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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >Men's Behavior Predicts Women's Risks for HIV/AIDS: Multilevel Analysis of Alcohol-Serving Venues in South Africa
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Men's Behavior Predicts Women's Risks for HIV/AIDS: Multilevel Analysis of Alcohol-Serving Venues in South Africa

机译：男人的行为预测女人的艾滋病毒/艾滋病风险：南非饮酒场所的多层次分析

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摘要

South Africa has among the highest rates of HIV infection in the world, with women disproportionately affected. Alcohol-serving venues, where alcohol use and sexual risk often intersect, play an important role in HIV risk. Previous studies indicate alcohol use and gender inequity as drivers of this epidemic, yet these factors have largely been examined using person-level predictors. We sought to advance upon this literature by examining venue-level predictors, namely men's gender attitudes, alcohol, and sex behavior, to predict women's risks for HIV. We recruited a cohort of 554 women from 12 alcohol venues (6 primarily Black African, and 6 primarily Coloured [i.e., mixed race] venues) in Cape Town, who were followed for 1 year across four time points. In each of these venues, men's (N = 2216) attitudes, alcohol use, and sexual behaviors were also assessed. Men's attitudes and behaviors at the venue level were modeled using multilevel modeling to predict women's unprotected sex over time. We stratified analyses by venue race. As predicted, venue-level characteristics were significantly associated with women's unprotected sex. Stratified results varied between Black and Coloured venues. Among Black venues where men reported drinking alcohol more frequently, and among Coloured venues where men reported meeting sex partners more frequently, women reported more unprotected sex. This study adds to the growing literature on venues, context, and HIV risk. The results demonstrate that men's behavior at alcohol drinking venues relate to women's risks for HIV. This novel finding suggests a need for social-structural interventions that target both men and women to reduce women's risks.
机译：南非是世界上艾滋病毒感染率最高的国家之一，妇女受感染的比例尤其高。在经常饮酒和性风险交叉的饮酒场所，对艾滋病毒的感染起重要作用。先前的研究表明，饮酒和性别不平等是造成这一流行病的原因，但这些因素在很大程度上已通过人为因素进行了研究。我们试图通过研究场地水平的预测因素（即男人的性别态度，酗酒和性行为）来预测女性感染艾滋病毒的风险，从而在文献上取得进步。我们从开普敦的12个酒类场所（6个主要是黑人非洲人的场所，和6个主要是有色人种（即混合种族）的场所）招募了554名女性，在四个时间点进行了1年的随访。在这些场所中的每个场所，还评估了男性的态度（N = 2216），饮酒和性行为。使用多级建模对男人在场馆级别上的态度和行为进行建模，以预测女性随时间推移不受保护的性行为。我们根据场地比赛对分析进行了分层。如预期的那样，场所级别的特征与女性不受保护的性行为显着相关。黑色和彩色场地之间的分层结果有所不同。在黑人报告的场所中，男性报告饮酒的频率更高;在有色报告的场所中，男性报告饮酒的性伴侣的频率更高，而女性报告了更多的未保护性行为。这项研究增加了有关场所，环境和HIV风险的文献。结果表明，男性在饮酒场所的行为与女性感染艾滋病毒的风险有关。这一新颖的发现表明，需要针对男性和女性的社会结构干预措施，以减少妇女的风险。

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