An Exploratory Study of the Relationship between Alcohol Use and Sexual Risk Behaviour among Students at the University of Kwazulu-Natal

AbstractIn a sample of men who have sex with men (MSM) (N = 3436) in Spain who bear intrinsic HIV risk, we investigated how internalised homonegativity (IH) is associated with the number of non-steady male partners with condomless intercourse (as a proxy of sexual risk behaviour). Using structural equation modelling (SEM), we examined the relationship between IH and sexual risk behaviour, and mediating effects of HIV/PrEP knowledge and substance use during sex on this relationship. We found no direct association between IH and sexual risk behaviour, nor did IH influence substance use during sex. In line with our hypothesis, association between IH and sexual risk behaviour was significant when mediated by HIV/PrEP knowledge. We found that as IH increased, sexual risk behaviour decreased, because higher IH was associated with lower HIV/PrEP knowledge while higher HIV/PrEP knowledge was associated with increased non-condom use with non-steady partners. Substance use during sex was significantly associated with sexual risk behaviour. Our results emphasize the continuing importance of prevention strategies focused on behavioural changes and community level interventions, especially targeting substance use.

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“My partner was not fond of using condoms and I was not on contraception”: understanding adolescent mothers’ perspectives of sexual risk behaviour in KwaZulu-Natal, South Africa

BMC Public Health ◽

10.1186/s12889-020-08474-2 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Desiree Govender ◽

Saloshni Naidoo ◽

Myra Taylor

Keyword(s):

South Africa ◽

Sexual Risk ◽

Adolescent Mothers ◽

Risk Behaviour ◽

Sexual Risk Behaviour ◽

Kwazulu Natal

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Sexual-risk behaviour among sexually active first-year students at the University of the Western Cape, South Africa

African Journal of AIDS Research ◽

10.2989/16085906.2011.626295 ◽

2011 ◽

Vol 10 (3) ◽

pp. 255-261 ◽

Cited By ~ 7

Author(s):

Melissa D Abels ◽

Renette J Blignaut

Keyword(s):

South Africa ◽

Sexual Risk ◽

Risk Behaviour ◽

First Year ◽

Sexual Risk Behaviour ◽

Sexually Active ◽

Western Cape ◽

First Year Students ◽

The University

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Using marijuana, drinking alcohol or a combination of both: the association of marijuana, alcohol and sexual risk behaviour among adolescents

Sexual Health ◽

10.1071/sh16218 ◽

2018 ◽

Vol 15 (3) ◽

pp. 254 ◽

Cited By ~ 1

Author(s):

Erik D. Storholm ◽

Brett A. Ewing ◽

Stephanie Brooks Holliday ◽

Bradley D. Stein ◽

Lisa S. Meredith ◽

...

Keyword(s):

Alcohol Use ◽

Sexual Risk ◽

Primary Care Clinic ◽

Risk Behaviour ◽

Marijuana Use ◽

Sexual Risk Behaviour ◽

Sexually Active ◽

Care Clinic ◽

The Past ◽

Sexual Risk Behaviours

Background Although the association between alcohol use and sexual risk behaviour has been well-documented, there is little understanding of whether marijuana use alone or combining marijuana with alcohol use contributes to sexual risk behaviour among adolescents. Methods: A diverse sample of sexually active adolescents (n = 616) aged 12–18 years (50.32% Hispanic; 31.17% Black) completed a survey on alcohol use, marijuana use and sexual risk behaviour during a visit to a primary care clinic. Results: Adolescents were more likely to report having had two or more sexual partners in the past 3 months if they reported using both alcohol and marijuana (OR = 3.90, P < 0.0001), alcohol alone (OR = 2.51, P < 0.0001) or marijuana alone (OR = 1.89, P < 0.001) compared with adolescents who reported no use during the past month. Adolescents were more likely to report having both two or more partners and condomless sex if they used both alcohol and marijuana (OR = 3.19, P < 0.001) or alcohol alone (OR = 3.41, P < 0.01) in the past month compared with adolescents who reported using marijuana alone or had no use of either. Conclusions: Providers should screen for both alcohol and marijuana use among adolescents and discuss how use of alcohol or alcohol in conjunction with marijuana may be associated with sexual risk behaviours.

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