Patterns of alcohol use and sexual behaviors among current drinkers in Cape Town, South Africa
Patterns of alcohol use and sexual behaviors among current drinkers in Cape Town, South Africa
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DOI：
10.1016/j.addbeh.2012.01.002
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发表时间：
2012-04-01
影响因子：
4.4
通讯作者：
Kalichman, Seth C.
中科院分区：
文献类型：
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作者：
Scott-Sheldon, Lori A. J.;Carey, Michael P.;Kalichman, Seth C.
目的：本研究调查了报告当前饮酒的南非成年人中酒精使用与性行为之间的关系。方法：对居住在南非一个乡镇社区的成年人进行街道拦截调查。结果：分析仅限于报告当前饮酒的参与者（N=1285，平均年龄= 32,27%为女性，98%为黑人）。大多数参与者（60%）报告在过去30天内每周至少一次重度间歇性饮酒（即单次饮酒5次或更多）。与非重度间断性饮酒者相比，重度间断性饮酒者更有可能在性行为前饮酒（79%对66%），并与饮酒的伴侣发生性行为（59%对44%）。总体而言，性行为前饮酒（自己或伴侣）和大量间歇性饮酒与多个性伴侣、与性伴侣讨论使用安全套以及保护性行为的比例有关。使用避孕套的频率在有稳定的，随意的，或者既稳定又随意的性伴侣的参与者中有所不同。结论：南非成年人饮酒与性危险行为相关，但这种关联因伴侣类型而异。研究结果表明，有必要在减少性风险干预措施中加强酒精使用成分，特别是对于有稳定和随意性伴侣的参与者。(C) 2012 Elsevier Ltd.版权所有。
Objective: This study examined the association between alcohol use and sexual behaviors among South African adults who reported current drinking.Method: Street-intercept surveys were administered to adults residing in neighborhoods in a South African township.Results: Analyses were restricted to participants reporting current drinking (N=1285; mean age = 32; 27% women; 98% Black). Most participants (60%) reported heavy episodic drinking (i.e., 5 or more drinks on a single occasion) at least once per week in the past 30 days. Compared to non-heavy episodic drinkers, participants who reported heavy episodic drinking were more likely to drink before sex (79% vs. 66%) and have sex with a partner who had been drinking (59% vs. 44%). Overall, drinking before sex (self or partner) and heavy episodic drinking was associated with multiple sexual partners, discussing condom use with sexual partner(s), and proportion of protected sex. The frequency of condom use varied among participants with steady, casual, or both steady and casual sexual partners.Conclusions: Alcohol use among South African adults is associated with sexual risk behaviors, but this association differs by partner type. Findings suggest the need to strengthen alcohol use components in sexual risk reduction interventions especially for participants with both steady and casual sex partners. (C) 2012 Elsevier Ltd. All rights reserved.