"Booze is the main factor that got me where I am today": alcohol use and HIV risk for MSM in rural South Africa.
"Booze is the main factor that got me where I am today": alcohol use and HIV risk for MSM in rural South Africa.
复制标题
DOI：
10.1080/09540121.2018.1475626
复制
发表时间：
2018-11
期刊：
影响因子：
1.7
通讯作者：
Coates T
中科院分区：
文献类型：
--
作者：
Daniels J;Struthers H;Lane T;Maleke K;McIntyre J;Coates T
过量饮酒已被证明会增加男男性行为者（MSM）感染艾滋病毒的风险，并损害艾滋病毒预防行为。然而，在撒哈拉以南非洲农村地区，对MSM饮酒的背景了解有限，这可以为艾滋病毒干预提供信息和指导。应用PhotoVoice的改编版，我们与35名艾滋病毒阳性的男男性行为者合作，他们在姆普马兰加创作了关于酒精和艾滋病毒的照片文章。一个半结构化的协议被用于焦点小组讨论，录音，翻译和转录。本研究以24篇照片文章的文字资料与视觉资料为研究对象，采用持续比较法进行分析。我们发现参与者使用酒精来建立和维持社交网络、结识性伴侣并增强性体验。过度饮酒是常见的，增加了艾滋病毒的风险行为在一个社区的男男性接触者谁保持多个伙伴关系。我们的研究表明，艾滋病毒干预措施需要解决过度饮酒问题，以减轻个人和社区层面的相关艾滋病毒风险。
Excessive alcohol consumption has been shown to increase HIV risk for men who have sex with men (MSM) and compromise HIV prevention behaviors. However, there is limited contextual understanding of alcohol use for MSM in rural sub-Saharan African settings, which can inform and direct HIV interventions. Applying an adaptation of PhotoVoice, we worked with 35 HIV-positive MSM who created photo-essays about alcohol and HIV in Mpumalanga. A semi-structured protocol was used in focus group discussions that were audio-recorded, translated and transcribed. Transcript data and visual data of 24 photo-essays were analyzed using a constant comparison approach. We found that participants used alcohol to build and sustain social networks, meet sexual partners, and enhance sexual experience. Excessive alcohol use was common and increased HIV risk behaviors within a community of MSM who maintained multiple partnerships. Our study suggests that HIV interventions need to address excessive alcohol use to mitigate the associated HIV risk at both the individual and community levels.
登录
查看更多内容
DOI：
10.1016/j.jana.2016.03.003
发表时间：
2016-07-01
影响因子：
2
作者：
Davtyan, Mariam;Farmer, Shu;Frederick, Toni
通讯作者：
Frederick, Toni
影响因子：
4.4
作者：
Kalichman, Seth C.;Simbayi, Leickness C.;Jooste, Sean
通讯作者：
Jooste, Sean
影响因子：
5.4
作者：
Morojele, NK;Kachieng'a, MA;Saxena, S
通讯作者：
Saxena, S
影响因子：
4.2
作者：
Hess KL;Chavez PR;Kanny D;DiNenno E;Lansky A;Paz-Bailey G;NHBS Study Group
通讯作者：
NHBS Study Group
影响因子：
3.7
作者：
Lane T;Osmand T;Marr A;Shade SB;Dunkle K;Sandfort T;Struthers H;Kegeles S;McIntyre JA
通讯作者：
McIntyre JA