Sensation seeking and alcohol use predict HIV transmission risks: Prospective study of sexually transmitted infection clinic patients, Cape Town, South Africa

Sensation seeking and alcohol use predict HIV transmission risks: Prospective study of sexually transmitted infection clinic patients, Cape Town, South Africa
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DOI:
10.1016/j.addbeh.2008.07.020
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发表时间:
2008-12-01
影响因子:
4.4
通讯作者:
Cain, Dernetria
Cain, Dernetria
中科院分区:
医学2区
文献类型:
--
作者:
Kalichman, Seth C.;Simbayi, Leickness;Cain, Dernetria

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在南部非洲,酒精与艾滋病毒风险行为有关,这些行为与寻求感觉的个性和酒精结果预期有关。在这里,我们报告的第一次在非洲的前瞻性研究中的感觉寻求,物质使用和性风险之间的关联。南非开普敦的性传播感染门诊患者(157名男性和64名女性)完成了(a)感觉寻求、性增强酒精结果预期、性环境中酒精使用和无保护性行为的基线测量和(B)性环境中酒精使用和无保护性行为的6个月随访测量。结果证实,感觉寻求预测艾滋病毒的风险行为和感觉寻求是与酒精的结果预期,这反过来又预测在性环境中使用酒精。南部非洲迫切需要解决与性有关的饮酒问题的艾滋病毒预防咨询。(C)2008爱思唯尔有限公司保留所有权利。
Alcohol is related to HIV risk behaviors in southern Africa and these behaviors are correlated with sensation seeking personality and alcohol outcome expectancies. Here we report for the first time the associations among sensation seeking, substance use, and sexual risks in a prospective study in Africa. Sexually transmitted infection clinic patients in Cape Town South Africa (157 men and 64 women) completed (a) baseline measures of sensation seeking, sexual enhancement alcohol outcome expectancies, alcohol use in sexual contexts, and unprotected sexual behaviors and (b) 6-month follow-up measures of alcohol use in sexual contexts and unprotected sexual acts. Results confirmed that sensation seeking predicts HIV risk behavior and sensation seeking is related to alcohol outcome expectancies which in turn predict alcohol use in sexual contexts. HIV prevention counseling that addresses drinking in relation to sex is urgently needed in southern Africa. (C) 2008 Elsevier Ltd. All rights reserved.