Judith A Hahn

Biographic Data

ID	2168827
NAME	Judith A Hahn
GIVEN NAMES	Judith A
FAMILY NAME	Hahn
SIGNATURE	HAHN J A
AFFILIATIONS	University of California, San Francisco
ORCID	0000-0002-2697-8264
VERIFIED	Yes
TOTAL WORKS	61
TOTAL CITATIONS	31
AUTHOR COUNT	61
EDITOR COUNT	0
FIRST PUBLICATION YEAR	2003
LATEST PUBLICATION YEAR	2026
H-INDEX	3

Self-reported and Point-of-Care Biomarkers of Substance Use Measures Among Older Adults with HIV from Low- and Middle-Income Countries
Open AccessKathryn E Lancaster, Melissa A Stockton et al.ARTICLEAIDS and Behavior2026
Measuring alcohol and other drug (AOD) use remains challenging in HIV care in low- and middle-income countries, where self-report and point-of-care (POC) urine biomarkers capture different time windows. Among 2,059 people with HIV aged 40 years or older across eight IeDEA clinics (2020 to 2022), we examined what self-reported AOD use (AUDIT, ASSIST) and POC urine tests (uEtG for alcohol; 5-panel drug screen) each capture. Self-report identified m…
Influence of alcohol-serving venue characteristics on yield of HIV status-neutral screening in rural East Africa
Open AccessJanice Litunya, Brian Beesiga et al.ARTICLEPLOS Global Public Health2026
Alcohol-serving venues are high-risk sites for HIV transmission in East Africa. Understanding how venue characteristics influence HIV screening outcomes may help to target venue-based outreach. In eight rural communities in Kenya and Uganda, we mapped all alcohol-serving venues (N = 530) and invited owners to participate in a cluster-randomized trial to promote biomedical HIV prevention uptake: 527 (99%) owners agreed to participate. We distribut…
Association Between Alcohol Use, CD4 Count, and Depressive Symptoms Among People with HIV with Viral Load Suppressed in Southwestern Uganda
Open AccessAlain Favina, Robin Fatch et al.ARTICLEAIDS and Behavior2026
Despite the current effective antiretroviral therapy (ART) and viral suppression, depression remains the most prevalent mental health challenge among people with HIV (PWH) in Uganda and worldwide. This study examined the relationship between CD4 cell count and depressive symptoms among PWH on ART with viral suppression, and the potential modification effect of alcohol use on this relationship. We combined baseline data from two longitudinal studi…
Alcohol and other drug use among HIV-affected adolescents and young adults in Zambia
Open AccessJeremy C Kane, Tukiya Kanguya et al.ARTICLESSM - Mental Health2026
Background Alcohol and other drug (AOD) use is a growing public health problem among AYA and young adults (AYA) globally. AYA who are affected by HIV in low-and-middle-income countries (LMICs) may have high risk for AOD use problems, yet the context of AOD use remains an understudied area in this population. Method ology: In this qualitative study, we conducted 16 focus group discussions with HIV-affected AYA (ages 16-24), caregivers, and healthc…
High Prevalence of Unhealthy Alcohol Use Among Persons with HIV, Viral Non-suppression and Any Alcohol Use in Mbarara, Uganda
Open AccessRebecca Fisk-Hoffman, Allen Kekibiina et al.ARTICLEAIDS and Behavior2026
Unhealthy alcohol use is associated with HIV viral non-suppression. It is unclear how common unhealthy alcohol use is among non-suppressed persons with HIV (PWH) who drink alcohol. We conducted chart reviews to recruit PWH in Uganda with recent viral non-suppression for a study on the efficacy of gabapentin for promoting viral suppression among those with unhealthy alcohol use. Of the 288 PWH screened, 87% self-reported unhealthy alcohol use on t…
Association between Levels of Alcohol Use, Perceived HIV Risk, and Untreated HIV Among Persons at Alcohol-Serving Venues in Kenya and Uganda
Open AccessBrian Beesiga, Janice Litunya et al.ARTICLEAIDS and Behavior2026
Alcohol-serving venues in East Africa are high-risk environments for HIV transmission but few studies in sub-Saharan Africa (SSA) have examined perceived HIV risk and sexual risk behaviors by alcohol use levels on a broader population of persons at alcohol-serving venues in the era of biomedical HIV prevention. We conducted a cross-sectional analysis of adults (≥ 18 years) at alcohol-serving venues in eight communities (~ 10,000 residents/communi…
Intersectional Stigma and Health of People Living with HIV on ART Who Use Alcohol in Southwestern Uganda
Open AccessSarah A Gutin, Esther C Atukunda et al.ARTICLEAIDS and Behavior2026
HIV, TB, and alcohol use are stigmatized conditions that lead to poor care engagement and health outcomes. Stigmatized traits can operate independently or be intersectional. We examined the relationships between intersectional HIV-, TB-, and alcohol-related stigma on poorer perceived health among people with HIV (PWH) receiving antiretroviral therapy in a study examining TB infection risk among PWH in HIV care in southwestern Uganda (2022-2023). …
Testing a systematically braided alcohol reduction and HIV status neutral intervention among people receiving STI care in Malawi
Open AccessKathryn E Lancaster, Agatha Bula et al.ARTICLEFrontiers in Public Health2025
