Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Alcohol and Cannabis Use and Sexual Risk Behaviors in the Malawi Defence Force

Alcohol and Cannabis Use and Sexual Risk Behaviors in the Malawi Defence Force Substance abuse is a public health priority in the context of the HIV epidemic, especially in military communities. This cross-sectional study quantified alcohol and cannabis use in the Malawi Defence Force and investigated its associations with condom use, transactional sex, multiple sexual partners, and sexual violence. Participants were 944 male and female service members ≥ 18 years old. Data were collected in 2013 using a computer-assisted self-interview. Twenty-four percent of men and women screened positive for hazardous and harmful drinking [Alcohol Use Disorders Identification Test (AUDIT) score ≥ 8]. About 6% reported using cannabis in the past year and 10% reported using cannabis prior to 1 year ago. Multivariable models found elevated adjusted odds of transactional sex and multiple sexual partners for men with an AUDIT score ≥ 8, and men who reported ever using cannabis. The adjusted odds of experiencing sexual violence were also elevated for men who reported ever using cannabis. These findings add to the growing concern that substance use may perpetuate the HIV epidemic in Sub-Saharan Africa by increasing risky sexual behaviors. A comprehensive military HIV prevention response should include substance use education and appropriate care and treatment for individuals screening positive for hazardous and harmful drinking. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png AIDS and Behavior Springer Journals

Alcohol and Cannabis Use and Sexual Risk Behaviors in the Malawi Defence Force

Download PDF
10 pages

Loading next page...
 
/lp/springer_journal/alcohol-and-cannabis-use-and-sexual-risk-behaviors-in-the-malawi-gQE0LNkzJG
Publisher
Springer Journals
Copyright
Copyright © 2018 by This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply
Subject
Medicine & Public Health; Public Health; Health Psychology; Infectious Diseases
ISSN
1090-7165
eISSN
1573-3254
DOI
10.1007/s10461-018-2167-5
Publisher site
See Article on Publisher Site

Abstract

Substance abuse is a public health priority in the context of the HIV epidemic, especially in military communities. This cross-sectional study quantified alcohol and cannabis use in the Malawi Defence Force and investigated its associations with condom use, transactional sex, multiple sexual partners, and sexual violence. Participants were 944 male and female service members ≥ 18 years old. Data were collected in 2013 using a computer-assisted self-interview. Twenty-four percent of men and women screened positive for hazardous and harmful drinking [Alcohol Use Disorders Identification Test (AUDIT) score ≥ 8]. About 6% reported using cannabis in the past year and 10% reported using cannabis prior to 1 year ago. Multivariable models found elevated adjusted odds of transactional sex and multiple sexual partners for men with an AUDIT score ≥ 8, and men who reported ever using cannabis. The adjusted odds of experiencing sexual violence were also elevated for men who reported ever using cannabis. These findings add to the growing concern that substance use may perpetuate the HIV epidemic in Sub-Saharan Africa by increasing risky sexual behaviors. A comprehensive military HIV prevention response should include substance use education and appropriate care and treatment for individuals screening positive for hazardous and harmful drinking.

