Mental health and sexual risk behaviours in a South African township: A community-based cross-sectional study

Public Health

Volumn 120, Issue 6, 2006, Pages 534-542

  Smit, J ^a,b   Myer, L ^a   Middelkoop, K ^a   Seedat, S ^b   Wood, R ^a   Bekker, L G ^a   Stein, D J ^b  

^a UNIVERSITY OF CAPE TOWN   (South Africa)

^b STELLENBOSCH UNIVERSITY   (South Africa)

Author keywords

Alcohol abuse; Condom use; Depression; HIV AIDS; Mental illness; Post traumatic stress disorder; Sexual behaviour

Indexed keywords

CONDOM USE; DISEASE PREVALENCE; HUMAN IMMUNODEFICIENCY VIRUS; MENTAL HEALTH; RISK FACTOR; SEXUAL BEHAVIOR;

ACQUIRED IMMUNE DEFICIENCY SYNDROME; ADOLESCENT; ADULT; ALCOHOL ABUSE; ARTICLE; CENTER FOR EPIDEMIOLOGICAL STUDIES DEPRESSION SCALE; CONDOM; CONTROLLED STUDY; DEPRESSION; FEMALE; HEALTH SURVEY; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; MAJOR CLINICAL STUDY; MALE; MEDICAL RESEARCH; MENTAL DISEASE; MENTAL HEALTH; POSTTRAUMATIC STRESS DISORDER; PUBLIC HEALTH; QUESTIONNAIRE; RANDOMIZATION; RISK ASSESSMENT; RISK FACTOR; SEXUAL BEHAVIOR; SEXUALITY; SOUTH AFRICA;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ALCOHOLISM; CONDOMS; CROSS-SECTIONAL STUDIES; DEPRESSION; FEMALE; HEALTH SURVEYS; HIV INFECTIONS; HUMANS; MALE; MIDDLE AGED; PREVALENCE; QUESTIONNAIRES; RESIDENCE CHARACTERISTICS; RISK ASSESSMENT; RISK-TAKING; SOUTH AFRICA; STRESS DISORDERS, POST-TRAUMATIC; UNSAFE SEX;

AFRICA; SOUTH AFRICA; SOUTHERN AFRICA; SUB-SAHARAN AFRICA;

HUMAN IMMUNODEFICIENCY VIRUS;

EID: 33744946570     PISSN: 00333506     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.puhe.2006.01.009     Document Type: Article

References (44)

