Alcohol expectancies and risky drinking among men and women at high-risk for HIV infection in Cape Town, South Africa

OUTPUT TYPE: Conference or seminar papers
PUBLICATION YEAR: 2008
TITLE AUTHOR(S): R.Vermaak, L.C.Simbayi, S.C.Kalichman, D.Cain, S.Jooste
KEYWORDS: ALCOHOL EXPECTANCIES, ALCOHOL USE, CAPE TOWN, DRINKING BEHAVIOUR, HIV/AIDS, RISK BEHAVIOUR
DEPARTMENT: HIV/AIDS, STIs and TB (HAST)
Intranet: HSRC Library: shelf number 5457

Download this report

If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.

Abstract

Objectives: This study examined the differential patterns of alcohol outcome expectancies in relation to drinking before sex and having sex partners who drink before sex. Methods: A sample of 614 men and 158 women sexually transmitted infections clinic patients in Cape Town South Africa participated in a survey as part of another study. Results: Hierarchical regressions, controlling for age, education, and alcohol use showed that men's sexual enhancement alcohol expectancies were associated with drinking before sex and having sex partners who drank before sex. Behavioral disinhibition expectancies were inversely related to drinking before sex. For women, there were no associations between alcohol expectancies and drinking before sex, although sexual enhancement expectancies were related to having sex partners who drank before sex. Conclusions: We conclude that alcohol outcome expectancies, particularly expectancies that alcohol will enhance sexual experiences, are related to HIV transmission risks. Sexual risk reduction interventions for those at greatest risk for HIV/AIDS should directly address alcohol expectancies.