Center for Health Intervention and Prevention, University of Connecticut, 2006 Hillside Road, Unit 1248, Storrs, CT 06269, USA.
Prev Sci. 2012 Dec;13(6):627-34. doi: 10.1007/s11121-012-0290-5.
Alcohol use has been closely linked with HIV risk behaviors in South Africa. The places where people drink are often the same settings in which they meet new sex partners and may contribute independently to sexual risk. This current study examines the independent effects of patronizing alcohol serving establishments (shebeens) and alcohol use in predicting HIV risk behaviors. Men (n = 981) and women (n = 492) were recruited from inside shebeens and surrounding areas proximal to shebeens in eight separate neighborhoods in a Township in Cape Town, South Africa. Anonymous community surveys measured demographic characteristics, alcohol use, shebeen attendance, and sexual risk behaviors. Comparisons of 1210 (82 %) participants who patronized shebeens in the past month with 263 (18 %) participants who did not patronize shebeens demonstrated higher rates of alcohol use frequency and quantity, more sexual partners, and higher rates of vaginal intercourse without condoms for the patrons. Multiple linear regression analysis found shebeen attendance in the past month predicted greater sexual risk for HIV beyond demographic characteristics and alcohol use. Social influences and environmental factors in shebeens could be contributing to sexual risk behavior independently of alcohol consumption. Further research is needed to understand the environmental factors of shebeens that promote and influence HIV risk behaviors.
在南非，饮酒与 HIV 高危行为密切相关。人们饮酒的场所往往也是他们结识新性伴侣的场所，这可能会独立地增加性风险。本研究旨在检验光顾酒类专卖店（shebeens）和饮酒对预测 HIV 高危行为的独立影响。研究人员在南非开普敦的一个乡镇的 8 个不同街区，从酒类专卖店内部和附近地区招募了 981 名男性和 492 名女性参与者。匿名社区调查测量了人口统计学特征、饮酒、光顾酒类专卖店和性行为风险。与 263 名过去一个月未光顾酒类专卖店的参与者相比，过去一个月光顾酒类专卖店的 1210 名参与者（82%）显示出更高的饮酒频率和饮酒量、更多的性伴侣以及更高的阴道性交不使用安全套的比例。多元线性回归分析发现，过去一个月光顾酒类专卖店与人口统计学特征和饮酒之外的 HIV 高危性行为显著相关。酒类专卖店中的社会影响和环境因素可能会独立于饮酒而导致性行为风险增加。需要进一步研究了解酒类专卖店促进和影响 HIV 高危行为的环境因素。
