title: The relationship between attending alcohol serving venues nearby versus distant to one's residence and sexual risk taking in a South African township.
abstract: 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.
authors: Center for Health, Intervention and Prevention, University of Connecticut, 2006 Hillside Rd, Storrs, CT, 06269-1020, USA, lisaanne.eaton@gmail.com.
authors: Lisa A
authors: LA
authors: Eaton
authors: Seth C
authors: SC
authors: Kalichman
authors: Eileen V
authors: EV
authors: Pitpitan
authors: Demetria N
authors: DN
authors: Cain
authors: Melissa H
authors: MH
authors: Watt
authors: Kathleen J
authors: KJ
authors: Sikkema
authors: Donald
authors: D
authors: Skinner
authors: Desiree
authors: D
authors: Pieterse
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000208:ethnology*; D005260:Female; D006801:Humans; D008297:Male; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior / Q000208:ethnology*; D013019:South Africa / Q000208:ethnology; D019966:Substance-Related Disorders / Q000208:ethnology*; D014505:Urban Population
references: Soc Psychol Q. 2009 Jun;72(2):143-164
references: 25484478
references: Cult Health Sex. 2009 Feb;11(2):139-57
references: 19247859
references: AIDS Care. 2010 Dec;22(12):1544-54
references: 20824551
references: Prev Sci. 2008 Mar;9(1):55-62
references: 18264762
references: Med Anthropol Q. 2002 Sep;16(3):267-93
references: 12227257
references: Sex Transm Infect. 2002 Apr;78 Suppl 1:i106-13
references: 12083428
references: J Acquir Immune Defic Syndr. 2011 Jul 1;57(3):230-7
references: 21372724
references: AIDS. 2003 Apr 11;17(6):895-903
references: 12660537
references: Am J Public Health. 1997 Apr;87(4):655-8
references: 9146448
references: J Urban Health. 2006 Jul;83(4):709-22
references: 16758334
references: Sex Transm Infect. 2004 Dec;80 Suppl 2:ii63-8
references: 15572642
references: Ann N Y Acad Sci. 2008;1136:101-10
references: 17954681
references: J Sex Res. 2011 Sep;48(5):437-49
references: 20818574
references: Addiction. 1993 Jun;88(6):791-804
references: 8329970
references: Afr J Reprod Health. 2004 Dec;8(3):116-36
references: 17348330
references: AIDS Behav. 2010 Feb;14(1):11-6; dicussion 34-7
references: 18648926
references: Glob Health Action. 2010 Jul 14;3:
references: 20644656
references: J Sex Res. 2011 Mar;48(2-3):149-65
references: 21409712
references: J Int AIDS Soc. 2010 Feb 09;13:6
references: 20181124
references: PLoS One. 2011;6(9):e24256
references: 21935392
references: BMC Public Health. 2011 Oct 14;11:807
references: 21999574
references: Health Educ Res. 2011 Jun;26(3):476-88
references: 21059802
references: AIDS Behav. 2011 Jan;15(1):132-41
references: 20217470
references: Arch Sex Behav. 2011 Feb;40(1):17-42
references: 19705274
references: Microbes Infect. 2003 Feb;5(2):189-96
references: 12650777
references: Cult Health Sex. 2005 May;7(3):225-38
references: 16864199
references: Lancet. 2010 Jul 3;376(9734):41-8
references: 20557928
references: Health Place. 2011 May;17(3):748-56
references: 21396875
references: Soc Sci Med. 2006 Jan;62(1):217-27
references: 16054281