Enhancing global control of alcohol to reduce unsafe sex and HIV in sub-Saharan Africa.

Globalization and Health
Matthew F ChersichGreg Martin

Abstract

Sub-Saharan Africa carries a massive dual burden of HIV and alcohol disease, and these pandemics are inextricably linked. Physiological and behavioural research indicates that alcohol independently affects decision-making concerning sex, and skills for negotiating condoms and their correct use. More than 20 studies in Africa have reported higher occurrence of HIV among people with problem drinking; a finding strongly consistent across studies and similar among women and men. Conflation of HIV and alcohol disease in these setting is not surprising given patterns of heavy-episodic drinking and that drinking contexts are often coterminous with opportunities for sexual encounters. HIV and alcohol also share common ground with sexual violence. Both perpetrators and victims of sexual violence have a high likelihood of having drunk alcohol prior to the incident, as with most forms of violence and injury in sub-Saharan Africa. Reducing alcohol harms necessitates multi-level interventions and should be considered a key component of structural interventions to alleviate the burden of HIV and sexual violence. Brief interventions for people with problem drinking (an important component of primary health care), must incorporate specific dis...Continue Reading

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Citations

Jun 30, 2011·Current HIV/AIDS Reports·Judith A HahnWinnie Muyindike
Dec 13, 2012·Current HIV/AIDS Reports·Beth S RussellPetal Petersen-Williams
Mar 7, 2013·Journal of the International AIDS Society·Matthew F ChersichRichard Steen
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Aug 24, 2017·BMC Public Health·Braimoh BelloSinead Delany-Moretlwe

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