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Title

Condom Negotiation, HIV Testing, and HIV Risks among Women from Alcohol Serving Venues in Cape Town, South Africa”;

Authors

EV Pitpitan, SC Kalichman, D. Cain, et al.

Network Affiliation

Other

Organization

 

Journal Name

PLoS One

Publication Date

10/1/2012

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/23056211

Link to full-text

 

PMID

 

Abstract

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 unprotected sex.

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.

Keywords

 

Topic

Behavior; Substance Abuse; Women

Attachments

Created at 10/16/2012 12:52 PM by Davis, Gregory P
Last modified at 10/16/2012 12:52 PM by Davis, Gregory P