Journal

AIDS and Behavior – Springer Journals

Published: Jun 5, 2018

References

  • Cannabis use and neurocognitive functioning in a non-clinical sample of users
    Thames, AD; Arbid, N; Sayegh, P
  • Alcohol consumption and cognitive functioning in social drinkers
    Parker, ES; Noble, EP
  • Alcohol and risks for HIV/AIDS among sexually transmitted infection clinic patients in Cape Town, South Africa
    Simbayi, LC; Kalichman, SC; Cain, D
  • A population-based study on alcohol and high-risk sexual behaviors in Botswana
    Weiser, SD; Leiter, K; Heisler, M
  • Marijuana use is associated with risky sexual behaviors in treatment-seeking polysubstance abusers
    Andrade, LF; Carroll, KM; Petry, NM
  • Marijuana use and risky sexual behavior among high-risk adolescents: trajectories, risk factors, and event-level relationships
    Bryan, AD; Schmiege, SJ; Magnan, RE
  • Substance use and mental health trends among U.S. military active duty personnel: key findings from the 2008 DoD Health Behavior Survey
    Bray, RM; Pemberton, MR; Lane, ME
  • Socio-cultural factors that foster use and abuse of alcohol among a sample of enlisted personnel at four Navy and Marine Corps installations
    Poehlman, JA; Schwerin, MJ; Pemberton, MR
  • Alcohol use and alcohol-related problems before and after military combat deployment
    Jacobson, IG; Ryan, MA; Hooper, TI
  • Predictors of postdeployment alcohol use disorders in National Guard soldiers deployed to Operation Iraqi Freedom
    Kehle, SM; Ferrier-Auerbach, AG; Meis, LA
  • Patterns of alcohol consumption and factors influencing problematic drinking among Angolan soldiers
    Cheng, KG; Ortiz, DJ; Weiss, RE
  • Knowledge of AIDS and HIV risk-related sexual behavior among Nigerian naval personnel
    Nwokoji, UA; Ajuwon, AJ
  • Condom use behaviours and correlates of use in the Botswana Defence Force
    Tran, BR; Thomas, AG; Ditsela, M
  • UNAIDS report on the global AIDS epidemic 2013
  • Global status report on alcohol and health 2014
  • The burden of selected chronic non-communicable diseases and their risk factors in Malawi: nationwide STEPS survey
    Msyamboza, KP; Ngwira, B; Dzowela, T
  • An epidemiologic study of drug abuse and HIV and AIDS in Malawi
    Bisika, T; Konyani, S; Chamangwana, I
  • The consumption of khat and other drugs in Somali combatants: a cross-sectional study
    Odenwald, M; Hinkel, H; Schauer, E
  • Emerging sociodemographic and lifestyle predictors of intention to use condom in human immunodeficiency virus intervention among uniformed services personnel
    Essien, EJ; Ogungbade, GO; Kamiru, HN
  • HIV/AIDS behavioral surveillance among Angolan military men
    Bing, EG; Ortiz, DJ; Ovalle-Bahamon, RE
  • The Alcohol Use Disorders Identification Test (AUDIT)
    Babor, T; Higgins-Biddle, J; Saunders, J
  • Substance use trends among active duty military personnel: findings from the United States Department of Defense Health Related Behavior Surveys, 1980–2005
    Bray, RM; Hourani, LL
  • Relationships between substance use and recent deployments among women and men in the military
    Federman, EB; Bray, RM; Kroutil, LA
  • The association between substance use and suboptimal HIV treatment engagement among HIV infected female sex workers in Lilongwe, Malawi
    Lancaster, KE; Lungu, T; Mmodzi, P
  • Cannabis use trends in South Africa
    Peltzer, K; Ramlagan, S
  • Transactional sex is the driving force in the dynamics of HIV in Accra, Ghana
    Cote, AM; Sobela, F; Dzokoto, A
  • Transactional relationships and sex with a woman in prostitution: prevalence and patterns in a representative sample of South African men
    Jewkes, R; Morrell, R; Sikweyiya, Y
  • The association between alcohol use and sexual risk behavior, and HIV infection among men attending beerhalls in Harare, Zimbabwe
    Fritz, KE; Woelk, GB; Bassett, WC
  • Concurrent partnerships and syphilis persistence: new thoughts on an old puzzle
    Morris, M
  • Concurrent sexual partnerships and the HIV epidemics in Africa: evidence to move forward
    Mah, TL; Halperin, DT
  • Do people really know their sex partners? Concurrency, knowledge of partner behavior, and sexually transmitted infections within partnerships
    Drumright, LN; Gorbach, PM; Holmes, KK
  • Is alcohol a cofactor of HIV and AIDS? Evidence from immunological and behavioral studies
    Dingle, GA; Oei, TP
  • Alcohol, sexual arousal, and intentions to use condoms in young men: applying alcohol myopia theory to risky sexual behavior
    MacDonald, TK; MacDonald, G; Zanna, MP
  • Acute marijuana effects on human risk taking
    Lane, SD; Cherek, DR; Tcheremissine, OV
  • Sensation seeking as an explanation for the association between substance use and HIV-related risky sexual behavior
    Kalichman, SC; Heckman, T; Kelly, JA
  • Long-term correlates of childhood abuse among adults with severe mental illness: adult victimization, substance abuse, and HIV sexual risk behavior
    Meade, CS; Kershaw, TS; Hansen, NB
  • Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: a cohort study
    Jewkes, RK; Dunkle, K; Nduna, M
  • Prevalence and patterns of gender-based violence and revictimization among women attending antenatal clinics in Soweto, South Africa
    Dunkle, KL; Jewkes, RK; Brown, HC
  • Prevalence of intimate partner violence: findings from the WHO multi-country study on women’s health and domestic violence
    Garcia-Moreno, C; Jansen, HA; Ellsberg, M