Alcohol and other drug use (AOD) risky sexual behaviours remain high among adolescents in South Africa globally. Religiosity influences, mitigates provides resilience against engaging young people but few African studies have explored potential associations between religiosity, AOD sex. We report the prevalence of religiosity association learners Western Cape Province, Africa.Between May August 2011, a cross sectional survey was conducted 20 227 from 240 public schools randomly selected...

In sub-Saharan Africa, large proportions of patients who are on antiretroviral therapy (ART) engage in excessive alcohol use, which may lead to adverse health consequences and go undetected. Consequently, care workers need brief screening tools be able routinely identify manage use among their patients. Various versions the valid reliable 10-item Alcohol Use Disorders Identification Test (AUDIT) (i.e., AUDIT-C, AUDIT-3, AUDIT-QF, AUDIT-PC, AUDIT-4, m-FAST) potentially replace full AUDIT busy...

Background. In South Africa (SA), the largest category of perinatal deaths is unexplained stillbirths. Two-thirds these occur in antenatal period and most fetuses are macerated, but at clinics mothers were generally regarded as healthy, with low-risk pregnancies. Innovative methods urgently required to detect risk stillbirth manage appropriately. Objectives. To determine prevalence raised resistance indices (RIs) umbilical artery a low-risk, low-income population ascertain whether use this...

Low engagement with HIV services persists among young men harmful alcohol use in South Africa. We previously piloted a rural community-based service delivery model to engage this key population. In the initial study, male nurses visited alcohol-serving venues provide testing and pre-exposure prophylaxis (PrEP) services. From November 1 December 30, 2021, we conducted interviews 17 of 34 pilot participants evaluate program barriers, facilitators, suggestions. All interviewees were satisfied...

Alcohol consumption is strongly associated with sexual risk behavior and HIV infection in sub-Saharan Africa. This article seeks to explore the role of constructions masculinity men’s drinking venues (bars taverns) 2 rural villages North West Province South Ten focus groups were conducted 58 bar patrons servers. Four consisted female 4 male managers The participants’ ages ranged from 18 43 years they interviewed using group discussion guides open-ended questions. Key themes identified...

Abstract Background and Aims Reduction of alcohol consumption is important for people undergoing treatment HIV. We tested the efficacy a brief intervention reducing average volume consumed among patients on HIV antiretroviral therapy (ART). Design, Setting Participants This study used two‐arm multi‐centre randomized controlled trial with follow‐up to 6 months. Recruitment occurred between May 2016 October 2017 at six ART clinics public hospitals in Tshwane, South Africa. were living HIV,...

Hazardous alcohol consumption may compromise optimal antiretroviral therapy (ART) adherence among patients. Adoption of hegemonic notions masculinity encourage health-risk behaviours, such as consumption, and discourage health-enhancing ART men. This study aimed to explore linkages between masculinity, taking medication male recipients in South Africa. Male facilitators conducted five focus group discussions with 27 black aged 28 65 years at clinics. Eligibility criteria were: 18 or older,...

In this paper we examine men’s insights on how migration and minework affect their perceptions performances of masculinity in the settings “real home” communities explore potential consequences constructions for own family’s health. This study used qualitative methodology. Findings are based 13 in-depth interviews conducted over two phases data collection with adult men who were either working or seeking work mines North-West province, South Africa. Data suggest that these men, to meant they...

Alcohol consumption is a recognised risk factor for HIV infection. serving establishments have been identified as appropriate venues in which to deliver prevention interventions. This paper describes experiences and lessons learnt from implementing combined intervention bar settings one city- township-based Tshwane, South Africa. The consisted of peer-led brief counselling sub-components. Thirty-nine patrons were recruited trained, delivered alcohol reduction activities their peers peer...

Background. Alcohol has a negative effect on antiretroviral therapy (ART) adherence and HIV treatment outcomes. Method. As part of formative work for project to test the efficacy an alcohol-focused intervention reduce alcohol consumption improve outcomes, we investigated extent problem drinking among patients at ART clinics in Tshwane, South Africa (SA), using Use Disorders Identification Test (AUDIT). Results. The finding that third drinkers reported hazardous drinking, roughly 10% harmful...

Abstract Background People living with HIV (PLWH) who drink alcohol and use tobacco are particularly vulnerable to tobacco-induced diseases due an already compromised immune system. This study investigated the prevalence factors associated (cigarette snuff) among PLWH heavily. Methods Participants ( n = 623) on antiretroviral therapy for reported heavy drinking using Alcohol Use Disorders Identification Test (AUDIT) AUDIT-C were recruited from six hospitals in Gauteng Province, South Africa....

Background: In South Africa, interventions are needed to address the impact of hazardous drinking on antiretroviral therapy among people living with HIV (PLWH). Participant feedback about these can identify ways enhance their acceptability. We interviewed participants in a randomized controlled trial brief motivational interviewing and problem-solving (MI-PST) intervention perceptions this alcohol-reduction intervention. Methods: The was conducted treatment clinics operating from six...

Background. Patients on antiretroviral therapy (ART) who drink alcohol are at risk of poor medication adherence and negative health outcomes. Objectives. To explore the drinking behaviour patients ART assess associations between drinking, to viral load, in particular factors associated with binge (≥6 drinks per occasion) least monthly. Methods. We recruited 623 HIV from six hospitals Tshwane metropole scored positive Alcohol Use Disorders Identification Test (AUDIT-C) but were...

Alcohol use disorders (AUD) among people living with HIV (PLHIV) are associated poor health outcomes. This cross-sectional study examined current alcohol and AUD 300 PLHIV on ART at four care centres in Northwest Tanzania. Participants' data were collected using questionnaires. was assessed Use Disorders Identification Test (AUDIT). Logistic regression used to examine associations between each outcome (current drinking AUD) sociodemographic clinical factors. Association adherence also...

Abstract Background Accurately quantifying alcohol use among persons with HIV (PWH) is important for validly assessing the efficacy of reduction interventions. Methods We used data from a randomized controlled trial an intervention to reduce PWH who were receiving antiretroviral therapy in Tshwane, South Africa. calculated agreement between self‐reported hazardous measured by Alcohol Use Disorders Identification Test (AUDIT; score ≥8) and AUDIT‐Consumption (AUDIT‐C; ≥3 females ≥4 males),...

Strong 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 known of unprotected sex associated with (MC) alcohol-drinking tavern-going men, or whether engagement in may differ between men who have been traditionally circumcised and those medically circumcised. The study sought to determine the relative importance alcohol...

Sexual assault is a common occurrence among incarcerated men in correctional facilities, and severely impacts the psychological well-being of victim. We explored hypermasculinity as moderator between sexual violence (SV) victimization consequent mental health outcomes (prototypic masculine depression, alcohol use drug use) Tshwane, South Africa. A convenience sample 160 self-completed two questionnaires: Questionnaire 1, completed during their incarceration, included themes such...

Abstract Background: In South Africa, like other low-and middle-income countries, interventions are needed to address the impact of hazardous drinking on adherence antiretroviral therapy among people living with HIV (PLWH). Participant feedback about these can identify ways enhance their acceptability and potential impact. As part a randomized controlled trial brief motivational interviewing problem-solving (MI-PST) intervention PLWH who report drinking, we interviewed participants...