Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
AIDS Behav. 2011 Feb;15(2):330-9. doi: 10.1007/s10461-010-9849-y.
There is limited information on alcohol problem drinking, which has been associated with sexually transmitted infections (STIs), including HIV, among female bar/hotel workers in Africa. This paper aimed to identify the individual- and facility-level determinants of alcohol problem drinking in this setting. Problem drinking was defined based on the CAGE alcohol screening scale. Multi-level logistic regression was used to identify individual- and facility-level factors associated with problem drinking. About 37.3% of women (N = 1629) were classified as having probable or definite problem drinking. In multi-level analysis, main characteristics associated with problem drinking included: having 3-4 partners in the past 5 years compared to having 1-2, used a condom in the last sex comparing to non-use, history of transactional sex, having more pregnancies, and facilities whose employees do not live on the premises. Interventions which combine alcohol and sexual risk reduction counseling are urgently needed in this population.
关于酒精问题饮酒的信息有限，而这种饮酒行为与包括艾滋病毒在内的性传播感染（STIs）有关，在非洲的女性酒吧/酒店工作者中尤其如此。本文旨在确定这一背景下个体和机构层面的酒精问题饮酒决定因素。问题饮酒是根据 CAGE 酒精筛查量表来定义的。多水平逻辑回归用于确定与问题饮酒相关的个体和机构层面的因素。约 37.3%的女性（N=1629）被归类为可能或肯定存在问题饮酒。在多水平分析中，与问题饮酒相关的主要特征包括：与过去 5 年中有 1-2 个性伴侣相比，过去 5 年中有 3-4 个性伴侣；与非使用避孕套相比，上次性行为中使用了避孕套；有过性交易史；怀孕次数较多；以及员工不在场地上班的机构。该人群迫切需要将酒精和性风险降低咨询相结合的干预措施。
