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Associations of poverty, substance use, and HIV transmission risk behaviors in three South African communities

Author

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  • Kalichman, Seth C.
  • Simbayi, Leickness C.
  • Kagee, Ashraf
  • Toefy, Yoesrie
  • Jooste, Sean
  • Cain, Demetria
  • Cherry, Chauncey

Abstract

The majority of the world's HIV infections occur in communities ravished by poverty. Although HIV/AIDS and poverty are inextricably linked, there are few studies of how poverty-related stressors contribute to HIV risk behavior practices. In this study, surveys were conducted in three South African communities that varied by race and socio-economic conditions: people living in an impoverished African township (N=499); an economically impoverished but well infrastructured racially integrating township (N=995); and urban non-impoverished neighborhoods (N=678). Results showed that HIV/AIDS risks were closely related to experiences of poor education, unemployment, discrimination, violence, and crime. Although poverty-related stressors were associated with a history of alcohol and drug use, substance use did not moderate the association between poverty-related stressors and HIV risk behaviors. The findings suggest that HIV prevention strategies should not treat AIDS as a singled out social problem independent of other social ills.

Suggested Citation

  • Kalichman, Seth C. & Simbayi, Leickness C. & Kagee, Ashraf & Toefy, Yoesrie & Jooste, Sean & Cain, Demetria & Cherry, Chauncey, 2006. "Associations of poverty, substance use, and HIV transmission risk behaviors in three South African communities," Social Science & Medicine, Elsevier, vol. 62(7), pages 1641-1649, April.
    • Handle: RePEc:eee:socmed:v:62:y:2006:i:7:p:1641-1649
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    Citations

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    Cited by:

    1. Smith, Rachel A. & Morrison, Daniel, 2006. "The impact of stigma, experience, and group referent on HIV risk assessments and HIV testing intentions in Namibia," Social Science & Medicine, Elsevier, vol. 63(10), pages 2649-2660, November.
    2. Brook, David W. & Rubenstone, Elizabeth & Zhang, Chenshu & Morojele, Neo K. & Brook, Judith S., 2011. "Environmental stressors, low well-being, smoking, and alcohol use among South African adolescents," Social Science & Medicine, Elsevier, vol. 72(9), pages 1447-1453, May.
    3. Yige Wang & Chunhong Zhao & Ziping Liu & Decai Gao, 2021. "Spatiotemporal Analysis of AIDS Incidence and Its Influencing Factors on the Chinese Mainland, 2005–2017," IJERPH, MDPI, vol. 18(3), pages 1-19, January.

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