ArticleGlobalization and health2009
Enhancing global control of alcohol to reduce unsafe sex and HIV in sub-Saharan Africa.
Article in Globalization and health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Priority interventions to reduce HIV transmission in sex work settings in sub-Saharan Africa and delivery of these services.Journal of the International AIDS Society · 2013Pooled it
- Trial
- High incidence of HIV-1 infection in a general population of fishing communities around Lake Victoria, Uganda.PloS one · 2014Trial
- The most popular local and traditional food dishes in different regions of the Kingdom of Saudi Arabia and their cultural significance.Frontiers in nutrition · 2025Article
- Demographic and psychosocial risk factors for adolescent pregnancies among sexually active girls in the slums of Kampala, Uganda.African health sciences · 2022Article
- Article
- Introduction of an Alcohol-Related Electronic Screening and Brief Intervention (eSBI) Program to Reduce Hazardous Alcohol Consumption in Namibia's Antiretroviral Treatment (ART) Program.AIDS and behavior · 2019Article
- Psychosocial correlates of self-reported HIV among youth in the slums of Kampala.BMC public health · 2019Article
- Do Subjective Alcohol Screening Tools Correlate with Biomarkers Among High-Risk Transgender Women and Men Who Have Sex with Men in Lima, Peru?AIDS and behavior · 2017Article
- Alcohol use and sexual risk behaviour among men and women in inner-city Johannesburg, South Africa.BMC public health · 2017Article
- Harmful Use of Alcohol: A Shadow over Sub-Saharan Africa in Need of Workable Solutions.International journal of environmental research and public health · 2017Article
- Article
- Cross-sectional data on alcohol and marijuana use and sexual behavior among male and female secondary school students in New Providence, The Bahamas.International journal of adolescent medicine and health · 2016Article
- Impact of alcohol use on sexual behavior among men who have sex with men and transgender women in Lima, Peru.Drug and alcohol dependence · 2016Article
- Sex-related alcohol expectancies and high-risk sexual behaviour among drinking adults in Kampala, Uganda.Global public health · 2016Article
- PEPFAR support of alcohol-HIV prevention activities in Namibia and Botswana: a framework for investigation, implementation and evaluation.Global mental health (Cambridge, England) · 2016Article
- Addressing Structural and Environmental Factors for Adolescent Sexual and Reproductive Health in Low- and Middle-Income Countries.American journal of public health · 2015Review
- AUDIT, AUDIT-C, and AUDIT-3: drinking patterns and screening for harmful, hazardous and dependent drinking in Katutura, Namibia.PloS one · 2015Article
- Effects of hazardous and harmful alcohol use on HIV incidence and sexual behaviour: a cohort study of Kenyan female sex workers.Globalization and health · 2014Article
- Alcohol use, drunkenness and tobacco smoking in rural western Kenya.Tropical medicine & international health : TM & IH · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Sub-Saharan Africa carries a massive dual burden of HIV and alcohol disease, and these pandemics are inextricably linked. Physiological and behavioural research indicates that alcohol independently affects decision-making concerning sex, and skills for negotiating condoms and their correct use. More than 20 studies in Africa have reported higher occurrence of HIV among people with problem drinking; a finding strongly consistent across studies and similar among women and men. Conflation of HIV and alcohol disease in these setting is not surprising given patterns of heavy-episodic drinking and that drinking contexts are often coterminous with opportunities for sexual encounters. HIV and alcohol also share common ground with sexual violence. Both perpetrators and victims of sexual violence have a high likelihood of having drunk alcohol prior to the incident, as with most forms of violence and injury in sub-Saharan Africa. Reducing alcohol harms necessitates multi-level interventions and should be considered a key component of structural interventions to alleviate the burden of HIV and sexual violence. Brief interventions for people with problem drinking (an important component of primary health care), must incorporate specific discussion of links between alcohol and unsafe sex, and consequences thereof. Interventions to reduce alcohol harm among HIV-infected persons are also an important element in positive-prevention initiatives. Most importantly, implementation of known effective interventions could alleviate a large portion of the alcohol-attributable burden of disease, including its effects on unsafe sex, unintended pregnancy and HIV transmission.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.