Determinants of alcohol use, risky sexual behavior and sexual health problems among men in low income communities of Mumbai, India.
Determinants of alcohol use, risky sexual behavior and sexual health problems among men in low income communities of Mumbai, India.
复制标题
印度孟买低收入社区中男性饮酒，风险的性行为和性健康问题的决定因素。
DOI：
10.1007/s10461-010-9732-x
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发表时间：
2010-08
影响因子：
4.4
通讯作者：
Berg M
中科院分区：
文献类型：
--
作者：
Singh SK;Schensul JJ;Gupta K;Maharana B;Kremelberg D;Berg M
本文总结了一项混合方法研究的酒精和性风险的一般人口的年轻男子18-29居住在低收入社区在大孟买地区的调查组成部分的主要结果。这项调查包括人口统计变量、衡量工作压力、社会影响、儿童时期和目前接触酒精的情况、接触媒体和色情制品的情况、与风险有关的休闲活动以及酒精和酒精/性预期的尺度和指数。酒精使用的措施包括频率/量/上下文使用六种不同类型的酒精，频率和量的一般估计（审计），并估计总毫升。过去30天内的饮酒量，根据消费的所有类型的酒精含量估计，按消费单位（玻璃杯，挂钩，瓶）等。性结果的措施包括类型和数量的合作伙伴以往和过去一年有和没有酒精，和一个关键事件与最近的合作伙伴（有或没有酒精）和文化的具体指标的性健康有关的性风险。一个整群抽样协议和使用筛选器产生了一个样本的1239名男子，1071三十天饮酒者和161 nondrinks。Logistic回归分析（二项和多项）显示预测变量和饮酒量和酒精和性风险指标之间的关系，以及两个与婚外性行为相关的性健康指标。在已婚和未婚男性的低风险人群中，风险行为与较高的酒精消费水平有关。干预措施的意义包括：（a）减少或消除家庭饮酒，以减少儿童早期接触;（B）将酒精纳入性风险和艾滋病毒预防方案;（c）改善夫妻（已婚或未婚）沟通，以减少男子寻求性替代品的行为;（d）将garmi视为性风险而非性传播感染的指标。
This paper summarizes the main results of the survey component of a mixed methods study of alcohol and sexual risk in a general population of young men 18–29 residing in low income communities in the Greater Mumbai area. The survey included demographic variables, and scales and indices measuring work related stress, social influence, exposure to alcohol in childhood, and currently, hyper masculinity, exposure to media and pornography, risk related leisure time activities and alcohol and alcohol/sex expectancies. Measures of alcohol use included frequency/amount/contextual use of six different types of alcohol, a general estimate of frequency and amount (AUDIT), and an estimate of total ml. alcohol consumed in the past 30 days, based on estimates of alcohol content in all types of alcohol consumed, by unit of consumption (glass, peg, bottle) etc. Sexual outcome measures included types and number of partners ever and in past year with and without alcohol, and a critical event with most recent partner (with or without alcohol) and culturally specific indicators of sexual health related to sexual risk taking. A cluster sampling protocol and the use of a screener produced a sample of 1239 men, 1071 thirty day drinkers and 161 nondrinkers. Logistic regression analysis (binary and multinomial) showed relationships between predictor variables and alcohol consumption and alcohol and sexual risk indicators as well as two of the sexual health indicators associated with extramarital sex. Risk behaviors are associated with higher levels of alcohol consumption in this low risk general population of married and unmarried men. Implications for intervention include: (a) reducing or eliminating home drinking, to reduce early childhood exposure; (b) including alcohol in sexual risk and HIV prevention programs; (c) improving couples (married or unmarried) communication to reduce men’s search for sexual alternatives, and (d) treating garmi as an indicator of sexual risk taking rather than STIs.