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
SOURCE: Sexually Transmitted Infections
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2013
TITLE AUTHOR(S): S.C.Kalichman, E.Pitpitan, L.Eaton, D.Cain, K.B.Carey, M.P.Carey, O.Harel, V.Mehlomakkulu, L.C.Simbayi, K.Mwaba
KEYWORDS: ADOLESCENTS, CAPE TOWN, HIV/AIDS, RISK BEHAVIOUR, SEXUAL BEHAVIOUR
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 8089
HANDLE: 20.500.11910/2559
URI: http://hdl.handle.net/20.500.11910/2559
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2013
TITLE AUTHOR(S): S.C.Kalichman, E.Pitpitan, L.Eaton, D.Cain, K.B.Carey, M.P.Carey, O.Harel, V.Mehlomakkulu, L.C.Simbayi, K.Mwaba
KEYWORDS: ADOLESCENTS, CAPE TOWN, HIV/AIDS, RISK BEHAVIOUR, SEXUAL BEHAVIOUR
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 8089
HANDLE: 20.500.11910/2559
URI: http://hdl.handle.net/20.500.11910/2559
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Concurrent sexual relationships facilitate the spread of HIV infection, and sex with non-primary partners may pose particularly high risks for HIV transmission to primary partners. We examined the sexual and alcohol-related risks associated with sex partners outside of primary relationships among South African men and women in informal drinking establishments. Men (n=4959) and women (n=2367) with primary sex partners residing in a Xhosa-speaking South African township completed anonymous surveys. Logistic regressions tested associations between having outside partners and risks for sexually transmitted infections (STI)/HIV. Results Forty-four percent of men and 26% women with primary sex partners reported also having outside sex partners in the previous month. Condom use with outside partners was inconsistent for men and women; only 19% of men and 12% of women used condoms consistently with outside sex partners. Multivariable regressions for men and women showed that having outside partners was significantly associated with having been diagnosed with an STI, consuming alcohol in greater frequency and quantity, alcohol use during sex, meeting sex partners in alcohol-serving venues, and higher rates of unprotected sex. Having outside sex partners was associated with multiple risk factors for HIV infection among South African shebeen patrons. Social and structural interventions that encourage condom use are needed for men and women with outside partners who patronise alcohol-serving venues.-
Related Research Outputs:
- Brief HIV risk reduction intervention for sexually transmitted infection clinic patients who use alcohol in Cape Town
- Sensation seeking and alcohol use predict HIV transmission risks: prospective study of sexually transmitted infection clinic patients, Cape Town, South Africa
- Condom negotiation, HIV testing, and HIV risks among women from alcohol serving venues in Cape Town, South Africa
- HIV risks associated with patronizing alcohol serving establishments in South African townships, Cape Town
- Disclosure of HIV status to sex partners and sexual risk behaviours amongh HIV-positive men and women, Cape Town, South Africa
- Alcohol use and sexual risks for HIV/AIDS in sub-Saharan Africa: systematic review of empirical findings
- Alcohol expectations and risky drinking among men and women at high-risk for HIV infection in Cape Town, South Africa
- Disclosure decisions and HIV transmission risk behaviour of HIV positive men who have sex with men (MSM) in Cape Town, South Africa
- 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
- Alcohol expectancies and risky drinking among men and women at high-risk for HIV infection in Cape Town, South Africa
- High rates of unprotected sex occurring among HIV-positive individuals in a daily diary study in South Africa: the role of alcohol use
- Randomized trial of a community-based alcohol-related HIV risk-reduction intervention for men and women in Cape Town South Africa
- Stress, substance use and sexual risk behaviors among primary care patients in 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
- Intimate partner violence and HIV risk among women in primary health care delivery services in a South African setting
- 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