Randomized trial of a community-based alcohol-related HIV risk-reduction intervention for men and women in Cape Town South Africa
SOURCE: Annals of Behavioral Medicine
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2008
TITLE AUTHOR(S): S.C.Kalichman, L.C.Simbayi, R.Vermaak, D.Cain, G.Smith, J.Mthebu, S.Jooste
KEYWORDS: ADOLESCENTS, CAPE TOWN, HIV/AIDS, HIV/AIDS PREVENTION, MEN, RISK BEHAVIOUR, WOMEN
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 5624
HANDLE: 20.500.11910/5071
URI: http://hdl.handle.net/20.500.11910/5071
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2008
TITLE AUTHOR(S): S.C.Kalichman, L.C.Simbayi, R.Vermaak, D.Cain, G.Smith, J.Mthebu, S.Jooste
KEYWORDS: ADOLESCENTS, CAPE TOWN, HIV/AIDS, HIV/AIDS PREVENTION, MEN, RISK BEHAVIOUR, WOMEN
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 5624
HANDLE: 20.500.11910/5071
URI: http://hdl.handle.net/20.500.11910/5071
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
BACKGROUND: HIV is devastating southern Africa and alcohol use is closely related to HIV transmission risks. PURPOSE: The current study tested the efficacy of a brief single-session HIV-alcohol risk-reduction intervention for men and women who drink at informal alcohol serving establishments (i.e., shebeens) in South Africa. METHODS: A randomized community field trial recruited men (N = 117) and women (N = 236) through outreach and chain referrals. Participants received either: (a) 3-h theory-based behavioral HIV-alcohol risk-reduction intervention that focused on skills training for sexual negotiation and condom use or (b) 1-h HIV-alcohol information/education control group. Participants were followed up for 3 and 6 months post-intervention with 89% retention. RESULTS: The risk-reduction intervention demonstrated significantly less unprotected intercourse, alcohol use before sex, numbers of sex partners, partners met at drinking establishments and greater condom use relative to the control group. However, intervention effects were moderated by alcohol use; lighter drinkers demonstrated significantly more intervention gains than heavier drinkers in the risk-reduction condition. Intervention effects occurred at 3 months follow-up and dissipated by 6 months. CONCLUSIONS: A brief HIV risk-reduction intervention reduced sexual-risk behaviors among drinkers in South Africa. However, intervention effects were weakest for those who drink heaviest. Our results provide a basis for establishing HIV prevention in alcohol serving establishments in South Africa. Research is needed to identify multi-level intervention models that can reduce risks among heavier drinkers and sustain behavior changes over time.-
Related Research Outputs:
- Condom negotiation, HIV testing, and HIV risks among women from alcohol serving venues in Cape Town, South Africa
- High prevalence of HIV and low awareness of HIV infection among young MSM and transgender women in Cape Town and Port Elizabeth, South Africa
- PrEP interest, eligibility and initiation by MSM and transwomen in Cape Town and Port Elizabeth, South Africa
- Sexual assault, sexual risks and gender attitudes in a community sample of South African men
- HIV/AIDS risk reduction counseling for alcohol using sexually transmitted infections clinic patients in Cape Town, South Africa
- Internalized stigma, discrimination, and depression among men and women living with HIV/AIDS in Cape Town, South Africa
- Coital bleeding and HIV risks among men and women in Cape Town, South Africa
- The Phaphama HIV and alcohol risk reduction intervention in Cape Town, South Africa: results of two pilot trails conducted in a clinic and a community setting
- Disclosure decisions and HIV transmission risk behaviour of HIV positive men who have sex with men (MSM) in Cape Town, South Africa
- Brief HIV risk reduction intervention for sexually transmitted infection clinic patients who use alcohol in Cape Town
- Stigma and discrimination experiences of HIV-positive men who have sex with men in Cape Town, South Africa
- Alcohol expectancies and risky drinking among men and women at high-risk for HIV infection in Cape Town, South Africa
- HIV/AIDS risk reduction and domestic violence prevention intervention for South African men
- A brief HIV risk reduction intervention for male and female patients with a sexually transmitted infection who use alcohol in primary health care clinic in Cape Town, South Africa
- Sugar daddies' and HIV: is it really about money, money, money?
- Sensation seeking and alcohol use predict HIV transmission risks: prospective study of sexually transmitted infection clinic patients, Cape Town, South Africa
- Integrated gender-based violence and HIV risk reduction intervention for South African men: results of a quasi-experimental field trial
- The feasibility of implementing a sexual risk reduction intervention in routine clinical practice at an ARV clinic in Cape Town: results of a pilot study
- Stigma and discrimination experiences of HIV positive men who have sex with men (MSM) and heterosexual men in Cape Town, South Africa
- Intimate partner violence and HIV risk among women in primary health care delivery services in a South African setting