Pregnancy, Alcohol Intake, and Intimate Partner Violence among Men and Women Attending Drinking Establishments in a Cape Town, South Africa Township
Pregnancy, Alcohol Intake, and Intimate Partner Violence among Men and Women Attending Drinking Establishments in a Cape Town, South Africa Township
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DOI：
10.1007/s10900-011-9438-7
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发表时间：
2012-02-01
影响因子：
5.9
通讯作者：
Pitpitan, Eileen V.
中科院分区：
文献类型：
--
作者：
Eaton, Lisa A.;Kalichman, Seth C.;Pitpitan, Eileen V.
全世界胎儿酒精综合征发病率最高的国家是南非。特别是在西开普省的贫困乡镇，孕妇生活的环境中，怀孕期间饮酒已成为常态，据报告，人际暴力发生率很高。在目前的研究中，我们试图研究男性和女性的怀孕与饮酒行为和IPV的关系。我们调查了2,120名男性和女性参加位于南非西开普省的一个乡镇的饮酒场所。13.3%的妇女报告怀孕，12.0%的男子报告其伴侣怀孕。对于孕妇，61%的人报告说当晚去酒吧喝酒，26%的人报告说饮酒和目前正在经历IPV。据报道，孕妇每天或几乎每天酗酒的频率是非孕妇的两倍（8.4%对4.2%）。有怀孕伴侣的男性报告说，殴打性伴侣、强迫伴侣发生性关系和被强迫发生性关系的比例最高。在整个样本中，报告了酒精频率、消费、酗酒、消费和酗酒的高比率。一般来说，经历和实施IPV与所有参与者中的酒精使用有关，除了怀孕伴侣的男性。参加shebeens的孕妇饮酒率高得惊人。此外，饮酒似乎是了解IPV与妊娠之间关系的重要因素。迫切需要对男性和女性采取密集、有针对性和有效的干预措施，以解决在饮酒场所饮酒的孕妇中饮酒率高的问题。
The highest rates of fetal alcohol syndrome worldwide can be found in South Africa. Particularly in impoverished townships in the Western Cape, pregnant women live in environments where alcohol intake during pregnancy has become normalized and interpersonal violence (IPV) is reported at high rates. For the current study we sought to examine how pregnancy, for both men and women, is related to alcohol use behaviors and IPV. We surveyed 2,120 men and women attending drinking establishments in a township located in the Western Cape of South Africa. Among women 13.3% reported being pregnant, and among men 12.0% reported their partner pregnant. For pregnant women, 61% reported attending the bar that evening to drink alcohol and 26% reported both alcohol use and currently experiencing IPV. Daily or almost daily binge drinking was reported twice as often among pregnant women than non-pregnant women (8.4% vs. 4.2%). Men with pregnant partners reported the highest rates of hitting sex partners, forcing a partner to have sex, and being forced to have sex. High rates of alcohol frequency, consumption, binge drinking, consumption and binge drinking were reported across the entire sample. In general, experiencing and perpetrating IPV were associated with alcohol use among all participants except for men with pregnant partners. Alcohol use among pregnant women attending shebeens is alarmingly high. Moreover, alcohol use appears to be an important factor in understanding the relationship between IPV and pregnancy. Intensive, targeted, and effective interventions for both men and women are urgently needed to address high rates of drinking alcohol among pregnant women who attend drinking establishments.