| Title |
Alcohol use and sexual risk behaviour among men and women in inner-city Johannesburg, South Africa
|
|---|---|
| Published in |
BMC Public Health, July 2017
|
| DOI | 10.1186/s12889-017-4350-4 |
| Pubmed ID | |
| Authors |
Braimoh Bello, Harry Moultrie, Aleefia Somji, Matthew F. Chersich, Charlotte Watts, Sinead Delany-Moretlwe |
| Abstract |
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. 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. 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. 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. |
X Demographics
The data shown below were collected from the profiles of 5 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 4 | 80% |
| Unknown | 1 | 20% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 5 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 163 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 163 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 27 | 17% |
| Student > Master | 22 | 13% |
| Student > Bachelor | 21 | 13% |
| Student > Ph. D. Student | 14 | 9% |
| Other | 9 | 6% |
| Other | 21 | 13% |
| Unknown | 49 | 30% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 29 | 18% |
| Social Sciences | 23 | 14% |
| Psychology | 18 | 11% |
| Medicine and Dentistry | 17 | 10% |
| Economics, Econometrics and Finance | 4 | 2% |
| Other | 17 | 10% |
| Unknown | 55 | 34% |
Attention Score in Context
This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 April 2018.
All research outputs
#13,327,614
of 22,990,068 outputs
Outputs from BMC Public Health
#9,358
of 14,980 outputs
Outputs of similar age
#154,662
of 313,610 outputs
Outputs of similar age from BMC Public Health
#153
of 233 outputs
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