Male Circumcision, Alcohol Use and Unprotected Sex among Patrons of Bars and Taverns in Rural Areas of North-West Province, South Africa

January 2015 - Behavioral Prevention

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Nkosi, S., Sikweyiya,Y., Kekwaletswe, C. T., et al. AIDS Care (November 27, 2014), pp. 1–6, E-publication ahead of print.

The authors of this study examined the relative importance of alcohol consumption and both medical male circumcision (MMC) and traditional male circumcision (TMC) as correlated with unprotected sex; and compared the risk of unprotected sex between traditionally circumcised and medically circumcised tavern-going men from two rural villages in North West province, South Africa. The 314 study participants were asked to respond to an interviewer-administered structured questionnaire about their demographic characteristics, alcohol use, circumcision status, method of circumcision (i.e., traditional or medical), and condom use behavior in the past six months. The authors used a 10-item Alcohol Use Disorders Identification Test (AUDIT) approach to assess the participants’ alcohol consumption. Using descriptive analyses and bivariate and multivariate logistic regression analysis, they showed that age, education, relationship status, alcohol consumption, and TMC were independently significantly associated with unprotected sex. Additionally, the study found that TMC men had a higher risk of engaging in unprotected sex than MMC men. The authors concluded that more research is needed to better understand factors that could account for differences in behavior between TMC and MMC men. They also urged including interventions to reduce alcohol consumption and encourage protective behavior among TMC men within HIV prevention education.

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