Alcohol use, mental health, and HIV-related risk behaviors among adult men in Karnataka.

Alcohol use, mental health, and HIV-related risk behaviors among adult men in Karnataka.
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DOI:
10.1007/s10461-010-9725-9
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发表时间:
2010-08
期刊:
影响因子:
4.4
通讯作者:
Benegal, Vivek
Benegal, Vivek
中科院分区:
医学2区
文献类型:
--
作者:
Nayak, Madhabika B.;Korcha, Rachael A.;Benegal, Vivek

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这项研究严格审查了过去一年饮酒,自我评估的心理健康和男性及其伴侣的艾滋病毒风险相关行为之间的关联,即,两个或两个以上伴侣和/或实施伴侣暴力。数据来自卡纳塔克邦1137名16至49岁男性的人口样本。总体而言,9.5%的男性报告了与艾滋病毒相关的风险行为,38.1%的人饮酒,目前所有饮酒者中约有一半(54.5%)符合危险酒精使用的标准。在控制了社会人口统计学和心理社会风险因素后,危险的酒精使用和较差的心理健康仍然与HIV风险相关行为显着相关。更严重的酒精滥用,特别是酒精依赖,以及合并危险酒精使用和精神健康状况较差,分别与男性艾滋病毒相关风险行为增加2倍和5倍以上相关。研究结果对男性及其伴侣的艾滋病预防和干预计划的影响以及未来研究的方向进行了讨论。
This study critically examined associations among past year alcohol use, self-rated mental health and HIV risk-related behaviors for men and their partners, i.e., two or more partners and/or perpetration of partner violence. Data are reported from a population sample of 1137 men aged 16 to 49 in Karnataka. Overall, 9.5% of all men reported HIV risk-related behaviors, 38.1% consumed alcohol, and about half (54.5%) of all current drinkers met criteria for hazardous alcohol use. Hazardous alcohol use and poorer mental health remained significantly associated with HIV-risk related behaviors after controlling for socio-demographics and psychosocial risk factors. More severe alcohol misuse, specifically alcohol dependence, and co-morbid hazardous alcohol use and poorer mental health, was associated with over 2 and 5 fold increases respectively in men’s HIV risk-related behaviors. Implications of findings for HIV prevention and intervention programs for men and their partners and directions for future research are discussed.
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