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Alcohol use and sexual behaviour among risky drinkers and bar and shebeen patrons in Gauteng province, South Africa

Author

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  • Morojele, Neo K.
  • Kachieng'a, Millicent A.
  • Mokoko, Evodia
  • Nkoko, Matsobane A.
  • Parry, Charles D.H.
  • Nkowane, Annette M.
  • Moshia, Kgaogelo M.
  • Saxena, Shekhar

Abstract

This paper describes the South Africa component of a World Health Organization multi-site rapid assessment and response project seeking to develop a methodology for studying factors associated with alcohol use-related sexual risk behaviour in diverse cultural settings. This report focuses on the qualitative assessments that were conducted in order to profile alcohol use and sexual behaviour in the communities concerned, ascertain the relationships between alcohol use and sexual behaviour, and develop a conceptual model of the relationships between alcohol use and sexual risk behaviour. The participants consisted of adults aged between 25 and 44 years in a township and city site in Gauteng province. The assessments involved conducting 18 key informant interviews, observations in seven drinking venues, six focus groups and 16 in-depth interviews of 'risky drinkers' and their partners. Most participants felt that there were high levels of alcohol consumption and unprotected sex among some members of their communities, with the latter occurring mainly among casual sexual partners. The findings also pointed to strong links between alcohol consumption and sexual risk behaviour. A conceptual model of the association between alcohol use and risky sexual behaviour is proposed. This study suggests a need for multi-faceted HIV intervention strategies for reducing levels of alcohol abuse in general, and enhancing protective sexual behaviours among alcohol-using populations.

Suggested Citation

  • Morojele, Neo K. & Kachieng'a, Millicent A. & Mokoko, Evodia & Nkoko, Matsobane A. & Parry, Charles D.H. & Nkowane, Annette M. & Moshia, Kgaogelo M. & Saxena, Shekhar, 2006. "Alcohol use and sexual behaviour among risky drinkers and bar and shebeen patrons in Gauteng province, South Africa," Social Science & Medicine, Elsevier, vol. 62(1), pages 217-227, January.
    • Handle: RePEc:eee:socmed:v:62:y:2006:i:1:p:217-227
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    Cited by:

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    4. Cassandra Carels & Maria Florence & Sabirah Adams & Deborah Louise Sinclair & Shazly Savahl, 2022. "Youths’ Perceptions Of The Relation Between Alcohol Consumption And Risky Sexual Behaviour in the Western Cape, South Africa: A Qualitative Study," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(4), pages 1269-1293, August.
    5. Pitpitan, Eileen V. & Kalichman, Seth C. & Eaton, Lisa A. & Sikkema, Kathleen J. & Watt, Melissa H. & Skinner, Donald, 2012. "Gender-based violence and HIV sexual risk behavior: Alcohol use and mental health problems as mediators among women in drinking venues, Cape Town," Social Science & Medicine, Elsevier, vol. 75(8), pages 1417-1425.
    6. Norris, Alison H. & Kitali, Amani J. & Worby, Eric, 2009. "Alcohol and transactional sex: How risky is the mix?," Social Science & Medicine, Elsevier, vol. 69(8), pages 1167-1176, October.
    7. Preety Srivastava & Ou Yang & Xueyan Zhao, 2022. "Equal Tax for Equal Alcohol? Beverage Types and Antisocial and Unlawful Behaviours," The Economic Record, The Economic Society of Australia, vol. 98(323), pages 354-372, December.
    8. Hatcher, Abigail M. & Gibbs, Andrew & McBride, Ruari-Santiago & Rebombo, Dumisani & Khumalo, Mzwakhe & Christofides, Nicola J., 2022. "Gendered syndemic of intimate partner violence, alcohol misuse, and HIV risk among peri-urban, heterosexual men in South Africa," Social Science & Medicine, Elsevier, vol. 295(C).
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    10. Yunia Mayanja & Onesmus Kamacooko & Daniel Bagiire & Gertrude Namale & Janet Seeley, 2020. "Epidemiological Findings of Alcohol Misuse and Dependence Symptoms among Adolescent Girls and Young Women Involved in High-Risk Sexual Behavior in Kampala, Uganda," IJERPH, MDPI, vol. 17(17), pages 1-13, August.
    11. Andrew Charman & Thiresh Govender, 2020. "The Creative Night‐Time Leisure Economy of Informal Drinking Venues," International Journal of Urban and Regional Research, Wiley Blackwell, vol. 44(5), pages 793-808, September.
    12. Valerie Møller & Ida Erstad & Dalinyebo Zani, 2010. "Drinking, Smoking, and Morality: Do ‘Drinkers and Smokers’ Constitute a Stigmatised Stereotype or a Real TB Risk Factor in the Time of HIV/AIDS?," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 98(2), pages 217-238, September.
    13. Stoebenau, Kirsten & Heise, Lori & Wamoyi, Joyce & Bobrova, Natalia, 2016. "Revisiting the understanding of “transactional sex” in sub-Saharan Africa: A review and synthesis of the literature," Social Science & Medicine, Elsevier, vol. 168(C), pages 186-197.
    14. Oludele Akinloye Akinboade & Mandisa Putuma Mokwena, 2010. "The problem and awareness of liquor abuse in South Africa," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 37(1), pages 54-74, January.
    15. Nadine Harker & Mukhethwa Londani & Neo Morojele & Petal Petersen Williams & Charles DH Parry, 2020. "Characteristics and Predictors of Heavy Episodic Drinking (HED) among Young People Aged 16–25: The International Alcohol Control Study (IAC), Tshwane, South Africa," IJERPH, MDPI, vol. 17(10), pages 1-16, May.
    16. Watt, Melissa H. & Aunon, Frances M. & Skinner, Donald & Sikkema, Kathleen J. & Kalichman, Seth C. & Pieterse, Desiree, 2012. "“Because he has bought for her, he wants to sleep with her”: Alcohol as a currency for sexual exchange in South African drinking venues," Social Science & Medicine, Elsevier, vol. 74(7), pages 1005-1012.

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