...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Public Health >Alcohol consumption and risky sexual behaviour in the fishing communities: evidence from two fish landing sites on Lake Victoria in Uganda
【24h】

Alcohol consumption and risky sexual behaviour in the fishing communities: evidence from two fish landing sites on Lake Victoria in Uganda

机译：捕捞社区中的饮酒和危险性行为：乌干达维多利亚湖两个鱼登陆点的证据

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background The fishing communities are among population groups that are most at risk of HIV infection, with some studies putting the HIV prevalence at 5 to 10 times higher than in the general population. Alcohol consumption has been identified as one of the major drivers of the sexual risk behaviour in the fishing communities. This paper investigates the relationship between alcohol consumption patterns and risky behaviour in two fishing communities on Lake Victoria. Methods Face-to-face interviews were conducted among 303 men and 172 women at the fish landing sites; categorised into fishermen, traders of fish or fish products and other merchandise, and service providers such as casual labourers and waitresses in bars and hotels, including 12 female sexual workers. Stratified random sampling methodology was used to select study units. Multivariable analysis was conducted to assess independent relationship between alcohol consumption and sexual risky behaviour. Measures of alcohol consumption included the alcohol use disorder test score (AUDIT), having gotten drunk in previous 30?days, drinking at least 2 times a week while measures for risky behaviour included engaging in transactional sex, inconsistent condom use, having sex with non-regular partner and having multiple sexual partners. Results The level of harmful use of alcohol in the two fishing communities was quite high as 62% of the male and 52% of the female drinkers had got drunk in previous 30?days. The level of risky sexual behaviour was equally high as 63% of the men and 59% of the women had unprotected sex at last sexual event. Of the 3 occupations fishermen had the highest levels of harmful use of alcohol and risky sexual behaviour followed by service providers judging from values of most indicators. The kind of alcohol consumption variables correlated with risky sexual behaviour variables, varied by occupation. Frequent alcohol consumption, higher AUDIT score, having got drunk, longer drinking hours and drinking any day of the week were strongly correlated with engaging in transactional sex among fishermen but fewer of the factors exhibited the same correlation among traders and service providers. Fishermen who drank 2 or more times a week were 7.9 times more likely to have had transactional sex (95% CI: 2.05-30.24) compared to those who never drank alcohol. A similar pattern was observed for traders and service providers at the landing sites. Inconsistent condom use or none use of condoms was not significantly correlated with any of the alcohol consumption indicator variables in multivariate analysis except for day of drinking among men. Conclusion Alcohol consumption is strongly correlated with having multiple sexual partners, sex with non-regular partner and engagement in transactional sex but not with consistent condom use at fish landing sites. However, the pattern and strength of this correlation differs by occupation. HIV risk reduction programs targeting the fishing communities should address alcohol consumption, particularly alcohol consumption before sexual contact. Different occupations may need different interventions.
机译：背景技术捕鱼社区属于最容易感染艾滋病毒的人群，一些研究表明，艾滋病毒感染率是普通人群的5至10倍。饮酒已被确定为捕鱼社区性风险行为的主要驱动因素之一。本文调查了维多利亚湖两个捕捞社区的饮酒模式与危险行为之间的关系。方法在登陆鱼现场对303名男性和172名女性进行面对面的访谈;分为渔民，鱼或鱼产品及其他商品的贸易商，以及服务提供者，如酒吧和旅馆中的临时工和女服务员，其中包括12名女性性工作者。使用分层随机抽样方法选择研究单位。进行多变量分析以评估饮酒与性危险行为之间的独立关系。饮酒的量度包括酒精使用障碍测试得分（AUDIT），在过去30天内喝醉，每周至少饮酒两次，冒险行为的量度包括性交，使用避孕套不一致，与非性行为发生性行为。 -普通伴侣并有多个性伴侣。结果在两个捕捞社区中，酒精的有害使用水平很高，在过去30天中，男性饮酒者中有62％饮酒，女性饮酒者中有52％饮酒。危险的性行为水平同样很高，在上一次性事件中，男63％的妇女和59％女的性行为受到保护。在这三个职业中，渔民的有害使用酒精和性行为的风险最高，其次是从大多数指标的价值来看，服务提供者。酒精消耗变量的种类与危险的性行为变量相关，随职业而变化。频繁饮酒，较高的AUDIT评分，醉酒，更长的饮酒时间和一周中的任意一天饮酒与渔民之间的交易性行为密切相关，但较少的因素在商人和服务提供者之间表现出相同的相关性。与从未饮酒的人相比，每周饮酒两次或以上的渔民发生性交易的可能性高（7.9％（95％CI：2.05-30.24））。在登陆地点的贸易商和服务提供商也观察到了类似的模式。在多变量分析中，除男性饮酒天数外，使用安全套不一致或没有使用安全套与任何饮酒指标变量均无显着相关性。结论饮酒与有多个性伴侣，与非常规伴侣发生性行为以及从事性交易密切相关，但与在鱼类登陆地使用一致的避孕套却没有密切关系。但是，这种关联的模式和强度因职业而异。针对捕捞社区的减少艾滋病毒风险的计划应解决饮酒问题，特别是性接触前的饮酒问题。不同的职业可能需要不同的干预。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号