|Titre :||Alcohol use and sexual risk behaviour: a cross-cultural study in eight countries|
|Auteurs :||G. BIANGHI|
|Type de document :||Rapport|
|Editeur :||Genève : OMS / WHO, 2005|
|Format :||144 p. / tab., ann.|
|Discipline :||SHS (Sciences humaines et sociales / Human and social sciences)|
Thésaurus TOXIBASEALCOOL ; ACTIVITE SEXUELLE ; ABUS SEXUEL ; FACTEUR DE RISQUE ; IST ; SIDA ; MILIEU SOCIOCULTUREL ; CULTUREL ; PREVENTION
Thésaurus GéographiqueAFRIQUE ; EUROPE DE L'EST ; INDE ; MEXIQUE
This report reviews the outcomes of a project to better understand as weIl as develop a methodology to study the factors associated with sexual risk behaviour among alcohol users in diverse cultural settings.
The project was conducted in eight countries and consisted of two distinct phases:
(1) A literature study provided an overview of existing knowledge on the subject, i.e. on alcohol, on sexual behaviour and related topics such as sexually transmitted infections, including HIV, and health risks involved in sexual behaviour, and finally on the interaction between alcohol use and sexual behaviour.
(2) An empirical study was conducted to gain first-hand material on which to build prevention measures.
The following key issues emerged in the review of the literature:
- The prevalence of certain myths and notions about "masculinity";
- A lack of clear and firm alcohol-related policies
- Increasing HIV prevalence and a need to augment prevention efforts;
- The interwovenness of alcohol use, sexual risk behaviours and STI/HIV/AIDS;
- The effect of modernization and the media on the youth, which manifests in early drinking, early sexual activity and increasing vulnerability to risk behaviours;
- A paucity of research data on alcohol and sexual risk behaviours.
The review also highlighted that the social dynamics of alcohol use and sexual risk behaviours warrant a search for culture-specific and context-specific ways of dealing with the problem.
The empirical study was designed to gather evidence to complement the literature review. Initially, semi-structured interviews were conducted with key informants (persons living/working in the studied environments or servicing the target population) in the project countries. These interviews were supplemented with on-site observations of the places where the target population was supposed to engage in the studied behaviour. Following this orientation, focus group discussions and in-depth semi-structured interviews were conducted with representatives of the target population.
Key patterns of interaction between alcohol use and sexual behaviour related to the following Issues:
- The construction of maleness in terms of alcohol use
- A denial and neglect of risk as a way of coping with life
- The use of alcohol-serving venues as contact places for sexual encounters
- The use of alcohol at/during (first) sexual encounters
- The promotion of alcohol use in pornographic material
(From author’s abstract)
|Note de contenu :||
LISTE DES TABLEAUX
Table 1: Summary of the data collection methods and settings in the project countries
Table 2a: General research questions/issues in Kenya, South Africa, Zambia and Mexico
Table 2b: General research questions/issues in project sites in Belarus, Romania, the Russian Federation and India
Table 3: Common research questions/issues across the project countries by data collection instrument.
Table 4: General characteristics of the research sites
Table 5: General characteristics of the research sample by data-gathering instrument
Table 6: Key alcohol use-related patterns of STIIHIV risks and particular manifestations
of these risks in selected project sites
Table 7a: Key sex behaviour-related patterns of STI/HIV risks and particular manifestations of the se risks in Kenya, South Africa, Zambia and Mexico
Table 7b: Key sex behaviour-related patterns of STIIHIV risks and particular manifestations of these risks in Belarus, Romania, the Russian Federation and India
Table 8a: Key patterns of the interaction between alcohol consumption and sexual behaviour that pose risks for STI/HIV infection
Table 8b: Key patterns of the interaction between alcohol consumption and sexual behaviour that posed risks for STIIHIV infection
Table 9: First pattern: Behaviour with a significant degree of risk
Table 10: Second pattern: Risky behaviour
Table Il: Third pattern: Behaviour with minimal degree of risk
Table 12: Individual-related sexual behaviour patterns in Romania
Table 13: Framework for developing interventions related to alcohol use-related sexual risk behaviour regarding STI/HIV infection
|Domaine :||Alcool / Alcohol|
|Sous-type de document :||Revue de la littérature / Literature review|
|Refs biblio. :||175|