Event-based analysis of the association between alcohol use and unsafe sex in seven sub-Saharan African countries

Shireen Assaf, L. Mallick
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引用次数: 4

Abstract

Aims : To examine the association between alcohol consumption at last sex and unsafe sex in seven countries in sub-Saharan Africa. Design : Multivariable logistic regression of unsafe sex was performed using cross-sectional data with a stratified sample design from seven countries. Setting : The study uses data from the Demographic and Health Surveys of Lesotho, Kenya, Mozambique, Swaziland, Uganda, Zambia, and Zimbabwe. Participants : Men and women age 15–49 years with data available on alcohol consumption and who have had sex in the last 12 months were included in the analysis. Measures : The main independent variable is alcohol consumption at last sex with a non-cohabiting partner. Findings : The analysis has shown that alcohol consumption was a strong predictor of unsafe sex for all surveys except for women in Kenya. Age and number of sexual partners were also strong predictors of unsafe sex. Conclusions : The findings indicate that there is a positive link between alcohol consumption and unsafe sex in all countries except for Kenya among women. The inconsistent finding in Kenya requires further study. One of the main limitations of the analysis is the low number of observations found for women and men who reported drinking at last sex with a non-cohabiting partner.
对七个撒哈拉以南非洲国家酒精使用与不安全性行为之间关系的事件分析
目的:研究撒哈拉以南非洲7个国家最后一次性行为中饮酒与不安全性行为之间的关系。设计:使用来自7个国家的分层样本设计的横截面数据进行不安全性行为的多变量logistic回归。环境:研究使用的数据来自莱索托、肯尼亚、莫桑比克、斯威士兰、乌干达、赞比亚和津巴布韦的人口与健康调查。参与者:年龄在15-49岁之间、有饮酒数据且在过去12个月内有过性行为的男性和女性被纳入分析。测量方法:主要的自变量是最后一次与非同居伴侣发生性行为时的饮酒量。研究结果:分析表明,除了肯尼亚的女性之外,所有调查都表明饮酒是不安全性行为的一个强有力的预测因素。性伴侣的年龄和数量也是不安全性行为的有力预测因素。结论:研究结果表明,除肯尼亚以外,所有国家的妇女饮酒与不安全性行为之间存在正相关关系。肯尼亚不一致的发现需要进一步研究。该分析的主要局限性之一是,报告最后与非同居伴侣发生性关系时饮酒的女性和男性观察到的数量很少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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