Mental health and HIV sexual risk behavior among patrons of alcohol serving venues in Cape Town, South Africa.
Mental health and HIV sexual risk behavior among patrons of alcohol serving venues in Cape Town, South Africa.
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DOI：
10.1097/qai.0b013e3182167e7a
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发表时间：
2011-07-01
期刊：
影响因子：
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通讯作者：
Pieterse D
中科院分区：
文献类型：
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作者：
Sikkema KJ;Watt MH;Meade CS;Ranby KW;Kalichman SC;Skinner D;Pieterse D
由于这些场所的顾客存在危险因素，南非的酒精饮料场所为艾滋病毒预防干预提供了场所。了解这些环境中心理健康与危险行为之间的关联可能会为解决饮酒和艾滋病毒预防的干预措施提供信息。参与者 (N=738) 在开普敦的六个饮酒场所接受了调查，以评估创伤后应激障碍 (PTSD) 和抑郁症状、创伤经历、性行为和药物使用。逻辑回归模型检查创伤经历是否可以预测创伤后应激障碍和抑郁症。广义线性模型检查物质使用、创伤后应激障碍和抑郁症状是否可以预测无保护的性交。男性和女性分别进行分析。参与者表现出高比例的创伤经历、创伤后应激障碍、抑郁、饮酒和艾滋病毒危险行为。对于男性来说，创伤后应激障碍与被性伴侣殴打、身体虐待儿童、性虐待儿童和艾滋病毒诊断有关；抑郁症与被性伴侣殴打、强迫性行为和虐待儿童有关。对于女性来说，创伤后应激障碍和抑郁症都与遭受性伴侣的打击、强迫性行为和虐待儿童有关。无保护性交与男性的年龄、饮酒频率和数量、吸毒和创伤后应激障碍有关，以及女性的饮酒频率和数量、抑郁和创伤后应激障碍有关。这种环境下的心理健康状况较差，并且与危险性行为有关。治疗心理健康和药物滥用问题可能有助于减少艾滋病毒感染。性侵犯的预防和性侵犯后的治疗可能会加强艾滋病毒的预防工作。
Alcohol-serving venues in South Africa provide a location for HIV prevention interventions due to risk factors of patrons in these establishments. Understanding the association between mental health and risk behaviors in these settings may inform interventions that address alcohol use and HIV prevention. Participants (N=738) were surveyed in six alcohol-serving venues in Cape Town to assess post-traumatic stress disorder (PTSD) and depression symptoms, traumatic experiences, sexual behavior and substance use. Logistic regression models examined whether traumatic experiences predicted PTSD and depression. Generalized linear models examined whether substance use, PTSD, and depressive symptoms, predicted unprotected sexual intercourse. Men and women were analyzed separately. Participants exhibited high rates of traumatic experiences, PTSD, depression, alcohol consumption, and HIV risk behaviors. For men, PTSD was associated with being hit by a sex partner, physical child abuse, sexual child abuse and HIV diagnosis; depression was associated with being hit by a sex partner, forced sex and physical child abuse. For women, both PTSD and depression were associated with being hit by a sex partner, forced sex, and physical child abuse. Unprotected sexual intercourse was associated with age, frequency and quantity of alcohol use, drug use, and PTSD for men and frequency and quantity of alcohol use, depression, and PTSD for women. Mental health in this setting was poor and was associated with sexual risk behavior. Treating mental health and substance use problems may aid in reducing HIV infection. Sexual assault prevention and treatment following sexual assault may strengthen HIV prevention efforts.