We sought to characterize the relationship between alcohol consumption and sexual risk-taking in an aging population in rural South Africa. A cross-sectional analysis was conducted using baseline data from the Health and Ageing in Africa: a Longitudinal Study of an INDEPTH Community (HAALSI) cohort. We elicited information on sexual risk behavior and self-reported frequency of alcohol consumption among 5059 adults ≥ 40 years old. Multivariable models showed that more frequent alcohol consumption is associated with a higher number of sexual partners (β: 1.38, p < .001) and greater odds of having sex for money (OR: 42.58, p < .001) in older adults in South Africa. Additionally, daily drinkers were more likely to have sex without a condom (OR: 2.67, p = .01). Older adults who drank more alcohol were more likely to engage in sexual risk-taking. Behavioral interventions to reduce alcohol intake should be considered to reduce STI and HIV transmission.

我们试图描述南非农村人口老龄化中饮酒与性冒险之间的关系。使用非洲健康与老龄化：INDEPTH 社区纵向研究 (HAALSI) 队列的基线数据进行横断面分析。我们收集了 5059 名 40 岁以上成年人的危险性行为和自我报告的饮酒频率信息。多变量模型显示，在南方老年人中，更频繁的饮酒与更多的性伴侣（β：1.38， p < .001）以及更高的为了金钱而发生性行为的几率（OR：42.58， p < .001）相关。非洲。此外，每天饮酒的人更有可能在不使用安全套的情况下发生性行为（OR：2.67， p = .01）。饮酒较多的老年人更有可能进行性冒险。应考虑采取行为干预措施来减少酒精摄入量，以减少性传播感染和艾滋病毒的传播。