Alcohol and risks for HIV/AIDS among sexually transmitted infection clinic patients in Cape Town, South Africa.
Alcohol and risks for HIV/AIDS among sexually transmitted infection clinic patients in Cape Town, South Africa.
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DOI：
10.1300/j465v27n04_05
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发表时间：
2006-12-01
期刊：
影响因子：
3.5
通讯作者：
Mathiti, Vuyisile
中科院分区：
文献类型：
--
作者：
Simbayi, Leickness C;Kalichman, Seth C;Mathiti, Vuyisile
饮酒在南非很普遍，饮酒可能会增加艾滋病毒传播的风险。本文报告了一项针对南非开普敦接受性传播感染 (STI) 诊所服务的 134 名男性和 92 名女性的饮酒与 HIV 风险相关行为之间关系的研究。参与者完成了人口统计信息、药物使用和性危险行为的匿名调查。结果显示，性传播感染门诊患者中饮酒问题很常见； 58% 的男性和 28% 的女性在酒精使用障碍识别测试 (AUDIT) 中得分高于 9 分，表明可能存在饮酒问题；46% 的男性和 19% 的女性在 AUDIT 中得分高于 12 分，表明可能存在饮酒问题。对于男性来说，大量饮酒与过去一个月有多个性伴侣、较少使用安全套以及有性侵犯女性的历史有关。在女性中，审计得分较高也与拥有多个性伴侣以及以性换取金钱或物质的历史有关。在艾滋病毒传播高危人群中，饮酒与性危险行为之间的关联表明，需要将南非性传播感染诊所患者的酒精风险降低咨询与艾滋病毒预防咨询结合起来。
Alcohol use is prevalent in South Africa and alcohol use may be associated with higher risk for HIV transmission. This paper reports a study of the association between alcohol use and HIV risk-related behavior among 134 men and 92 women receiving sexually transmitted infection (STI) clinic services in Cape Town, South Africa. Participants completed anonymous surveys of demographic information, substance use, and sexual risk behaviors. Results showed that problem drinking was common among STI clinic patients; 58% of men and 28% of women scored above a cut-off of 9 on the Alcohol Use Disorders Identification Test (AUDIT) suggesting possible problem drinking and 46% of men and 19% of women scored above 12 on the AUDIT indicating probable drinking problems. For men, heavier alcohol use was associated with having multiple sex partners in the past month, less condom use, and having a history of sexually assaulting women. Among women, higher scores on the AUDIT were also related to having multiple sex partners as well as a history of exchanging sex for money or materials. The association between alcohol use and sexual risk behaviors in a population at high-risk for HIV transmission demonstrates the need for integrating alcohol risk reduction counseling with HIV prevention counseling among STI clinic patients in South Africa.