Alcohol consumption and risky sexual behaviour in the fishing communities: evidence from two fish landing sites on Lake Victoria in Uganda.
Alcohol consumption and risky sexual behaviour in the fishing communities: evidence from two fish landing sites on Lake Victoria in Uganda.
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DOI：
10.1186/1471-2458-12-1069
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发表时间：
2012-12-11
影响因子：
4.5
通讯作者：
Wagner G
中科院分区：
文献类型：
--
作者：
Tumwesigye NM;Atuyambe L;Wanyenze RK;Kibira SP;Li Q;Wabwire-Mangen F;Wagner G
渔业社区是感染艾滋病毒风险最大的人群之一，一些研究认为艾滋病毒流行率比普通人群高5至10倍。饮酒已被确定为渔业社区性危险行为的主要驱动因素之一。本文调查了维多利亚湖两个渔业社区的饮酒模式与危险行为之间的关系。面对面访问的对象包括303名男性和172名女性，包括渔民、鱼类或鱼类产品和其他商品的贸易商、酒吧和酒店的临时工和女服务员等服务提供者，其中包括12名女性性工作者。采用分层随机抽样方法选择研究单元。采用多变量分析评估饮酒与危险性行为之间的独立关系。酒精消费的衡量标准包括酒精使用障碍测试得分(审计)，在之前的30个 天内喝醉，每周至少饮酒2次，而危险行为的衡量标准包括参与交易性行为，不一致地使用避孕套，与非常规伴侣发生性行为，以及有多个性伴侣。这两个渔业社区的有害饮酒水平相当高，62%的男性和52%的女性饮酒者在之前的30个 天内喝醉。危险性行为的水平同样很高，63%的男性和59%的女性在最后一次性行为中有过无保护措施的性行为。从大多数指标的价值来看，在这3个职业中，渔民有害饮酒和危险性行为的程度最高，其次是服务提供者。酒精消费变量的种类与危险的性行为变量相关，不同的职业有所不同。频繁饮酒、较高的审计分数、喝过酒、较长的饮酒时间和一周中的任何一天都与渔民从事交易性行为密切相关，但较少的因素在贸易商和服务提供商中显示出同样的相关性。每周饮酒2次或以上的渔民发生交易性行为的可能性是从不饮酒的渔民的7.9倍(95%CI：2.05-30.24)。着陆点的贸易商和服务提供商也出现了类似的情况。在多因素分析中，不一致使用避孕套或不使用避孕套与除男性饮酒天数外的任何饮酒指标变量均无显著相关性。饮酒与有多个性伴侣、与非正规伴侣发生性关系以及参与交易性行为密切相关，但与在鱼类上岸地点持续使用避孕套无关。然而，这种关联的模式和强度因职业而异。针对渔业社区的艾滋病毒风险降低计划应该解决饮酒问题，特别是性接触前的饮酒问题。不同的职业可能需要不同的干预。
The fishing communities are among population groups that are most at risk of HIV infection, with some studies putting the HIV prevalence at 5 to 10 times higher than in the general population. Alcohol consumption has been identified as one of the major drivers of the sexual risk behaviour in the fishing communities. This paper investigates the relationship between alcohol consumption patterns and risky behaviour in two fishing communities on Lake Victoria. Face-to-face interviews were conducted among 303 men and 172 women at the fish landing sites; categorised into fishermen, traders of fish or fish products and other merchandise, and service providers such as casual labourers and waitresses in bars and hotels, including 12 female sexual workers. Stratified random sampling methodology was used to select study units. Multivariable analysis was conducted to assess independent relationship between alcohol consumption and sexual risky behaviour. Measures of alcohol consumption included the alcohol use disorder test score (AUDIT), having gotten drunk in previous 30 days, drinking at least 2 times a week while measures for risky behaviour included engaging in transactional sex, inconsistent condom use, having sex with non-regular partner and having multiple sexual partners. The level of harmful use of alcohol in the two fishing communities was quite high as 62% of the male and 52% of the female drinkers had got drunk in previous 30 days. The level of risky sexual behaviour was equally high as 63% of the men and 59% of the women had unprotected sex at last sexual event. Of the 3 occupations fishermen had the highest levels of harmful use of alcohol and risky sexual behaviour followed by service providers judging from values of most indicators. The kind of alcohol consumption variables correlated with risky sexual behaviour variables, varied by occupation. Frequent alcohol consumption, higher AUDIT score, having got drunk, longer drinking hours and drinking any day of the week were strongly correlated with engaging in transactional sex among fishermen but fewer of the factors exhibited the same correlation among traders and service providers. Fishermen who drank 2 or more times a week were 7.9 times more likely to have had transactional sex (95% CI: 2.05-30.24) compared to those who never drank alcohol. A similar pattern was observed for traders and service providers at the landing sites. Inconsistent condom use or none use of condoms was not significantly correlated with any of the alcohol consumption indicator variables in multivariate analysis except for day of drinking among men. Alcohol consumption is strongly correlated with having multiple sexual partners, sex with non-regular partner and engagement in transactional sex but not with consistent condom use at fish landing sites. However, the pattern and strength of this correlation differs by occupation. HIV risk reduction programs targeting the fishing communities should address alcohol consumption, particularly alcohol consumption before sexual contact. Different occupations may need different interventions.
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影响因子：
5.7
作者：
Glindemann, Kent E.;Wiegand, Douglas M.;Geller, E. Scott
通讯作者：
Geller, E. Scott
影响因子：
1.3
作者：
Seeley, Janet;Tumwekwase, Grace;Grosskurth, Heiner
通讯作者：
Grosskurth, Heiner
影响因子：
3.1
作者：
Leigh, BC
通讯作者：
Leigh, BC
影响因子：
2.7
作者：
Lavikainen, Hanna M.;Lintonen, Tomi;Kosunen, Elise
通讯作者：
Kosunen, Elise
DOI：
10.15288/jsas.2002.s14.101
发表时间：
2002-03-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
Cooper, ML
通讯作者：
Cooper, ML