title: Mediation effects of problem drinking and marijuana use on HIV sexual risk behaviors among childhood sexually abused South African heterosexual men.
abstract: HIV/AIDS prevalence in South Africa is one of the highest in the world with heterosexual, transmission predominantly promoting the epidemic. The goal of this study is to examine whether, marijuana use and problem drinking mediate the relationship between histories of childhood sexual, abuse (CSA) and HIV risk behaviors among heterosexual men. Participants were 1181 Black men aged, 18-45 from randomly selected neighborhoods in Eastern Cape Province, South Africa. Audio computer assisted, self-interviewing was used to assess self-reported childhood sexual abuse, problem drinking, and marijuana (dagga) use, and HIV sexual transmission behavior with steady and casual partners. Data were analyzed using multiple meditational modeling. There was more support for problem, drinking than marijuana use as a mediator. Findings suggest that problem drinking and marijuana use, mediate HIV sexual risk behaviors in men with histories of CSA. Focusing on men with histories of CSA, and their use of marijuana and alcohol may be particularly useful for designing strategies to reduce, HIV sexual transmission in South Africa.
authors.affiliation: Center for Intervention and Practice Research, Temple University, College of Health Professions and Social Work, 1301 Cecil B. Moore Avenue, Ritter Annex, Suite B10, Philadelphia, PA 19121, USA.
authors.forename: Larry D
authors.initials: LD
authors.lastname: Icard
authors.affiliation: University of Pennsylvania, Philadelphia, PA, USA.
authors.forename: John B
authors.initials: JB
authors.lastname: Jemmott
authors.affiliation: University of Pennsylvania, Philadelphia, PA, USA.
authors.forename: Anne
authors.initials: A
authors.lastname: Teitelman
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Ann
authors.initials: A
authors.lastname: O'Leary
authors.affiliation: University of Pennsylvania, Philadelphia, PA, USA.
authors.forename: G Anita
authors.initials: GA
authors.lastname: Heeren
mesh_terms: D000293:Adolescent; D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology*; D000437:Alcoholism / Q000150:complications / Q000523:psychology*; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D015658:HIV Infections / Q000209:etiology* / Q000523:psychology; D020010:Heterosexuality / Q000523:psychology; D006801:Humans; D008297:Male; D002189:Marijuana Abuse / Q000150:complications / Q000523:psychology*; D013019:South Africa / Q000453:epidemiology; D047568:Unsafe Sex / Q000523:psychology*; D055815:Young Adult
keywords: Childhood sexual abuse; Eastern Cape; Heterosexual; Marijuana use; Mediation; Men; Problem drinking; South Africa
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