The relationship between alcohol and drug use and sexual behaviour amongst prison inmates in developing countries: The case of South Africa

Sibuiso Sifunda (National Health Promotion Research & Development Group, Medical Research Council, Cape Town, South Africa)
Priscilla S. Reddy (National Health Promotion Research & Development Group, Medical Research Council, Cape Town, South Africa)
Ronald B. Braithwaite (Community Health and Preventive Medicine, Morehouse School of Medicine)
Torrence Stephens (Department of Behavioural Change, Morehouse School of Medicine, USA)
Sibusisiwe Bhengu (Research Directorate, Department of Correctional Services, Pretoria, South Africa)
Robert AC Ruiter (Department of Experimental Psychology, Universiteit Maastricht, The Netherlands)
Bart H.W. Van Den Borne (Department of Health Education and Promotion, Universiteit Maastricht, The Netherlands)

International Journal of Prisoner Health

ISSN: 1744-9200

Publication date: 1 January 2007

Abstract

To examine a possible link between substance use and risky sexual behaviour, a cross‐sectional study was conducted among 357 inmates across four South African prisons involved in a pre‐release intervention programme for parolees. About 93% of the participants reported using alcohol and 52% used marijuana prior to imprisonment, while 56% reported previous occurrence of sexually transmitted infections (STIs). Logistic regression analyses explored the impact of substance use on intention to reduce risky sexual behaviour. Age and inconsistent use of condoms were positively associated with having an STI prior to incarceration, while reported alcohol and marijuana intake had no effect. Never using condoms before was highly associated with lower intention to engage in preventive behaviours upon release. It can be concluded that inmates demonstrate high levels of substance use and engagement in risky sexual behaviours. Targeted pre‐release substance abuse interventions are essential to reduce the burden of disease amongst offenders.

Keywords

Citation

Sifunda, S., Reddy, P., Braithwaite, R., Stephens, T., Bhengu, S., AC Ruiter, R. and Van Den Borne, B. (2007), "The relationship between alcohol and drug use and sexual behaviour amongst prison inmates in developing countries: The case of South Africa", International Journal of Prisoner Health, Vol. 3 No. 1, pp. 3-15. https://doi.org/10.1080/17449200601149098

Download as .RIS

Publisher

:

Emerald Group Publishing Limited

Copyright © 2007, Emerald Group Publishing Limited

Please note you might not have access to this content

You may be able to access this content by login via Shibboleth, Open Athens or with your Emerald account.
If you would like to contact us about accessing this content, click the button and fill out the form.
To rent this content from Deepdyve, please click the button.