Alcohol use and sexual risks for HIV infection among men and women receiving sexually transmitted infection clinic services in Cape Town, South Africa
Alcohol use and sexual risks for HIV infection among men and women receiving sexually transmitted infection clinic services in Cape Town, South Africa
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DOI：
10.15288/jsa.2004.65.434
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发表时间：
2004-07-01
期刊：
影响因子：
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通讯作者：
Cherry, C
中科院分区：
文献类型：
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作者：
Simbayi, LC;Kalichman, SC;Cherry, C
目的：研究南非酒精使用与性行为风险与HIV感染之间的关系。方法：在南非开普敦接受性传播感染（STI）诊所服务的149名男性和78名女性完成了人口特征、性行为、减少艾滋病毒风险技能和药物使用的测量，包括全球测量（例如，酒精使用障碍识别测试[审计]）和酒精使用的情境测量。结果：52%的男性（n = 72）和17%的女性（n = 13）表现出饮酒问题（审计评分大于等于9）。饮酒问题与过去一个月的性伴侣数量增加、避孕套失效史、性传播感染史以及降低风险技能的练习率较低有关。在一项单独的分析中，我们控制了由AUDIT评分索引的全球酒精使用情况，我们发现在性环境中使用酒精与更多的性伴侣、更高的无保护性交率和避孕套失败率有关。结论：这项关于南非酒精使用和性风险的初步研究的结果与撒哈拉以南非洲其他国家的结果相似。尽管仅限于性传播感染诊所患者，但结果表明，有效的降低艾滋病毒风险干预措施将需要关注酒精使用，特别是在艾滋病毒感染风险最高的南非人中。
Objective: To examine the association of alcohol use and sexual risks for HIV infection in South Africa. Method: 149 men and 78 women receiving sexually transmitted infection (STI) clinic services in Cape Town, South Africa, completed measures of demographic characteristics, sexual behaviors, HIV risk reduction skills and substance use, including global measures (e.g., Alcohol Use Disorders Identification Test [AUDIT]) and situational measures of alcohol use. Results: 52% of men (n = 72) and 17% of women (n = 13) indicated problem drinking (AUDIT score greater than or equal to9). Problem drinking was associated with greater numbers of sex partners in the past month, history of condom failures and lifetime history of having an STI, as well as lower rates of practicing risk reduction skills. In a separate analysis controlling for global use of alcohol indexed by AUDIT scores, we found that alcohol use in sexual contexts was associated with greater numbers of sex partners, higher rates of unprotected intercourse and condom failures. Conclusions: Findings from this initial study of alcohol use and sexual risks in South Africa parallel those from other countries in sub-Saharan Africa. Although limited to STI clinic patients, the results suggest that effective HIV risk reduction interventions will require attention to alcohol use, particularly among South Africans at highest risk for HIV infection.