1. UNAIDS. Report on the global aids epidemic. UNAIDS/04.16E. 2004. Geneva: UNAIDS; 2004.
2. Myer L., Morroni C., and Susser E.S. The social pathology of the HIV/AIDS pandemic. Int J Epidemiol 32 (2003) 189-192
3. Dolezal C., Carballo-Dieguez A., Nieves-Rosa L., and Diaz F. Substance use and sexual risk behavior: understanding their association among four ethnic groups of Latino men who have sex with men. J Subst Abuse 11 (2000) 323-336
4. Donovan C., and McEwan R. A review of the literature examining the relationship between alcohol use and HIV-related sexual risk-taking in young people. Addiction 90 (1995) 319-328
5. Allers C.T., Benjack K.J., White J., and Rousey J.T. HIV vulnerability and the adult survivor of childhood sexual abuse. Child Abuse Negl 17 (1993) 291-298
6. Hutton H.E., Lyketsos C.G., Zenilman J.M., Thompson R.E., and Erbelding E.J. Depression and HIV risk behaviours among patients in a sexually transmitted disease clinic. Am J Psychiatry 161 (2004) 912-914
7. Hutton H.E., Treisman G.J., Hunt W.R., Fishman M., Kendig N., Swetz A., et al. HIV risk behaviors and their relationship to posttraumatic stress disorder among women prisoners. Psychiatry Serv 52 (2001) 508-513
8. Melzer-Lange M.D. Violence and associated high-risk health behavior in adolescents. Substance abuse, sexually transmitted diseases, and pregnancy of adolescents. Pediatr Clin N Am 45 (1998) 307-317
9. Stiffman A.R., Dore P., Earls F., and Cunningham R. The influence of mental health problems on AIDS-related risk behaviors in young adults. J Nerv Ment Dis 180 (1992) 314-320
10. Wilson A.E., Calhoun K.S., and Bernat J.A. Risk recognition and trauma-related symptoms among sexually revictimized women. J Consult Clin Psychol 67 (1999) 705-710
11. Erbelding E.J., Hutton H.E., Zenilman J.M., Hunt W.P., and Lyketsos C.G. The prevalence of psychiatric disorders in sexually transmitted disease clinic patients and their association with sexually transmitted disease risk. Sex Transm Dis 31 (2004) 8-12
12. World Health Organisation. Mental health: new understanding, new hope (2001), World Health Organisation, Geneva
13. Demyttenaere K., Bruffaerts R., Posada-Villa J., Gasquet I., Kovess V., Lepine J.P., Angermeyer M.C., Bernert S., de Girolamo G., Morosini P., Polidori G., Kikkawa T., Kawakami N., Ono Y., Takeshima T., Uda H., Karam E.G., Fayyad J.A., Karam A.N., Mneimneh Z.N., Medina-Mora M.E., Borges G., Lara C., de Graaf R., Ormel J., Gureje O., Shen Y., Huang Y., Zhang M., Alonso J., Haro J.M., Vilagut G., Bromet E.J., Gluzman S., Webb C., Kessler R.C., Merikangas K.R., Anthony J.C., Von Korff M.R., Wang P.S., Brugha T.S., Aguilar-Gaxiola S., Lee S., Heeringa S., Pennell B.E., Zaslavsky A.M., Ustun T.B., and Chatterji S. WHO World Mental Health Survey Consortium. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA 291 (2004) 2581-2590
14. Bowley D.M., Khavandi A., Boffard K.D., Macnab C., Eales J., Vellema J., et al. The malignant epidemic: changing patterns of trauma. S Afr Med J 92 (2002) 789-802
15. Stein D.J., Seedat S., and Emsley R.A. Violence in the world and in South Africa-what is a doctor to do?. S Afr Med J 92 (2002) 789-790
16. Jewkes R., Penn-Kekana L., Levin J., Ratsaka M., and Schrieber M. Prevalence of emotional, physical and sexual abuse of women in three South African provinces. S Afr Med J 91 (2001) 421-428
17. Peltzer K. Posttraumatic stress symptoms in a population of rural children in South Africa. Psychol Rep 85 (1999) 646-650
18. Ward C.L., Flisher A.J., Zissis C., Muller M., and Lombard C. Exposure to violence and its relationship to psychopathology in adolescents. Inj Prev 7 (2001) 297-301
19. Flisher A.J., Ziervogel C.F., Chalton D.O., Leger P.H., and Robertson B.A. Risk-taking behaviour of Cape Peninsula high-school students. Part VI. Road-related behaviour. S Afr Med J 83 (1993) 486-490
20. Bhagwanjee A., Parekh A., Paruk Z., Petersen I., and Subedar H. Prevalence of minor psychiatric disorders in an adult African rural community in South Africa. Psychol Med 28 (1998) 1137-1147
21. Carey P.D., Stein D.J., Zungu-Dirwayi N., and Seedat S. Trauma and posttraumatic stress disorder in an urban Xhosa primary care population: prevalence, comorbidity, and service use patterns. J Nerv Ment Dis 191 (2003) 230-236
