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'Taking care of business': alcohol as currency in transactional sexual relationships among players in Cape Town, South Africa.

机译:“照顾生意”:在南非开普敦,参与者之间的交易性关系中以酒精为货币。

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摘要

In this article we examine the dynamics of social relationships in which alcohol use and risky sexual behaviors cooccur. As part of a larger biological and behavioral HIV surveillance survey, 20 men who lived in an urban, informal settlement on the outskirts of Cape Town, South Africa participated in in-depth interviews. Interview transcripts were analyzed according to a latent content analysis. Findings highlight the latent association between alcohol and transactional sex, and enable an in-depth examination of the normative role that alcohol plays in the formation of casual sexual partnerships characterized by exchange. We build on an existing conceptual model that traces the potential pathways by which alcohol use and transactional sex are linked to sexual risk behaviors. The study findings point to the need for multilevel HIV risk-reduction interventions among men to reduce excessive alcohol use, risky sexual behaviors, and underlying perceptions of ideal masculinity.
机译:在本文中,我们研究了酗酒与危险性行为同时发生的社会关系的动态。作为较大的艾滋病毒生物学和行为监测调查的一部分,居住在南非开普敦郊区一个城市非正式定居点的20名男子参加了深入采访。根据潜在内容分析对访谈记录进行了分析。研究结果突出了酒精与性交易之间的潜在联系,并使人们能够深入研究酒精在以交流为特征的休闲性伴侣关系形成中的规范作用。我们建立在现有的概念模型的基础上,该模型可追踪酗酒和性交易与性风险行为相关的潜在途径。研究结果指出,需要在男性中采取多层次的降低HIV风险干预措施,以减少过度饮酒,危险的性行为和对理想男性气质的基本认识。

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