Gender-based Violence and HIV Sexual Risk Behavior: Alcohol Use and Mental Health Problems as Mediators among Women in Drinking Venues, Cape Town
Identifieur interne : 003362 ( Main/Exploration ); précédent : 003361; suivant : 003363Gender-based Violence and HIV Sexual Risk Behavior: Alcohol Use and Mental Health Problems as Mediators among Women in Drinking Venues, Cape Town
Auteurs : Eileen V. Pitpitan [États-Unis] ; Seth C. Kalichman [États-Unis] ; Lisa A. Eaton [États-Unis] ; Kathleen J. Sikkema [États-Unis] ; Melissa H. Watt [États-Unis] ; Donald Skinner [Afrique du Sud]Source :
- Social science & medicine (1982) [ 0277-9536 ] ; 2012.
Abstract
Gender-based violence is a key determinant of HIV infection among women in South Africa as elsewhere. However, research has not examined potential mediating processes to explain the link between experiencing abuse and engaging in HIV sexual risk behavior. Previous studies suggest that alcohol use and mental health problems may explain how gender-based violence predicts sexual risk. In a prospective study, we examined whether lifetime history of gender-based violence indirectly affects future sexual risk behavior through alcohol use, depression and post-traumatic stress disorder (PTSD) in a high-risk socio-environmental context. We recruited a cohort of 560 women from alcohol drinking venues in a Cape Town, South African township. Participants completed computerized interviews at baseline and 4 months later. We tested prospective mediating associations between gender-based violence, alcohol use, depression, PTSD, and sexual risk behavior. There was a significant indirect effect of gender-based violence on sexual risk behavior through alcohol use, but not mental health problems. Women who were physically and sexually abused drank more, which in turn predicted more unprotected sex. We did not find a mediated relationship between alcohol use and sexual risk behavior through the experience of recent abuse or mental health problems. Alcohol use explains the link between gender-based violence and sexual risk behavior among women attending drinking venues in Cape Town, South Africa. Efforts to reduce HIV risk in South Africa by addressing gender-based violence must also address alcohol use.
Url:
DOI: 10.1016/j.socscimed.2012.06.020
PubMed: 22832324
PubMed Central: 3425436
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 001C59
- to stream Pmc, to step Curation: 001C58
- to stream Pmc, to step Checkpoint: 001E39
- to stream Ncbi, to step Merge: 001857
- to stream Ncbi, to step Curation: 001857
- to stream Ncbi, to step Checkpoint: 001857
- to stream Main, to step Merge: 003385
- to stream Main, to step Curation: 003362
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Gender-based Violence and HIV Sexual Risk Behavior: Alcohol Use and Mental Health Problems as Mediators among Women in Drinking Venues, Cape Town</title><author><name sortKey="Pitpitan, Eileen V" sort="Pitpitan, Eileen V" uniqKey="Pitpitan E" first="Eileen V." last="Pitpitan">Eileen V. Pitpitan</name><affiliation wicri:level="2"><nlm:aff id="A1">University of Connecticut, Storrs, CT, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Connecticut, Storrs, CT</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Kalichman, Seth C" sort="Kalichman, Seth C" uniqKey="Kalichman S" first="Seth C." last="Kalichman">Seth C. Kalichman</name><affiliation wicri:level="2"><nlm:aff id="A1">University of Connecticut, Storrs, CT, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Connecticut, Storrs, CT</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Eaton, Lisa A" sort="Eaton, Lisa A" uniqKey="Eaton L" first="Lisa A." last="Eaton">Lisa A. Eaton</name><affiliation wicri:level="2"><nlm:aff id="A1">University of Connecticut, Storrs, CT, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Connecticut, Storrs, CT</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Sikkema, Kathleen J" sort="Sikkema, Kathleen J" uniqKey="Sikkema K" first="Kathleen J." last="Sikkema">Kathleen J. Sikkema</name><affiliation wicri:level="2"><nlm:aff id="A2">Duke University, Durham, NC, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Duke University, Durham, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Watt, Melissa H" sort="Watt, Melissa H" uniqKey="Watt M" first="Melissa H." last="Watt">Melissa H. Watt</name><affiliation wicri:level="2"><nlm:aff id="A2">Duke University, Durham, NC, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Duke University, Durham, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Skinner, Donald" sort="Skinner, Donald" uniqKey="Skinner D" first="Donald" last="Skinner">Donald Skinner</name><affiliation wicri:level="1"><nlm:aff id="A3">Stellenbosch University, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Stellenbosch University, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22832324</idno><idno type="pmc">3425436</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3425436</idno><idno type="RBID">PMC:3425436</idno><idno type="doi">10.1016/j.socscimed.2012.06.020</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">001C59</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001C59</idno><idno type="wicri:Area/Pmc/Curation">001C58</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001C58</idno><idno type="wicri:Area/Pmc/Checkpoint">001E39</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001E39</idno><idno type="wicri:Area/Ncbi/Merge">001857</idno><idno type="wicri:Area/Ncbi/Curation">001857</idno><idno type="wicri:Area/Ncbi/Checkpoint">001857</idno><idno type="wicri:doubleKey">0277-9536:2012:Pitpitan E:gender:based:violence</idno><idno type="wicri:Area/Main/Merge">003385</idno><idno