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      Bringing it home: community survey of HIV risks to primary sex partners of men and women in alcohol-serving establishments in Cape Town, South Africa

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          Abstract

          Background

          Concurrent sexual relationships facilitate the spread of HIV infection, and sex with non-primary partners may pose particularly high risks for HIV transmission to primary partners.

          Objective

          We examined the sexual and alcohol-related risks associated with sex partners outside of primary relationships among South African men and women in informal drinking establishments.

          Methods

          Men (n=4959) and women (n=2367) with primary sex partners residing in a Xhosa-speaking South African township completed anonymous surveys. Logistic regressions tested associations between having outside partners and risks for sexually transmitted infections (STI)/HIV.

          Results

          Forty-four percent of men and 26% women with primary sex partners reported also having outside sex partners in the previous month. Condom use with outside partners was inconsistent for men and women; only 19% of men and 12% of women used condoms consistently with outside sex partners. Multivariable regressions for men and women showed that having outside partners was significantly associated with having been diagnosed with an STI, consuming alcohol in greater frequency and quantity, alcohol use during sex, meeting sex partners in alcohol-serving venues, and higher rates of unprotected sex.

          Conclusions

          Having outside sex partners was associated with multiple risk factors for HIV infection among South African shebeen patrons. Social and structural interventions that encourage condom use are needed for men and women with outside partners who patronise alcohol-serving venues.

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          Author and article information

          Journal
          Sex Transm Infect
          Sex Transm Infect
          sextrans
          sti
          Sexually Transmitted Infections
          BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
          1368-4973
          1472-3263
          May 2013
          13 December 2012
          : 89
          : 3
          : 231-236
          Affiliations
          [1 ]Department of Psychology, University of Connecticut , Storrs, Connecticut, USA
          [2 ]University of California at San Diego , San Diego, California, USA
          [3 ]Public Health, Brown University , Providence, Rhode Island, USA
          [4 ]Centers for Behavioral and Preventive Medicine, The Miriam Hospital , Providence, Rhode Island, USA
          [5 ]Social Aspects of HIV/AIDS and Health, Human Sciences Research Council , Cape Town, South Africa
          [6 ]HSRC, University of the Western Cape , Cape Town, South Africa
          Author notes
          [Correspondence to ] Professor Seth C Kalichman, Department of Psychology, 406 Babbidge Road, University of Connecticut, Storrs, CT 06269, USA; seth.k@ 123456uconn.edu
          Article
          sextrans-2012-050569
          10.1136/sextrans-2012-050569
          3625822
          23241968
          18e638ed-e576-46fb-b319-7e02838f51ba
          Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions

          This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/3.0/ and http://creativecommons.org/licenses/by-nc/3.0/legalcode

          History
          : 28 October 2012
          Categories
          1506
          Behaviour
          Original article
          Custom metadata
          unlocked

          Sexual medicine
          substance misuse,africa,sexual behaviour
          Sexual medicine
          substance misuse, africa, sexual behaviour

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