Condom negotiation, HIV testing, and HIV risks among women from alcohol serving venues in Cape Town, South Africa
: PLoS One OUTPUT TYPE
: Journal Article PUBLICATION YEAR
: E.V.Pitpitan, S.C.Kalichman, D.Cain, L.A.Eaton, K.B.Carey, M.P.Carey, O.Harel, L.C.Simbayi
, V.Mehlomakulu, K.MwabaKEYWORDS
: ALCOHOL USE
, CAPE TOWN
, CONDOM USE
, RISK BEHAVIOUR
, SEXUAL BEHAVIOUR
: HIV/AIDS, STIs and TB (HAST)
: HSRC Library: shelf number 7452
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at email@example.com.
Background: Women in South Africa are at particularly high-risk for HIV infection and are dependent on their male partners'
use of condoms for sexual risk reduction. However, many women are afraid to discuss condoms with male partners, placing
them at higher risk of HIV infection.
Purpose: To examine the association between fear of condom negotiation with HIV testing and transmission risk behaviors,
including alcohol use and sexual risks among South African women.
Method: Women (N = 1333) residing in a primarily Xhosa-speaking African township in Cape Town and attending informal
alcohol-serving venues (shebeens) completed anonymous surveys. Logistic regression was used to test the hypothesis that
fear of condom negotiation would be associated with increased risk for HIV.
Results: Compared to women who did not fear condom negotiation, those who did were significantly less likely to have
been tested for HIV, were more likely to have experienced relationship abuse, and to report more alcohol use and more
Conclusions: For women in South Africa, fear of condom negotiation is related to higher risk of HIV. HIV prevention efforts,
including targeted HIV counseling and testing, must directly address gender issues.
Related Research Outputs:
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- Brief HIV risk reduction intervention for sexually transmitted infection clinic patients who use alcohol in Cape Town
- Sensation seeking and alcohol use predict HIV transmission risks: prospective study of sexually transmitted infection clinic patients, Cape Town, South Africa
- Randomized trial of a community-based alcohol-related HIV risk-reduction intervention for men and women in Cape Town South Africa
- Intimate partner violence and HIV risk among women in primary health care delivery services in a South African setting
- Condom failure among men receiving sexually transmissible infection clinic services, Cape Town, South Africa
- Community norms for HIV risk behaviors among men in a South African township
- Psychosocial correlates of condom use consistency among isixhosa-speaking women living with HIV in the Western Cape province of South Africa
- Sexual HIV risk behaviour and associated factors among pregnant women in Mpumalanga, South Africa
- Assessing the feasibility of fitted male condoms as a sexual health intervention in Cape Town, South Africa: perspectives from condom education and distribution staff
- Bringing it home: community survey of HIV risks to primary sex partners of men and women in alcohol-serving establishments in Cape Town, South Africa
- Prevalence of knowledge and use of the female condom in South Africa
- The female condom: problematic plastic or choice protection?
- High prevalence of HIV and low awareness of HIV infection among young MSM and transgender women in Cape Town and Port Elizabeth, South Africa
- Sexual assault, sexual risks and gender attitudes in a community sample of South African men
- Disclosure of HIV status to sex partners and sexual risk behaviours amongh HIV-positive men and women, Cape Town, South Africa
- Coital bleeding and HIV risks among men and women in Cape Town, South Africa
- Alcohol use and sexual risks for HIV/AIDS in sub-Saharan Africa: systematic review of empirical findings
- Alcohol expectations and risky drinking among men and women at high-risk for HIV infection in Cape Town, South Africa
- Disclosure decisions and HIV transmission risk behaviour of HIV positive men who have sex with men (MSM) in Cape Town, South Africa