Ethnic differences in alcohol and drug use and related sexual risks for HIV among vulnerable women in Cape Town, South Africa: implications for interventions

Simple item page
dc.contributor.authorMyers, Bronwynen_ZA
dc.contributor.authorKline, Tracyen_ZA
dc.contributor.authorBrowne, Feliciaen_ZA
dc.contributor.authorCarney, Taraen_ZA
dc.contributor.authorParry, Charlesen_ZA
dc.contributor.authorJohnson, Kimen_ZA
dc.contributor.authorWechsberg, Wendeeen_ZA
dc.date.accessioned2015-11-23T12:09:51Z
dc.date.available2015-11-23T12:09:51Z
dc.date.issued2013en_ZA
dc.description.abstractBACKGROUND: Alcohol and other drug (AOD) use among poor Black African and Coloured women in South Africa compounds their sexual risk for HIV. Given South Africa's history of ethnic disparities, ethnic differences in sex risk profiles may exist that should be taken into account when planning HIV risk reduction interventions. This paper aims to describe ethnic differences in AOD use and AOD-related sexual risks for HIV among vulnerable women from Cape Town, South Africa.METHOD:Cross-sectional data on 720 AOD-using women (324 Black African; 396 Coloured) recruited from poor communities in Cape Town were examined for ethnic differences in AOD use and AOD-related sexual risk behavior. RESULTS: Ethnic differences in patterns of AOD use were found; with self-reported drug problems, heavy episodic drinking and methamphetamine use being most prevalent among Coloured women and cannabis use being most likely among Black African women. However, more than half of Black African women reported drug-related problems and more than a third tested positive for recent methamphetamine use. More than a third of women reported being AOD-impaired and having unprotected sex during their last sexual encounter. Coloured women had four-fold greater odds of reporting that their last sexual episode was AOD-impaired and unprotected than Black African women. In addition, close to one in two women reported that their sexual partner was AOD-impaired at last sex, with Coloured women having three-fold greater odds of reporting that their partner was AOD-impaired at last sex than Black African women. CONCLUSIONS: Findings support the need to develop and test AOD risk reduction interventions for women from both ethnic groups. In addition, findings point to the need for tailored interventions that target the distinct profiles of AOD use and AOD-related sex risks for HIV among Black African and Coloured women.en_ZA
dc.identifier.apacitationMyers, B., Kline, T., Browne, F., Carney, T., Parry, C., Johnson, K., & Wechsberg, W. (2013). Ethnic differences in alcohol and drug use and related sexual risks for HIV among vulnerable women in Cape Town, South Africa: implications for interventions. <i>BMC Public Health</i>, http://hdl.handle.net/11427/15258en_ZA
dc.identifier.chicagocitationMyers, Bronwyn, Tracy Kline, Felicia Browne, Tara Carney, Charles Parry, Kim Johnson, and Wendee Wechsberg "Ethnic differences in alcohol and drug use and related sexual risks for HIV among vulnerable women in Cape Town, South Africa: implications for interventions." <i>BMC Public Health</i> (2013) http://hdl.handle.net/11427/15258en_ZA
dc.identifier.citationMyers, B., Kline, T. L., Browne, F. A., Carney, T., Parry, C., Johnson, K., & Wechsberg, W. M. (2013). Ethnic differences in alcohol and drug use and related sexual risks for HIV among vulnerable women in Cape Town, South Africa: implications for interventions. BMC public health, 13(1), 174.en_ZA
dc.identifier.ris TY - Journal Article AU - Myers, Bronwyn AU - Kline, Tracy AU - Browne, Felicia AU - Carney, Tara AU - Parry, Charles AU - Johnson, Kim AU - Wechsberg, Wendee AB - BACKGROUND: Alcohol and other drug (AOD) use among poor Black African and Coloured women in South Africa compounds their sexual risk for HIV. Given South Africa's history of ethnic disparities, ethnic differences in sex risk profiles may exist that should be taken into account when planning HIV risk reduction interventions. This paper aims to describe ethnic differences in AOD use and AOD-related sexual risks for HIV among vulnerable women from Cape Town, South Africa.METHOD:Cross-sectional data on 720 AOD-using women (324 Black African; 396 Coloured) recruited from poor communities in Cape Town were examined for ethnic differences in AOD use and AOD-related sexual risk behavior. RESULTS: Ethnic differences in patterns of AOD use were found; with self-reported drug problems, heavy episodic drinking and methamphetamine use being most prevalent among Coloured women and cannabis use being most likely among Black African women. However, more than half of Black African women reported drug-related problems and more than a third tested positive for recent methamphetamine use. More than a third of women reported being AOD-impaired and having unprotected sex during their last sexual encounter. Coloured women had four-fold greater odds of reporting that their last sexual episode was AOD-impaired and unprotected than Black African women. In addition, close to one in two women reported that their sexual partner was AOD-impaired at last sex, with Coloured women having three-fold greater odds of reporting that their partner was AOD-impaired at last sex than Black African women. CONCLUSIONS: Findings support the need to develop and test AOD risk reduction interventions for women from both ethnic groups. In addition, findings point to the need for tailored interventions that target the distinct profiles of AOD use and AOD-related sex risks for HIV among Black African and Coloured women. DA - 2013 DB - OpenUCT DO - 10.1186/1471-2458-13-174 DP - University of Cape Town J1 - BMC Public Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2013 T1 - Ethnic differences in alcohol and drug use and related sexual risks for HIV among vulnerable women in Cape Town, South Africa: implications for interventions TI - Ethnic differences in alcohol and drug use and related sexual risks for HIV among vulnerable women in Cape Town, South Africa: implications for interventions UR - http://hdl.handle.net/11427/15258 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/15258
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2458-13-174
dc.identifier.vancouvercitationMyers B, Kline T, Browne F, Carney T, Parry C, Johnson K, et al. Ethnic differences in alcohol and drug use and related sexual risks for HIV among vulnerable women in Cape Town, South Africa: implications for interventions. BMC Public Health. 2013; http://hdl.handle.net/11427/15258.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2013 Myers et al; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceBMC Public Healthen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcpublichealth/en_ZA
dc.subject.otherEthnic differencesen_ZA
dc.subject.otherAlcohol and other drugsen_ZA
dc.subject.otherSexual risksen_ZA
dc.subject.otherWomenen_ZA
dc.subject.otherSouth Africaen_ZA
dc.titleEthnic differences in alcohol and drug use and related sexual risks for HIV among vulnerable women in Cape Town, South Africa: implications for interventionsen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Myers_Ethnic_differences_2013.pdf
Size:
218.77 KB
Format:
Adobe Portable Document Format
Description:
Download
Collections
Journal Articles