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Try out PMC Labs and tell us what you think. Learn More. The objective of this study was to understand the influence of socioeconomic factors including age and poverty as well as alcohol use on risky sexual behaviors among women in Mongu, Zambia.
This methodology allows for the study of risky behaviors while taking into consideration local factors. The two outcome variable studied were transactional sex in the past year and having two or more sexual partners in the past year. Programs and policies need to address the influence of alcohol on risky sexual behaviors and also the important but complex influence of poverty.
Studies have suggested that age, alcohol and poverty use are HIV risk factors for women in sub-Saharan Africa. Prevalence rates for girls and young women are particularly high in Southern Africa with rates of Adolescent girls and young women are at much greater risk of acquiring HIV than their male counterparts. The link between alcohol use and HIV has been established in the research literature. The study further found that problem drinkers had increased risks compared to nonproblem drinkers suggesting a dose response relationship between alcohol consumption and HIV 3.
Another review of alcohol use and risks for HIV found that there was a gender difference regarding alcohol use. Men were more likely to drink and engage in high risk sex while women's risks were linked to their partners' drinking rather than their own drinking 5. A study of youth 15—21 sampled at drinking establishments in Zimbabwe found evidence of risky behavior associated with alcohol use.
Poverty's role in HIV might be more twosided. Shelton 7 has indicated that both wealth and economic disadvantage may play pivotal roles in HIV transmission. Poverty may drive some women into risky sexual behaviors such as transactional sex, and on the otherhand wealth may enable women to have multiple partners because of more mobility and social interactions. Another issue is that a desire for economic advancement may sometimes be a key factor rather than economic disadvantage itself.