些流行病的交叉点，并改进对孕妇饮酒流行率的监测。最后，在文献回顾的基础上，我们对未来的干预措施提出了建议。
A critical factor for understanding negative health outcomes is acknowledging the synergistic quality that clusters of health problems create. An important step in addressing clusters of health problems involves gaining an awareness of the contextual factors that connect them. This paper considers the intersection of three mutually reinforcing health problems: alcohol use, interpersonal violence (IPV), and HIV infection among pregnant women residing in South Africa. We explore how SAVA (substance abuse, violence and AIDS)- a syndemics related theory- underscores the dire need to intervene in various areas of psycho-social health and general well-being. Based on World Health Organization data, we highlight the remarkably high rates of alcohol use, IPV, and HIV infection among South African women compared to women residing in other countries around the world. We conclude by highlighting the need for improved recognition of the intersection of these epidemics and for improved surveillance of the prevalence of alcohol use among pregnant women. Finally, based on the literature reviewed, we provide recommendations for future interventions.
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