Co-occurring psychosocial problems and HIV risk among women attending drinking venues in a South African township: a syndemic approach.
Co-occurring psychosocial problems and HIV risk among women attending drinking venues in a South African township: a syndemic approach.
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DOI：
10.1007/s12160-012-9420-3
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发表时间：
2013-04
期刊：
影响因子：
--
通讯作者：
Pieterse D
中科院分区：
文献类型：
--
作者：
Pitpitan EV;Kalichman SC;Eaton LA;Cain D;Sikkema KJ;Watt MH;Skinner D;Pieterse D
在南非，妇女占艾滋病毒感染者的大多数。已采用综合症或同时发生的流行病和风险因素来了解边缘化群体中的艾滋病毒风险。应用综合流行框架来研究在南非参加饮酒场所的妇女中共同发生的心理社会问题，并测试这些问题的共同发生如何可能加剧艾滋病毒感染的风险。来自开普敦一个乡镇的560名妇女提供了关于多种心理社会问题的数据，包括食物不足、抑郁、虐待经历、问题饮酒和性行为。发病因素之间的双变量关联表现出高度的共现性，回归分析显示，艾滋病毒的危险行为的心理社会问题的加性效应。这些结果表明，流行病框架对于了解南非妇女中同时发生的心理社会问题很有用。艾滋病毒预防干预措施应考虑到妇女心理社会问题的复合影响。
In South Africa, women comprise the majority of HIV infections. Syndemics, or co-occurring epidemics and risk factors, have been applied to understanding HIV risk among marginalized groups. To apply the syndemic framework to examine psychosocial problems that co-occur among women attending drinking venues in South Africa, and to test how the co-occurrence of these problems may exacerbate risk for HIV infection. 560 women from a Cape Town township provided data on multiple psychosocial problems, including food insufficiency, depression, abuse experiences, problem drinking, and sexual behaviors. Bivariate associations among the syndemic factors showed a high degree of co-occurrence and regression analyses showed an additive effect of psychosocial problems on HIV risk behaviors. These results demonstrate the utility of a syndemic framework to understand co-occurring psychosocial problems among women in South Africa. HIV prevention interventions should consider the compounding effects of psychosocial problems among women.
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