HIV/AIDS risks among men and women who drink at informal alcohol serving establishments (shebeens) in Cape Town, South Africa

HIV/AIDS risks among men and women who drink at informal alcohol serving establishments (shebeens) in Cape Town, South Africa
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DOI:
10.1007/s11121-008-0085-x
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发表时间:
2008-03-01
期刊:
影响因子:
3.5
通讯作者:
Cain, Demetria
Cain, Demetria
中科院分区:
医学2区
文献类型:
--
作者:
Kalichman, Seth C.;Simbayi, Leickness C.;Cain, Demetria

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艾滋病毒/艾滋病正在破坏南部非洲,艾滋病毒的传播在一些人群中因饮酒而加剧。提供酒精饮料的场所,如非正式饮酒场所或shebeens,往往是艾滋病毒传播的高风险场所。目前的研究检查了男性(N=91)和女性(N=248)从四个shebeens在种族融合的乡镇在开普敦南非招募艾滋病毒的风险。参与者完成了人口统计学特征,HIV风险史,酒精和药物使用以及HIV风险行为的保密措施。比较94(28%)的参与者谁报告会议的性伴侣在shebeens的其余样本shebeen的观众,控制潜在的混淆,表现出较高的艾滋病毒感染风险的模式,在shebeens的人谁满足性伴侣。然而,很少有差异,男性(N=47)和女性(N=47)谁见过性伴侣在shebeens,这表明更大的性别相似性比性别差异在这个重要的亚群。这些结果表明,迫切需要多层次的艾滋病毒预防干预措施,针对shebeens和男性和女性谁在这些环境中喝酒。
HIV/AIDS is devastating southern Africa and the spread of HIV is fueled in some populations by alcohol use. Alcohol serving establishments, such as informal drinking places or shebeens, often serve as high-risk venues for HIV transmission. The current study examined the HIV risks of men (N=91) and women (N=248) recruited from four shebeens in a racially integrating township in Cape Town South Africa. Participants completed confidential measures of demographic characteristics, HIV risk history, alcohol and drug use, and HIV risk behaviors. Comparisons of 94 (28%) participants who reported meeting sex partners at shebeens to the remaining sample of shebeen goers, controlling for potential confounds, demonstrated a pattern of higher risk for HIV infection among persons who met sex partners at shebeens. Few differences, however, were observed between men (N=47) and women (N=47) who had met sex partners at shebeens, suggesting greater gender similarities than gender differences in this important subpopulation. These results indicate an urgent need for multi-level HIV prevention interventions targeting shebeens and the men and women who drink in these settings.