The Association Between Alcohol Use, Sexual Risk Behavior, and HIV Infection Among Men Attending Beerhalls in Harare, Zimbabwe
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
HIV testing and a behavioral survey were conducted with a cross-sectional sample of 324 men recruited at beerhalls in Harare, Zimbabwe, to examine the relationship among alcohol use, high-risk sexual behavior, and HIV infection among male beerhall patrons and to evaluate the feasibility of using beerhalls as venues for male-centered HIV prevention activities. Recent HIV seroconversions were identified using the less-sensitive enzyme immunoassay. HIV education activities were provided inside beerhalls and qualitative methods were used to assess the acceptability of conducting HIV prevention activities and research at beerhalls. The prevalence of HIV infection was 30%; the prevalence of recent seroconversion was 3.4%. Having sex while intoxicated in the previous 6 months was reported by 31% of men and was strongly associated with recent HIV seroconversion as well as unprotected sex with casual partners and paying for sex. Acceptability of prevention and research activities was high among beerhall patrons, managers, and owners. Beerhalls present an environment associated with high-risk sexual behavior and concomitantly high rates of HIV seroconversion. Beerhalls are appropriate and feasible venues for delivering HIV prevention programs targeted at men in many regions of sub-Saharan Africa and the world.
- Allen, S., Tice, J., Van de Perre, P., Serufilira, A., Hudes, E., Nsengumuremyi, F., Bogaerts, J., Lindan, C., and Hulley, S. (1992). Effect of serotesting with counselling on condom use and seroconversion among HIV discordant couples in Africa. British Journal of Medicine, 304,1605–1609.
- Bassett, M. T., McFarland, W. C., Ray, S., Mbizvo, M. T., Machekano, R., van de Wijgert, H. H., and Katzenstein, D. (1996). Risk factors for HIV infection at enrollment in an urban male factory cohort in Harare, Zimbabwe. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 13, 287–293.
- Forman, M. (1999). AIDS and men: taking risks or taking responsibility? London: PANOS/Zed Books.
- Gwati, B., Guli, A., and Todd, C. H. (1995). Risk factors for sexually transmitted disease amongst men in Harare, Zimbabwe. Central African Journal of Medicine, 41, 179–181.
- Janssen, R. S., Satten, G. A., Stramer, S. L., Rawal, B. D., O'Brien, T. R., Weiblen, B. J., Hecht, F. M., Jack, N., Cleghorn, F. R., Kahn, J. O., Chesney, M. A., and Busch, M. P. (1998). New testing strategy to detect early HIV-1 infection for use in incidence estimates and for clinical and prevention purposes. JAMA, 280, 42–48.
- Kanouse, D. E., Berry, S. H., and Duan, N. (1999). Drawing a probability sample of female street prostitutes in Los Angeles County. Journal of Sex Research, 36, 45–51.
- Kapiga, S. H., Lyamuya, E. F., Lwihula, G. K., and Hunter, D. J. (1998). The incidence of HIV infection among women using family planning methods in Dar es Salaam, Tanzania. AIDS, 12, 75–84.
- Katz, M. H., McFarland,W., Guillin,V., Fenstersheib, M., Shaw, M., Kellogg, T., Lemp, G. F., MacKellar, D., and Valleroy, L. A. (1998). Continuing high prevalence of HIV and risk behaviors with men: The Young Men's Survey in San Francisco Bay Area in 1992-93 and 1994-95. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 19, 178–181.
- Lemp, G. F., Hirozawa, A. M., Givertz, D., Nieri, G. N., Anderson, L., Lindegren, M. L., Janssen, R. S., and Katz, M. (1994). Seroprevalence of HIV and risk behaviors among young homosexual and bisexual men: The San Francisco/Berkeley Young Men's Survey. JAMA, 272, 449–454.
- MacKellar, D., Valleroy, L., Karon, J., Lemp, G., and Janssen, R. (1996). The Young Men's Survey: Methods for estimating HIV seroprevalence and risk factors among young men who have sex with men. Public Health Report, 111(Supplement 1), 138–144.
- Mbizvo, M. T., and Bassett, M. T. (1996). Reproductive health and AIDS prevention in sub-Saharan Africa: The case for increased male participation. Health Policy and Planning, 11, 84–92.
