Intimate Partner Violence as a Factor Associated with Risky Sexual Behaviours and Alcohol Misuse amongst Men in South Africa

April 2016 - Behavioral Prevention

April 2016 Prevention Update (PDF, 493.26 KB)
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Mthembu, J.C., Khan, G., Mabaso, M.L., and Simbayi, L.C. AIDS Care (February 2016), e-publication ahead of print.

This study explored whether intimate partner violence (IPV) perpetration by men was a risk factor for engaging in other high-risk behaviors, especially risky sexual behaviors and alcohol misuse. The authors used data from a multilevel intervention study on alcohol abuse and HIV prevention among 975 South African men aged 18 years and older. They were recruited from informal drinking places within 12 communities in Cape Town townships, and asked to complete a confidential survey. Over one-third (39.9%) of participants reported having been involved in IPV. Men who reported having a child were more likely than childless men to perpetrate IPV. Men who reported having a casual sexual partner were significantly more likely to be involved in IPV, and those with possible alcohol dependence were three times more likely to perpetrate IPV compared to abstainers. However, men who reported using a condom at last sex were significantly less likely to engage in IPV than those who had not used condoms. The authors concluded that fatherhood, having a casual sexual partner, not using a condom at last sex, and alcohol dependence were significantly associated with self-reported perpetration of IPV. They added that interventions to reduce IPV need to address risky sexual and drinking behaviors among men, as well as power dynamics and gendered norms among couples.

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