Male circumcision, alcohol use and unprotected sex among patrons of bars and taverns in rural areas of North-West province, South Africa.

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dc.contributor.authorNkosi, Sebenzileen
dc.contributor.authorSikweyiya, Yandisaen
dc.contributor.authorKekwaletswe, Connie Ten
dc.contributor.authorMorojele, Neo Ken
dc.date.accessioned2015-12-15T11:55:28Zen
dc.date.available2015-12-15T11:55:28Zen
dc.date.epub2014-11-27en
dc.date.issued2015en
dc.description.abstractStrong research evidence has shown that medical male circumcision significantly reduces heterosexual HIV acquisition among men. However, its effectiveness is enhanced by behavioural factors such as condom use. Currently, little is known of unprotected sex associated with male circumcision (MC) among alcohol-drinking tavern-going men, or whether engagement in unprotected sex may differ between men who have been traditionally circumcised and those who have been medically circumcised. The study sought to determine the relative importance of alcohol consumption and MC as correlates of unprotected sex and to compare the risk of engaging in unprotected sex between traditionally circumcised and medically circumcised tavern-going men from two rural villages in North-West province, South Africa. Data from 314 adult men (≥18 years) were analysed. The men were recruited from four bars/taverns using systematic sampling. They responded to questions regarding their demographic characteristics, alcohol consumption, circumcision status and method (where applicable), and engagement in unprotected sex. Descriptive analyses and bivariate and multivariate logistic regression analyses were conducted. Age, education, relationship status, alcohol consumption and traditional male circumcision (TMC) were independently and significantly associated with unprotected sex. Specifically, probable alcohol dependence and traditional circumcision were independent risk factors for engaging in unprotected sex among tavern-going men. Traditionally circumcised men had a higher risk of engaging in unprotected sex than medically circumcised men. Interventions aimed at reducing alcohol consumption, encouraging protective behaviour among men who have undergone TMC, and increasing condom use are needed in bar/tavern settings. HIV prevention education must be urgently incorporated into TMC programmes.en
dc.description.sponsorshipThe study was supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) through the Centers for Disease Control and Prevention [Cooperative Agreement Number 5U2GPS001137-4].en
dc.identifier.citationMale circumcision, alcohol use and unprotected sex among patrons of bars and taverns in rural areas of North-West province, South Africa. 2015, 27 (5):612-7 AIDS Careen
dc.identifier.doi10.1080/09540121.2014.983040en
dc.identifier.issn1360-0451en
dc.identifier.journalAIDS careen
dc.identifier.pmid25428332en
dc.identifier.urihttp://hdl.handle.net/11288/583943en
dc.language.isoenen
dc.relation.urlhttp://www.tandfonline.com/doi/abs/10.1080/09540121.2014.983040?journalCode=caic20#.Vm_70Fl42e4en
dc.research.unitAlcohol, Tobacco and Other Drug RUen
dc.rightsArchived with thanks to AIDS careen
dc.subjectalcoholen
dc.subjecttraditional male circumcisionen
dc.subjectmedical male circumcisionen
dc.subjectunprotected sexen
dc.subjectBar patronsen
dc.subjectSouth Africaen
dc.subject.meshAdulten
dc.subject.meshAlcohol Drinkingen
dc.subject.meshAlcoholic Intoxicationen
dc.subject.meshCircumcision, Maleen
dc.subject.meshCross-Sectional Studiesen
dc.subject.meshHIV Infectionsen
dc.subject.meshHeterosexualityen
dc.subject.meshHumansen
dc.subject.meshMaleen
dc.subject.meshMiddle Ageden
dc.subject.meshRisk Factorsen
dc.subject.meshRural Populationen
dc.subject.meshSouth Africaen
dc.subject.meshUnsafe Sexen
dc.subject.meshYoung Adulten
dc.titleMale circumcision, alcohol use and unprotected sex among patrons of bars and taverns in rural areas of North-West province, South Africa.en
dc.typeArticleen
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