- McFarland, W., Busch, M. P., Kellogg, T. A., Rawal, B. D., Satten, G. A., Katz, M. H., Dilley, J., and Janssen, R. S. (1999). Detection of early HIV infection and estimation of HIV incidence using a sensitive/less sensitive testing strategy at anonymous counseling and testing sites in San Francisco. Journal of Acquired Immunodeficiency Syndromes and Human Retrovirology, 22, 484–489.
- McFarland, W., Kellogg, T. A., Louie, B., Murrill, C., and Katz, M. H. (2000). Low estimates of HIV seroconversions among clients of a drug treatment clinic in San Francisco, 1995 to 1998. Journal of Acquired Immunodeficiency Syndromes and Human Retrovirology, 23, 426–429.
- Mnyika, K. S., Klepp, K. I., Kvåle, G., and Ole-King'ori, N. (1996). Risk factors for HIV-1 infection among women in the Arusha region of Tanzania. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 11, 484–491.
- Mnyika, K. S., Klepp, K. I., Kvåle, G., and Ole-King'ori, N. (1997). Determinants of high-risk sexual behavior and condom use among adults in the Arusha region, Tanzania. International Journal of STD and AIDS, 8, 176–183.
- Morrison, C. S., Sunkutu, M. R., Musaba, E., and Glover, L. H. (1997). Sexually transmitted disease among married Zambian women: The role of male and female sexual behaviour in prevention and management. Genitourinary Medicine, 73, 555–557.
- Ndinya-Achola, J. O., Ghee, A. E., Kihara, A. N., Krone, M. R., Plummer, F. A., Fisher, L. D., and Holmes, K. K. (1997). High HIV prevalence, low condom use and gender differences in sexual behaviour among patients with STD-related complaints at a Nairobi primary health care clinic. International Journal of STD and AIDS, 8, 506–514.
- Parekh, B. S., Hu, D. J., Vanichseni, S., Satten, G. A., Candal, D., Young, N. L., Kitayaporn, D., Srisuwanvilai, L. O., Rakhtam, S., Janssen, R., Choopanya, K., and Mastro, T. D. (2001). Evaluation of a sensitive/less-sensitive testing algorithm using the 3A11-LS assay for detecting recent HIV seroconversion among individuals with HIV-1 subtype B or E infection in Thailand. AIDS Research and Human Retroviruses, 17, 453–458.
- Rivers, K., and Aggleton, P. (1999). Men and the HIV epidemic. Geneva: UNDP.
- Somsé, P., Chapko, M. K., and Hawkins, R. V. (1993). Multiple sexual partners: Results of a national HIV/AIDS survey in the Central African Republic. AIDS, 7, 579–583.
- UNAIDS. (2000). Men and AIDS-A gendered approach. Geneva: UNAIDS.
- UNAIDS/WHO. (2000). Report on the global HIV/AIDS epidemic. Geneva: UNAIDS.
- Valleroy, L. A., MacKellar, D. A., Karon, J., Rosen, D. H., McFarland, W., Shehan, D. A., Stoyanoff, S. R., LaLota, M., Celentano, D. D., Koblin, B. A., Thiede, H., Katz, M. H., Torian, L. V., and Janssen, R. S. (2000). High HIV prevalence and associated risks among adolescent and young adult men who have sex with men in 7 US metropolitan areas in 1994 through 1998. JAMA, 284, 198–204.
- Zimbabwe Central Statistical Office. (1999). 1999 Zimbabwe demographic and health survey. Harare: Zimbabwe Central Statistical Office.
- Zimbabwe Ministry of Health and ChildWelfare. (2000). National survey of HIV and syphilis among women attending antenatal clinics in Zimbabwe. Harare: Health Information and Surveillance Unit.
- The Association Between Alcohol Use, Sexual Risk Behavior, and HIV Infection Among Men Attending Beerhalls in Harare, Zimbabwe
AIDS and Behavior
Volume 6, Issue 3 , pp 221-228
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- HIV infections
- alcohol drinking
- Industry Sectors
- Author Affiliations
- 1. Center for AIDS Prevention Studies, AIDS Research Institute, University of California, San Francisco, California, 94105
- 2. Department of Community Medicine, University of Zimbabwe, Harare, Zimbabwe
- 3. Joint Medical Program, University of California, Berkeley/San Francisco, California