Morojele Neo K, Kachieng'a Millicent A, Mokoko Evodia, Nkoko Matsobane A, Parry Charles D H, Nkowane Annette M, Moshia Kgaogelo M, Saxena Shekhar
Alcohol and Drug Abuse Research Unit, Medical Research Council, Private Bag X385, Pretoria 0001, South Africa.
Soc Sci Med. 2006 Jan;62(1):217-27. doi: 10.1016/j.socscimed.2005.05.031. Epub 2005 Jul 27.
This paper describes the South Africa component of a World Health Organization multi-site rapid assessment and response project seeking to develop a methodology for studying factors associated with alcohol use-related sexual risk behaviour in diverse cultural settings. This report focuses on the qualitative assessments that were conducted in order to profile alcohol use and sexual behaviour in the communities concerned, ascertain the relationships between alcohol use and sexual behaviour, and develop a conceptual model of the relationships between alcohol use and sexual risk behaviour. The participants consisted of adults aged between 25 and 44 years in a township and city site in Gauteng province. The assessments involved conducting 18 key informant interviews, observations in seven drinking venues, six focus groups and 16 in-depth interviews of 'risky drinkers' and their partners. Most participants felt that there were high levels of alcohol consumption and unprotected sex among some members of their communities, with the latter occurring mainly among casual sexual partners. The findings also pointed to strong links between alcohol consumption and sexual risk behaviour. A conceptual model of the association between alcohol use and risky sexual behaviour is proposed. This study suggests a need for multi-faceted HIV intervention strategies for reducing levels of alcohol abuse in general, and enhancing protective sexual behaviours among alcohol-using populations.
本文介绍了世界卫生组织多地点快速评估与应对项目中的南非部分，该项目旨在开发一种方法，用于研究不同文化背景下与酒精使用相关的性风险行为的影响因素。本报告聚焦于定性评估，这些评估旨在描述相关社区中的酒精使用和性行为情况，确定酒精使用与性行为之间的关系，并构建一个酒精使用与性风险行为之间关系的概念模型。参与者为豪登省一个城镇和一个城市地区年龄在25至44岁之间的成年人。评估包括进行18次关键 informant 访谈、对7个饮酒场所的观察、6次焦点小组讨论以及对“高危饮酒者”及其伴侣的16次深入访谈。大多数参与者认为，他们所在社区的一些成员饮酒量很大且存在无保护性行为，后者主要发生在临时性伴侣之间。研究结果还表明酒精消费与性风险行为之间存在紧密联系。本文提出了一个酒精使用与危险性行为之间关联的概念模型。本研究表明，需要采取多方面的艾滋病毒干预策略，以总体上减少酒精滥用水平，并增强饮酒人群中的保护性性行为。
