Alcohol Use and High-Risk Sexual Behavior in Sub-Saharan Africa: A Narrative Review

Woolf‐King, Sarah E.; Maisto, Stephen A.

doi:10.1007/s10508-009-9516-4

Cited by 135 publications

(164 citation statements)

References 96 publications

(152 reference statements)

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“…This association may have resulted, in part, from the causal impact of acute alcohol use on sexual decision‐making 107, resulting in condomless sex 105, 108, 109, 110, 111, 112, 113, 114. Alternatively, other variables could be causally responsible for the associations between alcohol use and HIV/AIDS, especially the effect of risk‐taking behaviours and other personality traits 96, 115.…”

Section: Resultsmentioning

confidence: 99%

The relationship between different dimensions of alcohol use and the burden of disease—an update

et al. 2017

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Background and aimsAlcohol use is a major contributor to injuries, mortality and the burden of disease. This review updates knowledge on risk relations between dimensions of alcohol use and health outcomes to be used in global and national Comparative Risk Assessments (CRAs).MethodsSystematic review of reviews and meta‐analyses on alcohol consumption and health outcomes attributable to alcohol use.For dimensions of exposure: volume of alcohol use, blood alcohol concentration and patterns of drinking, in particular heavy drinking occasions were studied. For liver cirrhosis, quality of alcohol was additionally considered. For all outcomes (mortality and/or morbidity): cause of death and disease/injury categories based on International Classification of Diseases (ICD) codes used in global CRAs; harm to others.ResultsIn total, 255 reviews and meta‐analyses were identified. Alcohol use was found to be linked causally to many disease and injury categories, with more than 40 ICD‐10 three‐digit categories being fully attributable to alcohol. Most partially attributable disease categories showed monotonic relationships with volume of alcohol use: the more alcohol consumed, the higher the risk of disease or death. Exceptions were ischaemic diseases and diabetes, with curvilinear relationships, and with beneficial effects of light to moderate drinking in people without heavy irregular drinking occasions. Biological pathways suggest an impact of heavy drinking occasions on additional diseases; however, the lack of medical epidemiological studies measuring this dimension of alcohol use precluded an in‐depth analysis. For injuries, except suicide, blood alcohol concentration was the most important dimension of alcohol use. Alcohol use caused marked harm to others, which has not yet been researched sufficiently.ConclusionsResearch since 2010 confirms the importance of alcohol use as a risk factor for disease and injuries; for some health outcomes, more than one dimension of use needs to be considered. Epidemiological studies should include measurement of heavy drinking occasions in line with biological knowledge.

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Section: Resultsmentioning

confidence: 99%

The relationship between different dimensions of alcohol use and the burden of disease—an update

et al. 2017

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“…Studies published before 2009 were collected from our previous narrative review of the literature (Woolf-King & Maisto, 2011), and were supplemented by a more recent search of electronic databases to update the review through 2010. Of the 20 studies included in Fisher and colleagues' meta-analysis, 19 were retained for inclusion in the present study (Ao, Sam, Masenga, Seage, & Kapiga, 2006;Ayisi et al, 2000;Braddick et al, 1990;Demissie, Amre, & Tsega, 1996;Fritz et al, 2002;Hargreaves et al, 2002;Kapiga, Lyamuya, Lwihula, & Hunter, 1998;Kapiga et al, 2002;Kapiga et al, 2006;Lewis et al, 2005;Mbulaiteye et al, 2000;Mnyika, Klepp, Kvåle, & Ole-King'ori, 1996;Ndina-Achola et al, 1997;Sebit et al, 2003;Simbayi et al, 2004;Talbot et al, 2002;Tengia-Kessey, Msamanga, & Moshino, 1998;Zablotska et al, 2006;Zuma, Gouws, Williams, & Lurie, 2003) and one (Gilgen, Williams, & Campbell, 2000) was excluded for failing to meet the inclusion criteria specified below (i.e., it was not published in a peer-reviewed journal).…”

