Intersecting epidemics among pregnant women:Alcohol use, interpersonal violence, and hiv infection in South Africa

Russell, Beth S., Eaton, Lisa A. and Petersen-Williams, Petal (2013) Intersecting epidemics among pregnant women:Alcohol use, interpersonal violence, and hiv infection in South Africa. Current HIV/AIDS Reports, 10 (1). pp. 103-110. ISSN 1548-3568

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Abstract

A critical factor for understanding negative health outcomes is acknowledging the synergistic quality that clusters of health problems create. An important step in addressing clusters of health problems involves gaining an awareness of the contextual factors that connect them. This paper considers the intersection of 3 mutually reinforcing health problems: alcohol use, interpersonal violence (IPV), and HIV infection among pregnant women residing in South Africa. We explore how SAVA (substance abuse, violence and AIDS) - a syndemics related theory - underscores the dire need to intervene in various areas of psycho-social health and general well-being. Based on World Health Organization data, we highlight the remarkably high rates of alcohol use, IPV, and HIV infection among South African women compared with women residing in other countries around the world. We conclude by highlighting the need for improved recognition of the intersection of these epidemics and for improved surveillance of the prevalence of alcohol use among pregnant women. Finally, based on the literature reviewed, we provide recommendations for future interventions.

Item Type:	Article
Uncontrolled Keywords:	alcohol consumption,alcohol use among pregnant women,hiv,hiv infection,hiv infection and pregnancy,hiv transmission,intimate partner violence,pregnancy,prevention,south africa,substance abuse, violence and aids (sava),virology,infectious diseases ,/dk/atira/pure/subjectarea/asjc/2400/2406
Faculty \ School:	Faculty of Medicine and Health Sciences > School of Health Sciences
Related URLs:	http://www.scopus.com/inward/record.url?...
Depositing User:	LivePure Connector
Date Deposited:	05 Mar 2026 10:30
Last Modified:	05 Mar 2026 10:30
URI:	https://ueaeprints.uea.ac.uk/id/eprint/102213
DOI:	10.1007/s11904-012-0145-5

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