Swipe om te navigeren naar een ander artikel
South Africa remains a country with one of the highest prevalence rates of HIV/AIDS at 18 % among 15–49 year olds. Underdeveloped urban areas, or townships, are particularly hard hit by the HIV/AIDS epidemic. Alcohol use in these townships has been established as an important risk factor for HIV transmission. Likewise, alcohol serving venues (shebeens) have been identified as sites where substance abuse and sexual risk taking occur. However, little is known about how proximity of alcohol serving establishments (shebeens) to one’s residence may be related to sexual risk-taking We surveyed 3,261 men and women attending shebeens in a township located in Cape Town, South Africa. We investigated the relationships between attending nearby (<15 min walk) versus distant (>15 min walk) shebeens, and sex and substance abuse related risk-taking. Women who attended distant shebeens versus nearby shebeens relative to their residence were approximately twice as likely to report HIV positive status. Bivariate analyses demonstrated that these women were also more likely to report other sexually transmitted infections, greater numbers of sex partners, higher rates of alcohol and drug use, and seeking out new sex partners at shebeen. No differences in sex behavior, substance use or HIV/STI were identified among men. Proximity of shebeens appears to be an important contextual factor in explaining HIV/STI transmission risk-taking. Future studies should focus on how anonymity may be related to sexual risk and substance use behaviors among women in South African townships.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Chang, J. (2008). The role of anonymity in deindividuated behavior: A comparison of deindividuation theory and the social identity model of deindividuation effects (SIDE). Undergraduate Journal of Baylor University,6(1), 1–8.
De Vries, L. (2010). Crime falls as cops close illegal shebeens. http://www.iol.co.za/news/south-africa/crime-falls-as-cops-closes-illegal-shebeens-1.469499
Goldenberg, S. M., Strathdee, S. A., Gallardo, M., Nguyen, L., Lozada, R., Semple, S. J., et al. (2011). How important are venue-based HIV risks among male clients of female sex workers? A mixed methods analysis of the risk environment in nightlife venues in Tijuana, Mexico. Health Place,17(3), 748–756. doi: 10.1016/j.healthplace.2011.01.012PubMedCentralPubMedCrossRef
Guerin, B. (1999). Social behaviors as determined by different arrangements of social consequences: Social loafing, social facilitation, deindividuation, and a modified social loafing. Psychological Record,49(4), 565–577.
Harrison, A., O’Sullivan, L. F., Hoffman, S., Dolezal, C., & Morrell, R. (2006). Gender role and relationship norms among young adults in South Africa: Measuring the context of masculinity and HIV risk. Journal of Urban Health,83(4), 709–722. doi: 10.1007/s11524-006-9077-yPubMedCentralPubMedCrossRef
Kalichman, S. C., Pinkerton, S. D., Carey, M. P., Cain, D., Mehlomakulu, V., Carey, K. B., et al. (2011). Heterosexual anal intercourse and HIV infection risks in the context of alcohol serving venues, Cape Town, South Africa. BMC Public Health,11, 807. doi: 10.1186/1471-2458-11-807PubMedCentralPubMedCrossRef
Kreager, D. A., & Staff, J. (2009). The sexual double standard and adolescent peer acceptance. Social Psychology Quarterly,72(2), 143–164. CrossRef
Lurie, M., Harrison, A., Wilkinson, D., & Abdool Karim, S. (1997). Circular migration and sexual networking in rural KwaZulu/Natal: Implications for the spread of HIV and other sexually transmitted disease. Health Transition Review,7(3), S17–S27.
Mah, T. L., & Halperin, D. T. (2010). Concurrent sexual partnerships and the HIV epidemics in Africa: evidence to move forward. AIDS and Behavior, 14(1), 11–16; dicussion 34-17. doi: 10.1007/s10461-008-9433-x
Mantell, J. E., Needham, S. L., Smit, J. A., Hoffman, S., Cebekhulu, Q., Adams-Skinner, J., et al. (2009). Gender norms in South Africa: implications for HIV and pregnancy prevention among African and Indian women students at a South African tertiary institution. Culture, Health & Sexuality,11(2), 139–157. doi: 10.1080/13691050802521155CrossRef
Morojele, N. K., Kachieng’a, M. A., Mokoko, E., Nkoko, M. A., Parry, C. D., Nkowane, A. M., et al. (2006). Alcohol use and sexual behaviour among risky drinkers and bar and shebeen patrons in Gauteng province, South Africa. Social Science and Medicine,62(1), 217–227. doi: 10.1016/j.socscimed.2005.05.031PubMedCrossRef
Pessar, P. R. (1999). The role of gender, households and social networks in the migration process: A review and appraisal. In C. Hirschman, P. Kasinitz, & J. DeWind (Eds.), The handbook of international migration: The American experience (pp. 53–70). New York: Russell Sage Foundation.
Postmes, T., & Spears, R. (1998). Deindividuation and antinormative behavior: A meta-analysis. Psychological Bulletin,123(3), 238–259. CrossRef
Ragnarsson, A., Townsend, L., Ekstrom, A. M., Chopra, M., & Thorson, A. (2010). The construction of an idealised urban masculinity among men with concurrent sexual partners in a South African township. Global Health Action, 3. doi: 10.3402/gha.v3i0.5092
Reicher, S. D., Spears, R., & Postmes, T. (1995). A social identity model of deindividuation phenomena. In W. Strobe & M. Hewstone (Eds.), European review of social psychology (pp. 161–198). Chichester: Wiley.
Sikkema, K. J., Watt, M. H., Meade, C. S., Ranby, K. W., Kalichman, S. C., Skinner, D., et al. (2011). Mental health and HIV sexual risk behavior among patrons of alcohol serving venues in Cape Town, South Africa. Journal of Acquired Immune Deficiency Syndrome,57(3), 230–237. doi: 10.1097/QAI.0b013e3182167e7aCrossRef
Townsend, L., Jewkes, R., Mathews, C., Johnston, L. G., Flisher, A. J., Zembe, Y., et al. (2011). HIV risk behaviours and their relationship to intimate partner violence (IPV) among men who have multiple female sexual partners in Cape Town, South Africa. AIDS and Behavior,15(1), 132–141. doi: 10.1007/s10461-010-9680-5PubMedCrossRef
Townsend, L., Rosenthal, S. R., Parry, C. D., Zembe, Y., Mathews, C., & Flisher, A. J. (2010). Associations between alcohol misuse and risks for HIV infection among men who have multiple female sexual partners in Cape Town, South Africa. AIDS Care,22(12), 1544–1554. doi: 10.1080/09540121.2010.482128PubMedCrossRef
UNAIDS. (2010). UNAIDS report on the global AIDS epidemic 2010.
- The relationship between attending alcohol serving venues nearby versus distant to one’s residence and sexual risk taking in a South African township
Lisa A. Eaton
Seth C. Kalichman
Eileen V. Pitpitan
Demetria N. Cain
Melissa H. Watt
Kathleen J. Sikkema
- Springer US