Substance Use and Sexual Risk Within the Context of Gender Inequality in South Africa

  • Wechsberg W
  • Luseno W
  • Riehman K
 et al. 
  • 42


    Mendeley users who have this article in their library.
  • N/A


    Citations of this article.


This study examines substance use and sexual risk within the context of gender inequality among 163 women from an urban region of South Africa who were participating in a 2004-2006 study funded by the National Institute of Alcohol Abuse and Alcoholism. Items assessed patterns of substance use, gender inequality, risk communication, and psychological distress. Multivariate logistic regression analyses revealed that economic dependence on a main partner and traditional beliefs about a woman's right to refuse sex were associated with substance use prior to or during sex with that partner. The findings demonstrate that substance abuse prior to sex may reinforce traditional beliefs and that women with more progressive beliefs about gender ideology seem better able to control their substance use in risky environments.

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document


  • Wendee M. Wechsberg

  • Winnie Luseno

  • Kara Riehman

  • Rhonda Karg

  • Felicia Browne

  • Charles Parry

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free