22. Dorrington RE, Bradshaw D, Budlender D. HIV/AIDS Profile of the Provinces of South Africa: Indicators for 2002. Cape Town: Centre for Actuarial Research, Medical Research Council and the Actuarial Society of South Africa, 2002.
23. Ghubash R., Daradkeh T.K., Al Naseri K.S., Al Bloushi N.B., and Al Daheri A.M. The performance of the Center for Epidemiologic Study Depression Scale (CES-D) in an Arab female community. Int J Soc Psychiatry 46 (2000) 241-249
24. Iwata N., and Buka S. Race/ethnicity and depressive symptoms: a cross-cultural/ethnic comparison among university students in East Asia, North and South America. Soc Sci Med 55 (2002) 2243-2252
25. Pretorius T.B. Cross-cultural application of the center for epidemiological studies depression scale: a study of black South African students. Psychol Rep 69 (1991) 1179-1185
26. Saunders J.B., Aasland O.G., Babor T.F., De la Fuente J.R., and Grant M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction 88 (1993) 791-804
27. Chinyadsa E., Moyo I.M., Katsumbe T.M., Chisvo D., Mahari M., Cock D.E., et al. Alcohol problems among patients attending five primary health care clinics in Harare city. Cent Afr J Med 39 (1993) 26-32
28. Medina-Mora E., Carreno S., and De la Fuente J.R. Experience with the alcohol use disorders identification test (AUDIT) in Mexico. Recent Dev Alcohol 14 (1998) 383-396
29. Halepota A.A., and Wasif S.A. Harvard Trauma Questionnaire Urdu translation: the only cross-culturally validated screening instrument for the assessment of trauma and torture and their sequelae. J Pak Med Assoc 51 (2001) 285-290
30. Mollica R.F., Caspi-Yavin Y., Bollini P., Truong T., Tor S., and Lavelle J. The Harvard Trauma Questionnaire. Validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees. J Nerv Ment Dis 180 (1992) 111-116
31. DiClemente R.J., Wingood G.M., Crosby R.A., Sionean C., Brown L.K., Rothbaum B., et al. A prospective study of psychological distress and sexual risk behaviour among black adolescent females. Pediatrics 108 (2001) 85-97
32. Reddy P., Meyer-Weitz A., van den B.B., and Kok G. Determinants of condom-use behaviour among STD clinic attenders in South Africa. Int J STD AIDS 11 (2000) 521-530
33. Clift S., Anemona A., Watson-Jones D., Kanga Z., Ndeki L., Changalucha J., et al. Variations of HIV and STI prevalences within communities neighbouring new goldmines in Tanzania: importance for intervention design. Sex Transm Infect 79 (2003) 307-312
34. Koenig M.A., Lutalo T., Zhao F., Nalugoda F., Kiwanuka N., Wabwire-Mangen F., et al. Coercive sex in rural Uganda: prevalence and associated risk factors. Soc Sci Med 58 (2004) 787-798
35. Campbell C. Selling sex in the time of AIDS: the psycho-social context of condom use by sex workers in a Southern African mine. Soc Sci Med 50 (2000) 479-494
36. Myer L., Mathews C., and Little F. Condom use and sexual behaviors among individuals procuring free male condoms in South Africa: a prospective study. Sex Transm Dis 29 (2002) 239-241
37. Meyer-Weitz A., Reddy P., Weijts W., van den Borne B., and Kok G. The socio-cultural contexts of sexually transmitted diseases in South Africa: implications for health education programmes. AIDS Care 10 Suppl. 3 (1998) s39-s55
38. Wojcicki J.M. 'She drank his money': survival sex and the problem of violence in taverns in Gauteng province, South Africa. Med Anthropol Q 16 (2002) 267-293
39. Justus A.N., Finn P.R., and Stern R.A. The influence of traits of disinhibition on the association between alcohol use and risky sexual behaviour. Alcohol Clin Exp Res 24 (2000) 1028-1035
40. Khantzian E. The self-medication hypothesis of substance use disorders: a reconsideration and recent applications. Harv Rev Psychiatry 4 (1997) 231-244
41. Shrier L.A., Harris S.K., Sternberg M., and Beardslee W.R. Association of depression, self-esteem and substance use with sexual risk among adolescents. Prev Med 33 (2001) 179-189
42. Catania J.A. A framework for conceptualising reporting bias and its antecendents in interviews assessing human sexuality. J Sex Res 36 (1999) 25-38
43. Dare O.O., and Cleland J.G. Reliability and validity of survey data on sexual behaviour. Health Transit Rev 4 Suppl. (1999) s93-s110
44. Myers J.K., and Weissman M.M. Use of a self-report symptom scale to detect depression in a community sample. Am J Psychiatry 137 (1980) 1081-1084