Alcohol Abuse, Sexual Risk Behaviors, and Sexually Transmitted Infections in Women in Moshi Urban District, Northern Tanzania
Ghebremichael, M., Paintsil, E., & Larsen, U. Sexually Transmitted Diseases (2009), 36(2), pp. 102–107.
This study found that among nearly 1,000 women living in an urban district of northern Tanzania, those who abused alcohol were more likely to report having been a victim of physical abuse or sexual violence. They were also more likely to report having more than one sexual partner in the previous three years. There was no significant association between alcohol abuse and sexually transmitted infections (STIs). The authors concluded that alcohol abuse was not directly associated with prevalence of STIs but was indirectly associated through its association with multiple partners. The authors suggest that the subordinate status of women may lead some women to stay with men who are unfaithful and violent and that such women may use alcohol to “self-medicate” underlying problems. They conclude that alcohol use screening should be a part of comprehensive STI and HIV prevention programs.