Stress, substance use and sexual risk behaviors among primary care patients in Cape Town, South Africa
SOURCE: AIDS and Behavior
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2009
TITLE AUTHOR(S): L.A.Avalos, J.R.Mertens, C.L.Ward, A.J.Flisher, G.F.Bresick, C.M.Weisner
KEYWORDS: CAPE TOWN, HIV/AIDS, RISK BEHAVIOUR, SEXUAL BEHAVIOUR, STRESS, SUBSTANCE ABUSE
Print: HSRC Library: shelf number 5670
HANDLE: 20.500.11910/5026
URI: http://hdl.handle.net/20.500.11910/5026
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2009
TITLE AUTHOR(S): L.A.Avalos, J.R.Mertens, C.L.Ward, A.J.Flisher, G.F.Bresick, C.M.Weisner
KEYWORDS: CAPE TOWN, HIV/AIDS, RISK BEHAVIOUR, SEXUAL BEHAVIOUR, STRESS, SUBSTANCE ABUSE
Print: HSRC Library: shelf number 5670
HANDLE: 20.500.11910/5026
URI: http://hdl.handle.net/20.500.11910/5026
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
We assessed the relationship between stress, substance use and sexual risk behaviors in a primary care population in Cape Town, South Africa. A random sample of participants (and over-sampled 18-24-year-olds) from 14 of the 49 clinics in Cape Town's public health sector using stratified random sampling (n = 2,618), was selected. We evaluated current hazardous drug and alcohol use and three domains of stressors (Personal Threats, Lacking Basic Needs, and Interpersonal Problems). Several personal threat stressors and an interpersonal problem stressor were related to sexual risk behaviors. With stressors included in the model, hazardous alcohol use, but not hazardous drug use, was related to higher rates of sexual risk behaviors. Our findings suggest a positive screening for hazardous alcohol use should alert providers about possible sexual risk behaviors and vice versa. Additionally, it is important to address a broad scope of social problems and incorporate stress and substance use in HIV prevention campaigns.-
Related Research Outputs:
- Disclosure of HIV status to sex partners and sexual risk behaviours amongh HIV-positive men and women, Cape Town, South Africa
- Rapid appraisal of substance abuse and HIV awareness messages in poster communication to disadvantaged youth in South Africa
- 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
- Methamphetamine use and sexual risks for HIV infection in Cape Town, South Africa
- Methamphetamine use and sexual risks for HIV infection in Cape Town, South Africa
- Stigma and discrimination experiences of HIV-positive men who have sex with men in Cape Town, South Africa
- Sensation seeking and alcohol use predict HIV transmission risks: prospective study of sexually transmitted infection clinic patients, Cape Town, South Africa
- 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
- Condom failure among men receiving sexually transmissible infection clinic services, Cape Town, South Africa
- The feasibility of implementing a sexual risk reduction intervention in routine clinical practice at an ARV clinic in Cape Town: a case study
- Heterosexual anal intercourse among community and clinical settings in Cape Town, South Africa
- Challenges faced by people living with HIV/AIDS in Cape Town, South Africa: issues for group risk reduction interventions
- Condom negotiation, HIV testing, and HIV risks among women from alcohol serving venues in Cape Town, South Africa
- HIV testing is associated with increased knowledge and reductions in sexual risk behaviours among men in Cape Town, South Africa
- Assessing the feasibility of fitted male condoms as a sexual health intervention in Cape Town, South Africa: perspectives from condom education and distribution staff
- Bringing it home: community survey of HIV risks to primary sex partners of men and women in alcohol-serving establishments in Cape Town, South Africa
- HIV risks associated with patronizing alcohol serving establishments in South African townships, Cape Town
- Exploring repeat HIV testing among men who have sex with men in Cape Town and Port Elizabeth, South Africa