Section: Methods Literature Reviewmentioning

confidence: 99%

“…A growing body of research in SSA has revealed consistent evidence of a strong correlation between alcohol use and high-risk sexual behavior (e.g., sex without a condom) as well as alcohol use and HIV/STI infection (Fisher, Bang, & Kapiga, 2007;Kalichman, Simbayi, Kaufman, Cain, & Jooste, 2007;Pithy & Parry, 2009;Woolf-King & Maisto, 2011). It is hypothesized that individuals who consume alcohol immediately prior to a sexual event are subsequently more likely to engage in high-risk sexual behavior that results in HIV infection (Dingle & Oei, 1997;Goldman, Del Boca, & Darkes, 1999;Steele & Josephs, 1990).…”

mentioning

confidence: 99%

“…Finally, event-level studies assess the amount of alcohol consumed during a specific sexual event, and what type of sexual risk behavior characterized that event (Weinhardt & Carey, 2000). There is a notable lack of event-level research in SSA, even though this has been advocated as the best way to address the causal and temporal association between alcohol consumption and high-risk sexual behavior that results in HIV infection (Hendershot & George, 2007;Woolf-King & Maisto, 2011). Fisher, Bang, and Kapiga (2007) conducted a systematic review and meta-analysis of 20 studies that investigated the association between alcohol consumption and HIV status, and found that alcohol users (collapsed across all levels of use) had significantly higher odds of being HIV-positive compared to non-drinkers.…”

mentioning

confidence: 99%

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An update on alcohol use and risk of HIV infection in sub-Saharan Africa: Meta-analysis and future research directions

Woolf‐King

Steinmaus

Reingold

et al. 2013

IJADR

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Aims: Sub-Saharan Africa is disproportionately affected by HIV/AIDS, and growing evidence suggests that alcohol consumption is a co-occurring problem in the region. We conducted a meta-analysis on studies of alcohol use and HIV infection in subSaharan Africa in order to assess associations, evaluate heterogeneity in the literature, identify susceptible subgroups, and suggest avenues for future research.Design: We performed a systematic review, including published review articles and electronic database searches, and identified 35 studies on alcohol use and HIV. Setting and participants:All of the studies included in the meta-analysis occurred with adults in sub-Saharan Africa.Measurements: Pooled odds ratio (OR) estimates were calculated using both the fixed inverse variance weighting method and the random effects method when evidence of heterogeneity was present. Findings:The pooled OR estimate for all studies was 1.61 (95% CI: 1.44-1.80). The association between alcohol use and prevalence or incident HIV infection was particularly large among samples who reported problem drinking (OR = 2.17, 95% CI: 1.64-2.87) and drinking in sexual contexts (OR = 1.79, 95% CI: 1.55-2.06). Some evidence of publication bias was present; however, the OR remained statistically significant in small and large studies and with population-based and high-risk samples.

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“…This may be partly as a result of street girls being involved in prostitution, since many regard it as a faster way to earn money for meeting their basic needs and it is also the quickest job they can find which does not require any skills or qualifications -as was also reported in a study in sub-Saharan Africa (6). Research has shown that street girls migrate to cities like Douala and Yaoundé, where there is a dense population and a demand for such work.…”

Section: Discussion:-mentioning

confidence: 75%

Health Problems and Barriers to Access and Utilisation of Health Care Services Among Street Children in Cameroon.

Cumber¹,

TsokaGwegweni²

2017

IJAR

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Background: Street children in Cameroon do not form part of the national planning, resource allocation and provision of health care services because society often regards them as delinquents, a public nuisance, deviants and prospective criminals. This paper presents selfreported health conditions experienced by street children and explore the challenges they encounter when trying to seek health care in public health care facilities. Objective: The study aimed to identify and describe health problems as well as barriers to access and utilization of health care services by street children in three cities of Cameroon. Method: A cross-sectional study was carried out on a non-probability snowball sample of 399 street children aged 12 to 17 years. Data were collected by means of interpersonal administration of questionnaires and analyzed by uni-variate and bi-variate calculation of frequencies. Results: Street children were highly susceptible to diverse health problems; the common ailments being malaria (92.5%), stomach aches (90.7%), injuries (89.5%), skin diseases (85.0%) and chest pain (75.9%), and with causes involving poor health habits and risky behaviour. Self-medication was very frequent due to constraints in accessing health care services, including economic restrictions, inferior social status, long waiting times and negative attitudes of health service providers. Conclusion: Street children are faced with numerous life-threatening and minor health problems that affect the quality of their lives. They also experience many barriers when they try to access health care services. These issues could be resolved through the development and implementation of intervention policies and integrated and accessible programmes. Since the information presented here was obtained from self-reports, which could result in under-or over-estimation of health conditions, it is recommended that further research include current measurements and tests to confirm diagnoses of the health conditions.

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Alcohol Use and High-Risk Sexual Behavior in Sub-Saharan Africa: A Narrative Review

Cited by 135 publications

References 96 publications

The relationship between different dimensions of alcohol use and the burden of disease—an update

The relationship between different dimensions of alcohol use and the burden of disease—an update

An update on alcohol use and risk of HIV infection in sub-Saharan Africa: Meta-analysis and future research directions

Health Problems and Barriers to Access and Utilisation of Health Care Services Among Street Children in Cameroon.

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