Alcohol Consumption and Sexual Risk Behavior in an Aging Population in Rural South Africa

被引：0
作者：
Rebecca A. de Vlieg
Eva van Empel
Livia Montana
F. Xavier Gómez-Olivé
Kathleen Kahn
Stephen Tollman
Lisa Berkman
Till W. Bärnighausen
Jennifer Manne-Goehler
机构：
[1] Harvard University,Harvard Center for Population and Development Studies
[2] Maastricht University,Faculty of Health, Medicine and Life Sciences
[3] University of the Witwatersrand,Medical Research Council/Wits Rural Public Health and Health Transitions Research Unit, School of Public Health
[4] Brigham and Women’s Hospital,Division of Infectious Diseases
[5] Harvard Medical School,Medical Practice Evaluation Center
[6] Africa Health Research Institute (AHRI),undefined
[7] Institute of Public Health,undefined
[8] University of Heidelberg,undefined
[9] Massachusetts General Hospital,undefined
[10] Harvard Medical School,undefined
来源：
AIDS and Behavior | 2021年 / 25卷
关键词：
Sexual risk behavior; Alcohol; HIV; Older adults;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
We sought to characterize the relationship between alcohol consumption and sexual risk-taking in an aging population in rural South Africa. A cross-sectional analysis was conducted using baseline data from the Health and Ageing in Africa: a Longitudinal Study of an INDEPTH Community (HAALSI) cohort. We elicited information on sexual risk behavior and self-reported frequency of alcohol consumption among 5059 adults  ≥ 40 years old. Multivariable models showed that more frequent alcohol consumption is associated with a higher number of sexual partners (β: 1.38, p < .001) and greater odds of having sex for money (OR: 42.58, p < .001) in older adults in South Africa. Additionally, daily drinkers were more likely to have sex without a condom (OR: 2.67, p = .01). Older adults who drank more alcohol were more likely to engage in sexual risk-taking. Behavioral interventions to reduce alcohol intake should be considered to reduce STI and HIV transmission.
引用
收藏
页码：2023 / 2032
页数：9
相关论文
共 194 条
  • [1] Jones J(2019)Progress in the HIV epidemic: identifying goals and measuring success PLOS Med. 16 e1002729-127
  • [2] Sullivan PS(2004)Risk behavior for transmission of human immunodeficiency virus (HIV) among HIV-seropositive individuals in an urban setting Clin Infect Dis. 38 122-272
  • [3] Curran JW(2018)The effect of a brief HIV prevention program on risk reduction behaviors among thai men diagnosed with sexually transmitted infections Asian Nurs Res (Korean Soc Nurs Sci). 12 265-785
  • [4] McGowan JP(2010)The effect of alcohol on sexual risk-taking among young men and women Addict Behav. 35 779-863
  • [5] Shah SS(2007)The association between HIV infection and alcohol use: a systematic review and meta-analysis of african studies Sex Transm Dis. 34 856-9
  • [6] Ganea CE(2005)Substance abuse treatment and risk behaviors among HIV-infected persons with alcohol problems J Subst Abuse Treat. 28 3-355
  • [7] Blum S(2016)The association between alcohol and sexual risk behaviors among college students: a review Curr Addict Rep. 3 349-90
  • [8] Ernst JA(2005)The cumulative effects of acute alcohol consumption, individual differences and situational perceptions on sexual decision making J Stud Alcohol. 66 82-851
  • [9] Irwin KL(2007)Alcohol’s effects on sexual decision making: an integration of alcohol myopia and individual differences J Stud Alcohol Drugs 68 843-204
  • [10] Thato R(2014)Alcohol use disorder, contexts of alcohol use, and the risk of HIV transmission among South African male patrons of shebeens Drug Alcohol Depend. 140 198-180
12345678910