Associations of poverty, substance use, and HIV transmission risk behaviors in three South African communities
Associations of poverty, substance use, and HIV transmission risk behaviors in three South African communities
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DOI：
10.1016/j.socscimed.2005.08.021
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发表时间：
2006-04-01
影响因子：
5.4
通讯作者：
Cherry, C
中科院分区：
文献类型：
--
作者：
Kalichman, SC;Simbayi, LC;Cherry, C
世界上大多数艾滋病毒感染发生在被贫困蹂躏的社区。尽管艾滋病毒/艾滋病与贫困有着千丝万缕的联系，但很少有研究表明，与贫困相关的压力因素是如何导致艾滋病毒风险行为的。在这项研究中，调查在三个南非社区进行，这些社区因种族和社会经济条件而异：生活在贫困非洲城镇的人（N = 499）；经济贫困但基础设施完善的种族融合城镇（N = 995）；城市非贫困社区（N = 678）。结果表明，艾滋病风险与教育水平低下、失业、歧视、暴力和犯罪经历密切相关。尽管与贫困相关的压力源与酒精和药物使用史有关，但物质使用并没有缓和与贫困相关的压力源与艾滋病毒风险行为之间的关联。研究结果表明，艾滋病毒预防策略不应将艾滋病视为一个单独的社会问题，而独立于其他社会弊病。(c) 2005 Elsevier Ltd版权所有。
The majority of the world's HIV infections occur in communities ravished by poverty. Although HIV/AIDS and poverty are inextricably linked, there are few studies of how poverty-related stressors contribute to HIV risk behavior practices. In this study, surveys were conducted in three South African communities that varied by race and socioeconomic conditions: people living in an impoverished African township (N = 499); an economically impoverished but well infrastructured racially integrating township (N = 995); and urban non-impoverished neighborhoods (N = 678). Results showed that HIV/AIDS risks were closely related to experiences of poor education, unemployment, discrimination, violence, and crime. Although poverty-related stressors were associated with a history of alcohol and drug use, substance use did not moderate the association between poverty-related stressors and HIV risk behaviors. The findings suggest that HIV prevention strategies should not treat AIDS as a singled out social problem independent of other social ills. (c) 2005 Elsevier Ltd. All rights reserved.