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首页> 外文期刊>BMC Public Health >Alcohol use and sexual risk behaviour among men and women in inner-city Johannesburg, South Africa
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Alcohol use and sexual risk behaviour among men and women in inner-city Johannesburg, South Africa

机译：南非约翰内斯堡市区男女的饮酒和性危险行为

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Background Alcohol misuse is a key factor underlying the remarkable vulnerability to HIV infection among men and women in sub-Saharan Africa, especially within urban settings. Its effects, however, vary by type of drinking, population group and are modified by socio-cultural co-factors. Methods We interviewed a random sample of 1465 men living in single-sex hostels and 1008 women in adjacent informal settlements in inner-city, Johannesburg, South Africa. Being drunk in the past week was used as an indicator of heavy episodic drinking, and frequency of drinking and number of alcohol units/week used as measures of volume. Associations between dimensions of alcohol use (current drinking, volume of alcohol consumed and heavy episodic drinking patterns) and sexual behaviours were assessed using multivariate logistic regression. Results Most participants were internal migrants from KwaZulu Natal province. About half of men were current drinkers, as were 13% of women. Of current male drinkers, 18% drank daily and 23% were drunk in the past week (women: 14% and 29% respectively). Among men, associations between heavy episodic drinking and sexual behaviour were especially pronounced. Compared with non-drinkers, episodic ones were 2.6 fold more likely to have transactional sex (95%CI?=?1.7–4.1) and 2.2 fold more likely to have a concurrent partner (95%CI?=?1.5–3.2). Alcohol use in men, regardless of measure, was strongly associated with having used physical force to have sex. Overall effects of alcohol on sexual behaviour were larger in women than men, and associations were detected between all alcohol measures in women, and concurrency, transactional sex and having been forced to have sex. Conclusions Alcohol use and sexual behaviours are strongly linked among male and female migrant populations in inner-city Johannesburg. More rigorous interventions at both local and macro level are needed to alleviate alcohol harms and mitigate the alcohol-HIV nexus, especially among already vulnerable groups. These should target the specific dimensions of alcohol use that are harmful, assist women who drink to do so more safely and address the linkages between alcohol and sexual violence.
机译：背景技术酒精滥用是造成撒哈拉以南非洲地区（尤其是在城市环境中）的男女显着易感染HIV的潜在关键因素。但是，其影响会因饮酒类型，人群的不同而有所差异，并且会受到社会文化辅助因素的影响。方法我们采访了南非约翰内斯堡市区内一个非正式住所的1465名男子和邻近非正式住区的1008名妇女。在过去一周内喝醉酒可作为指示性饮酒次数的指标，而饮酒频率和每周酒精单位数可作为量度的指标。使用多元logistic回归评估了饮酒量（当前饮酒，饮酒量和重度发作性饮酒模式）与性行为之间的关联。结果大多数参与者是夸祖鲁纳塔尔省的内部移民。大约一半的男性是目前的饮酒者，女性为13％。在目前的男性饮酒者中，过去一周每天喝酒的人占18％，而过去一周则喝酒的人占23％（女性分别为14％和29％）。在男性中，发作性饮酒与性行为之间的关联尤其明显。与不喝酒的人相比，情节交往的人发生性交易的可能性高（2.6％（95％CI =？1.7-4.1）），而有同伴的可能性高（2.2％）（95％CI？=？1.5-3.2）。不论使用何种方法，男性饮酒与使用体力进行性行为都密切相关。酒精对女性性行为的总体影响要大于男性，而且女性的所有饮酒措施与并发，性交易和被迫发生性行为之间存在关联。结论约翰内斯堡市中心的男性和女性移民人口之间的酗酒和性行为密切相关。需要在地方和宏观两级采取更严格的干预措施，以减轻酒精危害和减轻酒精-HIV关系，特别是在已经脆弱的人群中。这些应针对有害的酒精使用的特定方面，协助喝酒的妇女更安全地这样做，并解决酒精与性暴力之间的联系。

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