Center for Health, Intervention and Prevention, University of Connecticut, 2006 Hillside Rd, Unit 1248, Storrs, CT 06269-1020, USA.
Ann Behav Med. 2013 Apr;45(2):153-62. doi: 10.1007/s12160-012-9420-3.
In South Africa, women comprise the majority of HIV infections. Syndemics, or co-occurring epidemics and risk factors, have been applied in understanding HIV risk among marginalized groups.
The purposes of this study are to apply the syndemic framework to examine psychosocial problems that co-occur among women attending drinking venues in South Africa and to test how the co-occurrence of these problems may exacerbate risk for HIV infection.
Five hundred sixty women from a Cape Town township provided data on multiple psychosocial problems, including food insufficiency, depression, abuse experiences, problem drinking, and sexual behaviors.
Bivariate associations among the syndemic factors showed a high degree of co-occurrence and regression analyses showed an additive effect of psychosocial problems on HIV risk behaviors.
These results demonstrate the utility of a syndemic framework to understand co-occurring psychosocial problems among women in South Africa. HIV prevention interventions should consider the compounding effects of psychosocial problems among women.
在南非，女性占艾滋病病毒感染人数的大多数。综合流行症，即同时发生的传染病和风险因素，已被用于理解边缘化群体中的艾滋病病毒风险。
本研究旨在应用综合流行症框架，研究在南非饮酒场所中饮酒的女性所共有的心理社会问题，并检验这些问题的同时出现如何加剧感染艾滋病病毒的风险。
来自开普敦一个城镇的 560 名女性提供了有关多种心理社会问题的数据，包括食物不足、抑郁、虐待经历、酗酒和性行为。
在综合流行症因素之间的双变量关联显示出高度的共现性，回归分析显示心理社会问题对艾滋病病毒风险行为有累加效应。
这些结果表明，综合流行症框架可用于理解南非女性中同时存在的心理社会问题。艾滋病病毒预防干预措施应考虑到女性中心理社会问题的复合效应。
