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Alcohol consumption and sexual risk behavior in an aging population in rural South Africa

de Vlieg, R. A.
van Empel, E.
Montana, Livia.
Xavier Gómez-Olivé, F.
Kahn, K.
Tollman, S.
Berkman, L.
Bärnighausen, T.W.
Manne-Goehler, J.
We sought to characterize the relationship between alcohol consumption and sexual risk-taking in an aging population in rural South Africa. A cross-sectional analysis was conducted using baseline data from the Health and Ageing in Africa: a Longitudinal Study of an INDEPTH Community (HAALSI) cohort. We elicited information on sexual risk behavior and self-reported frequency of alcohol consumption among 5059 adults  ≥ 40 years old. Multivariable models showed that more frequent alcohol consumption is associated with a higher number of sexual partners (β: 1.38, p < .001) and greater odds of having sex for money (OR: 42.58, p < .001) in older adults in South Africa. Additionally, daily drinkers were more likely to have sex without a condom (OR: 2.67, p = .01). Older adults who drank more alcohol were more likely to engage in sexual risk-taking. Behavioral interventions to reduce alcohol intake should be considered to reduce STI and HIV transmission.
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Alcohol , HIV , Older adults , SDG-03 Good health and well-being , Sexual risk behavior
de Vlieg RA, van Empel E, Montana L, Xavier Gómez-Olivé F, Kahn K, Tollman S, Berkman L, Bärnighausen TW, Manne-Goehler J. Alcohol Consumption and Sexual Risk Behavior in an Aging Population in Rural South Africa. AIDS Behav. 2021 Jul;25(7):2023-2032. doi: 10.1007/s10461-020-03132-5. Epub 2021 Jan 2
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