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2015 ; 10
(12
): e0145326
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Alcohol Use and Transactional Sex among Women in South Africa: Results from a
Nationally Representative Survey
#MMPMID26683812
Magni S
; Christofides N
; Johnson S
; Weiner R
PLoS One
2015[]; 10
(12
): e0145326
PMID26683812
show ga
BACKGROUND: Transactional sex is a risk factor for HIV infection. Alcohol use may
increase the risk of transactional sex. No nationally-representative studies have
examined the relationship between multiple dimensions of alcohol use and
transactional sex in women in South Africa. The aim of the study was to examine
the relationship between alcohol dependence, binge drinking and frequency of
drinking in the past month and transactional sex in adult women in South Africa.
METHODS: A cross-sectional study using multi-stage, cluster sampling collected
data from a nationally representative sample of 5,969 women aged 16-55 years in
2012. The analysis conducted for this paper was restricted to women reporting
sexual activity in the past 12 months (n = 3,594). Transactional sex was defined
as having received money/gifts in exchange for sex with any sex partner in the
past year. Alcohol use measures included: alcohol dependence (?2 positive
responses to the CAGE questionnaire); binge drinking (?4 drinks for women on one
occasion); and drinking frequency in the previous month. Logistic regression
models were built to test the hypotheses that each dimension of alcohol use was
associated with transactional sex. RESULTS: About 6.3% (n = 225) of sexually
active women reported transactional sex. Almost a third (30.6%) of sexually
active women had ever drunk alcohol, and 19.2% were current (past month)
drinkers. Among lifetime drinkers, 28.0% were alcohol dependent and 56.6% were
binge drinkers. Alcohol dependent women were twice as likely to report
transactional sex (AOR 2.0, 95% CI 1.1-4.3, p<0.05) than those not alcohol
dependent. Binge drinkers were 3.1 times more likely to have had transactional
sex (95% CI 1.5-6.6, p<0.01) than non-binge drinkers. There was no significant
relationship between frequency of drinking in the past month and transactional
sex. CONCLUSION: Alcohol dependency and binge drinking are significantly
associated with transactional sex in South African women. HIV prevention
programmes need to target these women, and address both their alcohol use, as
well as the HIV risks associated with transactional sex.
|Adolescent
[MESH]
|Adult
[MESH]
|Alcoholism/*epidemiology
[MESH]
|Cross-Sectional Studies
[MESH]
|Female
[MESH]
|HIV Infections/*epidemiology/prevention & control
[MESH]