Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI, USA.
Addict Behav. 2012 Apr;37(4):492-7. doi: 10.1016/j.addbeh.2012.01.002. Epub 2012 Jan 11.
This study examined the association between alcohol use and sexual behaviors among South African adults who reported current drinking.
Street-intercept surveys were administered to adults residing in neighborhoods in a South African township.
Analyses were restricted to participants reporting current drinking (N=1285; mean age=32; 27% women; 98% Black). Most participants (60%) reported heavy episodic drinking (i.e., 5 or more drinks on a single occasion) at least once per week in the past 30 days. Compared to non-heavy episodic drinkers, participants who reported heavy episodic drinking were more likely to drink before sex (79% vs. 66%) and have sex with a partner who had been drinking (59% vs. 44%). Overall, drinking before sex (self or partner) and heavy episodic drinking was associated with multiple sexual partners, discussing condom use with sexual partner(s), and proportion of protected sex. The frequency of condom use varied among participants with steady, casual, or both steady and casual sexual partners.
Alcohol use among South African adults is associated with sexual risk behaviors, but this association differs by partner type. Findings suggest the need to strengthen alcohol use components in sexual risk reduction interventions especially for participants with both steady and casual sex partners.
本研究调查了报告当前饮酒的南非成年人中，饮酒与性行为之间的关联。
在南非一个乡镇的社区中，对成年人进行街头拦截调查。
分析仅限于报告当前饮酒的参与者（N=1285；平均年龄 32；27%为女性；98%为黑人）。大多数参与者（60%）报告在过去 30 天内至少每周有一次重度间歇性饮酒（即单次饮酒 5 杯或以上）。与非重度间歇性饮酒者相比，报告重度间歇性饮酒者更有可能在性行为前饮酒（79%比 66%），并且与曾饮酒的伴侣发生性行为（59%比 44%）。总体而言，性行为前饮酒（自己或伴侣）和重度间歇性饮酒与多个性伴侣、与性伴侣讨论避孕套使用情况以及保护性行为的比例有关。有稳定、随意或两者兼有性伴侣的参与者中，避孕套的使用频率不同。
南非成年人的饮酒与性风险行为有关，但这种关联因伴侣类型而异。研究结果表明，需要加强性风险降低干预措施中的饮酒部分，特别是针对有稳定和随意性伴侣的参与者。
