HIV-risk behaviors and social support among men and women attending alcohol-serving venues in South Africa: implications for HIV prevention
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2017
TITLE AUTHOR(S): J.Velloza, M.H.Watt, L.Abler, D.Skinner, A.C.Dennis, K.J.Sikkema
KEYWORDS: ADOLESCENTS, HIV/AIDS, RISK BEHAVIOUR, SOCIAL SUPPORT
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 10264
HANDLE: 20.500.11910/11829
URI: http://hdl.handle.net/20.500.11910/11829
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Alcohol use is associated with increased HIV-risk behaviors, including unprotected sex and number of sex partners. Alcohol-serving venues can be places to engage in HIV-related sexual risk behaviors, but are also important sites of social support for patrons, which may mitigate risks. We sought to examine the relationship between alcohol-serving venue attendance, social support, and HIV-related sexual risk behavior, by gender, in South Africa. Adult patrons (n = 496) were recruited from six alcohol-serving venues and completed surveys assessing frequency of venue attendance, venue-based social support, and recent sexual behaviors. Generalized estimating equations tested associations between daily venue attendance, social support, and sexual behaviors, separately by gender. Interaction effects between daily attendance and social support were assessed. Models were adjusted for venue, age, education, and ethnicity. Daily attendance at venues was similar across genders and was associated with HIV-related risk behaviors, but the strength and direction of associations differed by gender. Among women, daily attendance was associated with greater number of partners and higher proportion of unprotected sex. Social support was a significant moderator, with more support decreasing the strength of the relationship between attendance and risk. Among men, daily attendance was associated with a lower proportion of unprotected sex; no interaction effects were found for attendance and social support. Frequent venue attendance is associated with additional HIV-related risks for women, but this risk is mitigated by social support in venues. These results were not seen for men. Successful HIV interventions in alcohol-serving venues should address the gendered context of social support and sexual risk behavior.-
Related Research Outputs:
- HIV/AIDS risk reduction counseling for alcohol using sexually transmitted infections clinic patients in 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
- Brief HIV risk reduction intervention for sexually transmitted infection clinic patients who use alcohol in Cape Town
- 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
- Sensation seeking and alcohol use predict HIV transmission risks: prospective study of sexually transmitted infection clinic patients, Cape Town, South Africa
- Randomized trial of a community-based alcohol-related HIV risk-reduction intervention for men and women in Cape Town South Africa
- Intimate partner violence and HIV risk among women in primary health care delivery services in a South African setting
- Phaphama interventions to reduce both alcohol use and HIV/STI risks
- Community norms for HIV risk behaviors among men in a South African township
- Risk group or group at risk
- Translational behavioural medicine research: examples from South Africa
- The efficacy of a brief intervention to reduce alcohol misuse in patients with HIV in South Africa: study protocol for a randomized controlled trial
- Condom negotiation, HIV testing, and HIV risks among women from alcohol serving venues in Cape Town, South Africa
- 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
- Perceptions of alcohol risk among people on antiretroviral treatment in South Africa: a qualitative study
- Prevalence of psychological distress and its association with sociodemographic and HIV-risk factors in South Africa: findings of the 2012 HIV prevalence, incidence and behaviour survey
- Abstract: Determinants of the use of voluntary counselling and testing services among the sexually active adult population of South Africa