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首页> 美国卫生研究院文献>Bulletin of the New York Academy of Medicine >Food Insufficiency, Substance Use, and Sexual Risks for HIV/AIDS in Informal Drinking Establishments, Cape Town, South Africa
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Food Insufficiency, Substance Use, and Sexual Risks for HIV/AIDS in Informal Drinking Establishments, Cape Town, South Africa

机译：南非开普敦非正式饮酒场所的食物不足，物质使用和艾滋病毒/艾滋病的性风险

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HIV/AIDS is concentrated in impoverished communities. Two critical aspects of poverty are food insufficiency and substance abuse, and both are associated with sexual risks for HIV/AIDS in southern Africa. The current study is the first to examine both hunger and substance use in relation to sexual risks for HIV infection in South African alcohol serving establishments. Anonymous venue-based intercept surveys were completed by men (n = 388) and women (n = 407) patrons of six informal drinking places (e.g., shebeens) in Cape Town, South Africa. Food insufficiency and its more extreme form hunger were common in the sample, with 24 % of men and 53 % of women experiencing hunger in the previous 4 months. Multiple regression analyses showed that quantity of alcohol use was related to higher rates of unprotected sex for men and women. Trading sex to meet survival needs was related to food insufficiency and methamphetamine use among men but not women. Food insufficiency and substance use may both contribute to HIV risks in South African shebeens. However, the influence of hunger and substance use on sexual risks varies for men and women. Interventions to reduce HIV transmission risks may be bolstered by reducing both food insufficiency and substance use.
机译：艾滋病毒/艾滋病集中在贫困社区。贫困的两个关键方面是食物不足和滥用毒品，这两个方面都与南部非洲的艾滋病毒/艾滋病的性风险有关。当前的研究是第一个研究饥饿和物质使用与南非酒精服务场所中HIV感染的性风险有关的研究。在南非开普敦的六个非正式饮酒场所（例如，shebeens）的男性顾客（n = 388）和女性顾客（n = 407）完成了基于场地的匿名拦截调查。食物不足及其更为极端的饥饿感在样本中很常见，在过去的4个月中，有24％的男性和53％的女性经历了饥饿。多元回归分析表明，男性和女性的饮酒量与无保护性行为的发生率较高有关。为满足生存需要而进行性交易与男子食物不足和使用甲基苯丙胺有关，而与妇女无关。食物不足和物质使用都可能导致南非人感染艾滋病毒。但是，饥饿和滥用毒品对性风险的影响因男人和女人而异。可以通过减少食物不足和物质使用来加强减少艾滋病毒传播风险的干预措施。

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