Sexual exposure to blood and behavioural risks among STI clinic patients in Cape Town, South Africa

Sexual Health ◽  
2005 ◽  
Vol 2 (2) ◽  
pp. 85 ◽  
Author(s):  
Seth C. Kalichman ◽  
Leickness C. Simbayi
Keyword(s):  
South Africa ◽  
Sexual Intercourse ◽  
Hiv Transmission ◽  
Cape Town ◽  
Vaginal Intercourse ◽  
Sex Partners ◽  
Sexually Transmitted ◽  
Treatment Services ◽  
Rapid Spread ◽  
Background Exposure

Background: Exposure to blood during sexual intercourse is potentially important and yet understudied in HIV transmission. Methods: The study included 415 men and 127 women receiving diagnostic and treatment services at a sexually transmitted infections (STI) clinic in Cape Town, South Africa, who completed anonymous sexual health behaviour surveys. Results: More than 30% of both men and women reported engaging in sexual intercourse involving genital bleeding in the previous 3 months. Individuals who had engaged in sexual intercourse involving blood had significantly greater numbers of sex partners in the previous 3 months (OR = 1.6, 95%, CI = 1.1–2.3), engaged in higher rates of unprotected vaginal intercourse (OR = 1.2, 95%, CI = 1.1–1.2), were significantly more likely to have exchanged sex for money or materials (OR = 3.1, 95%, CI = 1.7–5.5) and were significantly more likely to have experienced condom breaks during intercourse (OR = 1.7, 95%, CI = 1.2–2.4). Conclusions: These findings suggest that exposure to blood during vaginal intercourse is prevalent among STI clinic patients in Cape Town and may be an important contributing factor to the rapid spread of HIV in South Africa.

scholarly journals Sensation seeking and alcohol use predict HIV transmission risks: Prospective study of sexually transmitted infection clinic patients, Cape Town, South Africa

2008 ◽  
Vol 33 (12) ◽  
pp. 1630-1633 ◽  
Author(s):  
Seth C. Kalichman ◽  
Leickness Simbayi ◽  
Sean Jooste ◽  
Redwaan Vermaak ◽  
Demetria Cain
Keyword(s):  
South Africa ◽  
Alcohol Use ◽  
Prospective Study ◽  
Sexually Transmitted Infection ◽  
Sensation Seeking ◽  
Hiv Transmission ◽  
Cape Town ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Infection Clinic

Sensation seeking, alcohol use, and sexual behaviors among sexually transmitted infection clinic patients in Cape Town, South Africa.

2006 ◽  
Vol 20 (3) ◽  
pp. 298-304 ◽  
Author(s):  
Seth C. Kalichman ◽  
Leickness C. Simbayi ◽  
Sean Jooste ◽  
Demetria Cain ◽  
Charsey Cherry
Keyword(s):  
South Africa ◽  
Alcohol Use ◽  
Sexual Behaviors ◽  
Sexually Transmitted Infection ◽  
Sensation Seeking ◽  
Cape Town ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sexually Transmitted Infection Clinic ◽  
Infection Clinic

Condom failure among men receiving sexually transmissible infection clinic services, Cape Town, South Africa

Sexual Health ◽  
2009 ◽  
Vol 6 (4) ◽  
pp. 300 ◽  
Author(s):  
Seth C. Kalichman ◽  
Leickness C. Simbayi ◽  
Demetria Cain ◽  
Sean Jooste
Keyword(s):  
South Africa ◽  
Hiv Transmission ◽  
Computer Assisted ◽  
Treatment Services ◽  
Sexual Exchange ◽  
Sexually Transmissible Infections ◽  
Chart Abstraction ◽  
History Of ◽  
Infection Clinic ◽  
Observation Period

Background: Condoms offer the most realistic and available protection against sexually transmissible infections (STIs), including HIV infection. The protective benefits of condoms are, however, compromised by breaks and tears. The objective of the present study was to examine condom failure and associated behavioural risk factors among men at high-risk for HIV transmission in South Africa. Methods: Men (n = 431) receiving STI treatment services at a public clinic completed computer assisted interviews and STI clinic chart abstraction over a 1-year observation period. Results: One in three male STI clinic patients reported a history of condom failure. Condom failure was associated with sexual exchange, alcohol and other drug use, and higher rates of unprotected vaginal intercourse. Men with a history of condom failure were significantly more likely to have an STI diagnosis 1 month before the baseline interview and were significantly more likely to be diagnosed with an STI over the subsequent year. Conclusion: Condom failures are common among STI clinic patients and pose a threat for increased HIV transmission risks.

scholarly journals Indicators of substance abuse treatment demand in Cape Town, South Africa (1997-2001)

Curationis ◽  
2004 ◽  
Vol 27 (2) ◽  
Author(s):  
B. Myers ◽  
C.D.H. Parry ◽  
A. Plüddemann
Keyword(s):  
South Africa ◽  
Substance Abuse ◽  
Substance Abuse Treatment ◽  
Cape Town ◽  
Service Utilisation ◽  
Access To Treatment ◽  
Treatment Services ◽  
Treatment Demand ◽  
Comprehensive Evaluations ◽  
Abuse Treatment

Few studies have investigated the demand for substance abuse treatment in South Africa. This article uses data collected from specialist substance abuse treatment centres to describe substance abuse treatment demand and patterns of service utilisation in Cape Town for the period January 1997 to December 2001. Findings suggest that although treatment demand for alcohol-related problems remains high, treatment demand for substances other than alcohol has increased over time. Patterns of treatment service utilisation suggest that women and black South Africans remain underserved. The need for comprehensive and accessible substance abuse treatment services in Cape Town is highlighted and recommendations are made for improving access to treatment services, and undertaking comprehensive evaluations of existing treatment facilities.

Physical Abuse in Early Childhood and Transition to First Sexual Intercourse among Youth in Cape Town, South Africa

2012 ◽  
Vol 49 (5) ◽  
pp. 508-517 ◽  
Author(s):  
Eric Y. Tenkorang ◽  
Stephen Obeng Gyimah
Keyword(s):  
South Africa ◽  
Early Childhood ◽  
Physical Abuse ◽  
Sexual Intercourse ◽  
Cape Town ◽  
First Sexual Intercourse

ATTITUDES OF PREINITIATES TOWARDS TRADITIONAL MALE CIRCUMCISION IN THE CONTEXT OF HIV IN THE EASTERN CAPE, SOUTH AFRICA

2008 ◽  
Vol 36 (8) ◽  
pp. 1023-1034 ◽  
Author(s):  
Karl Peltzer ◽  
Ayanda Nqeketo ◽  
George Petros ◽  
Xola Kanta
Keyword(s):  
South Africa ◽  
Male Circumcision ◽  
Risky Sexual Behavior ◽  
Sexual Debut ◽  
Eastern Cape Province ◽  
Sex Partners ◽  
Eastern Cape ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
The Past

The aim of this study was to assess attitudes of preinitiates towards traditional Male Circumcision (MC) in the context of HIV. The sample included 350 Xhosa preinitiates recruited from 3 different recruitment sites during the preparation prior to MC in the Eastern Cape province. Results indicated that: 10% were to be circumcised before their sexual debut and reported a great deal of sexual risk behavior; 9% had been diagnosed with a sexually transmitted infection in the past 12 months; 20% reported that they had had 3 or more sex partners in their lives; and 47% had not used a condom the last time they had sex. Reasons and attitudes, including barriers, towards MC as well as risky sexual behavior found in this study need to be considered in MC programming.

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