Alcohol use and sexual behaviour among risky drinkers and bar and shebeen patrons in Gauteng province, South Africa
Alcohol use and sexual behaviour among risky drinkers and bar and shebeen patrons in Gauteng province, South Africa
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DOI：
10.1016/j.socscimed.2005.05.031
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发表时间：
2006-01-01
影响因子：
5.4
通讯作者：
Saxena, S
中科院分区：
文献类型：
--
作者：
Morojele, NK;Kachieng'a, MA;Saxena, S
本文描述了世界卫生组织多地点快速评估和反应项目的南非部分，该项目旨在制定一种方法，研究不同文化环境中与酒精使用有关的性危险行为相关因素。本报告的重点是进行定性评估，以概述有关社区的酒精使用和性行为，确定酒精使用与性行为之间的关系，并制定酒精使用与性危险行为之间关系的概念模型。参与者由豪登省一个乡镇和城市的年龄在25到44岁之间的成年人组成。评估包括对18个关键信息提供者进行访谈，在7个饮酒场所进行观察，对6个焦点小组进行调查，对“危险饮酒者”及其伴侣进行16次深度访谈。大多数参与者认为，他们社区的一些成员酗酒和无保护的性行为水平很高，后者主要发生在随意性伴侣之间。研究结果还指出，饮酒与性风险行为之间存在密切联系。提出了酒精使用与危险性行为之间关系的概念模型。这项研究表明，需要采取多方面的艾滋病毒干预策略，以总体上降低酒精滥用水平，并加强酒精使用人群中的保护性性行为。(c) 2005 Elsevier Ltd版权所有。
This paper describes the South Africa component of a World Health Organization multi-site rapid assessment and response project seeking to develop a methodology for studying factors associated with alcohol use-related sexual risk behaviour in diverse cultural settings. This report focuses on the qualitative assessments that were conducted in order to profile alcohol use and sexual behaviour in the communities concerned, ascertain the relationships between alcohol use and sexual behaviour, and develop a conceptual model of the relationships between alcohol use and sexual risk behaviour. The participants consisted of adults aged between 25 and 44 years in a township and city site in Gauteng province. The assessments involved conducting 18 key informant interviews, observations in seven drinking venues, six focus groups and 16 in-depth interviews of 'risky drinkers' and their partners. Most participants felt that there were high levels of alcohol consumption and unprotected sex among some members of their communities, with the latter occurring mainly among casual sexual partners. The findings also pointed to strong links between alcohol consumption and sexual risk behaviour. A conceptual model of the association between alcohol use and risky sexual behaviour is proposed. This study suggests a need for multi-faceted HIV intervention strategies for reducing levels of alcohol abuse in general, and enhancing protective sexual behaviours among alcohol-using populations. (c) 2005 Elsevier Ltd. All rights reserved.