type="wicri:Area/Main/Curation">003362</idno><idno type="wicri:Area/Main/Exploration">003362</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Gender-based Violence and HIV Sexual Risk Behavior: Alcohol Use and Mental Health Problems as Mediators among Women in Drinking Venues, Cape Town</title><author><name sortKey="Pitpitan, Eileen V" sort="Pitpitan, Eileen V" uniqKey="Pitpitan E" first="Eileen V." last="Pitpitan">Eileen V. Pitpitan</name><affiliation wicri:level="2"><nlm:aff id="A1">University of Connecticut, Storrs, CT, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Connecticut, Storrs, CT</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Kalichman, Seth C" sort="Kalichman, Seth C" uniqKey="Kalichman S" first="Seth C." last="Kalichman">Seth C. Kalichman</name><affiliation wicri:level="2"><nlm:aff id="A1">University of Connecticut, Storrs, CT, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Connecticut, Storrs, CT</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Eaton, Lisa A" sort="Eaton, Lisa A" uniqKey="Eaton L" first="Lisa A." last="Eaton">Lisa A. Eaton</name><affiliation wicri:level="2"><nlm:aff id="A1">University of Connecticut, Storrs, CT, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Connecticut, Storrs, CT</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Sikkema, Kathleen J" sort="Sikkema, Kathleen J" uniqKey="Sikkema K" first="Kathleen J." last="Sikkema">Kathleen J. Sikkema</name><affiliation wicri:level="2"><nlm:aff id="A2">Duke University, Durham, NC, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Duke University, Durham, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Watt, Melissa H" sort="Watt, Melissa H" uniqKey="Watt M" first="Melissa H." last="Watt">Melissa H. Watt</name><affiliation wicri:level="2"><nlm:aff id="A2">Duke University, Durham, NC, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Duke University, Durham, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Skinner, Donald" sort="Skinner, Donald" uniqKey="Skinner D" first="Donald" last="Skinner">Donald Skinner</name><affiliation wicri:level="1"><nlm:aff id="A3">Stellenbosch University, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Stellenbosch University, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author></analytic><series><title level="j">Social science & medicine (1982)</title><idno type="ISSN">0277-9536</idno><idno type="eISSN">1873-5347</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Gender-based violence is a key determinant of HIV infection among women in South Africa as elsewhere. However, research has not examined potential mediating processes to explain the link between experiencing abuse and engaging in HIV sexual risk behavior. Previous studies suggest that alcohol use and mental health problems may explain how gender-based violence predicts sexual risk. In a prospective study, we examined whether lifetime history of gender-based violence indirectly affects future sexual risk behavior through alcohol use, depression and post-traumatic stress disorder (PTSD) in a high-risk socio-environmental context. We recruited a cohort of 560 women from alcohol drinking venues in a Cape Town, South African township. Participants completed computerized interviews at baseline and 4 months later. We tested prospective mediating associations between gender-based violence, alcohol use, depression, PTSD, and sexual risk behavior. There was a significant indirect effect of gender-based violence on sexual risk behavior through alcohol use, but not mental health problems. Women who were physically and sexually abused drank more, which in turn predicted more unprotected sex. We did not find a mediated relationship between alcohol use and sexual risk behavior through the experience of recent abuse or mental health problems. Alcohol use explains the link between gender-based violence and sexual risk behavior among women attending drinking venues in Cape Town, South Africa. Efforts to reduce HIV risk in South Africa by addressing gender-based violence must also address alcohol use.</p></div></front></TEI><affiliations><list><country><li>Afrique du Sud</li><li>États-Unis</li></country><region><li>Caroline du Nord</li><li>Connecticut</li></region></list><tree><country name="États-Unis"><region name="Connecticut"><name sortKey="Pitpitan, Eileen V" sort="Pitpitan, Eileen V" uniqKey="Pitpitan E" first="Eileen V." last="Pitpitan">Eileen V. Pitpitan</name></region><name sortKey="Eaton, Lisa A" sort="Eaton, Lisa A" uniqKey="Eaton L" first="Lisa A." last="Eaton">Lisa A. Eaton</name><name sortKey="Kalichman, Seth C" sort="Kalichman, Seth C" uniqKey="Kalichman S" first="Seth C." last="Kalichman">Seth C. Kalichman</name><name sortKey="Sikkema, Kathleen J" sort="Sikkema, Kathleen J" uniqKey="Sikkema K" first="Kathleen J." last="Sikkema">Kathleen J. Sikkema</name><name sortKey="Watt, Melissa H" sort="Watt, Melissa H" uniqKey="Watt M" first="Melissa H." last="Watt">Melissa H. Watt</name></country><country name="Afrique du Sud"><noRegion><name sortKey="Skinner, Donald" sort="Skinner, Donald" uniqKey="Skinner D" first="Donald" last="Skinner">Donald Skinner</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 003362 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 003362 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaSubSaharaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= PMC:3425436
|texte= Gender-based Violence and HIV Sexual Risk Behavior: Alcohol Use and Mental Health Problems as Mediators among Women in Drinking Venues, Cape Town
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:22832324" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a SidaSubSaharaV1
| This area was generated with Dilib version V0.6.32. |  |