Background Heavy alcohol use is common in Malawi among people receiving sexually transmitted infections (STI) care and is a critical barrier to the success of HIV prevention and treatment efforts. Methods This protocol presents a pilot hybrid type 1 effectiveness-implementation trial evaluating the short-term effectiveness and implementation of a scalable evidence-based intervention (EBI) to reduce alcohol use and provide HIV prevention and treat…
A Randomized Feasibility/Acceptability Trial of Acceptance and Commitment Therapy for People with HIV Who Drink at Unhealthy Levels
Open AccessSarah E Woolf-King, Michelle R Dalton et al.ARTICLEAIDS and Behavior2025
Unhealthy alcohol use is prevalent among people with HIV (PWH) and associated with significant health-related consequences. We describe here a randomized feasibility/acceptability trial of a brief, telephone-delivered transdiagnostic acceptance and commitment therapy (ACT) intervention for PWH who drink at unhealthy levels. This pilot trail was designed to match the procedures of a planned definitive RCT that will compare the ACT intervention to …
Trends in Alcohol Use Before and During the Covid-19 Pandemic Among Women Living With and Without HIV in the United States (2017–2022)
Open AccessHannah Tierney, Hannah R Tierney et al.ARTICLEAIDS and Behavior2025
Data on alcohol use trends in women living with HIV (WLWH) are lacking. We examine data collected before and across the COVID-19 pandemic (2014-2022) in WLWH and socio-demographically similar women living without HIV (WLWOH)(n = 1564; 67% WLWH) who self-reported alcohol use to establish and compare trends. Women were categorized into baseline groups based on use pattern from 10/2014 to 09/2017: abstinence (no alcohol at any visit), non-heavy drin…
Pilot Results of Masibambisane
Open AccessAmy A Conroy, Rita M Butterfield et al.ARTICLEAIDS and Behavior2025
Alcohol Use and the Pre-exposure Prophylaxis Continuum of Care Among Men in Rural South Africa
Open AccessAlison Castle, Jacob Busang et al.ARTICLEAIDS and Behavior2025
Despite freely available oral HIV pre-exposure prophylaxis (PrEP), HIV incidence among young men in South Africa remains high. This study explores the impact of alcohol use on PrEP initiation and continuation among South African men. We performed a secondary data analysis from a trial involving men aged 16-29, randomly selected in KwaZulu-Natal. Participants were referred to sexual health services, and those who were HIV negative and sexually act…
The Lived Experiences of Unhealthy Alcohol Use among Young People with HIV in Southwestern Uganda
Open AccessRaymond Odokonyero, Wilson Winstons Muhwezi et al.ARTICLEAIDS and Behavior2025
Unhealthy alcohol use among adolescents and young adults living with HIV (AYAH), is common and poses risks to their health and social wellbeing. However, research that explores comorbid unhealthy drinking and HIV among AYAH is limited in Uganda. We conducted semi-structured in-depth interviews with 14 AYAH who self-reported current alcohol use, recruited from the adolescent immunosuppression (ISS) clinic of Mbarara Regional Referral Hospital in S…
Participant perspectives on incentives for TB preventative therapy adherence and reduced alcohol use
Open AccessAyesha Appa, Amanda P Miller et al.ARTICLEPLOS Global Public Health2024
Economic incentives to promote health behavior change are highly efficacious for substance use disorders as well as increased medication adherence. Knowledge about participants’ experiences with and perceptions of incentives is needed to understand their mechanisms of action and optimize future incentive-based interventions. The Drinkers’ Intervention to Prevent Tuberculosis (DIPT) trial enrolled people with HIV (PWH) in Uganda with latent tuberc…
Psychometric assessment of the Runyankole-translated Marlowe-Crowne Social Desirability Scale among persons with HIV in Uganda
Open AccessCristina Espinosa da Silva, Robin Fatch et al.ARTICLEBMC Public Health2024
We detected and mitigated measurement error in the 28-item Runyankole-translated SDS, and found that the modified 27-item scale had satisfactory construct validity and internal consistency in our sample. Future studies should continue to evaluate the psychometric properties of the Runyankole-translated SDS, including retranslating Item 14 and reevaluating its performance
Pilot Trial Results of Mlambe
Open AccessAmy A Conroy, Judith A Hahn et al.ARTICLEAIDS and Behavior2024
Alcohol Consumption Among Persons Living with HIV
Open AccessStephen B Asiimwe, Allen Kekibiina et al.ARTICLEAIDS and Behavior2024
A Qualitative Exploration of Intimate Partner Violence Among HIV/TB Coinfected Persons With Problematic Alcohol Use Participating in an Incentive-Based Alcohol/Medication Adherence Intervention in Uga…
Open AccessAmanda P Miller, Ayesha Appa et al.ARTICLEViolence Against Women2024References: 4
In Uganda, four in ten women report experiencing intimate partner violence (IPV) in the past year. Salient drivers of IPV in sub-Saharan Africa include stress related to household finances, alcohol use, and partner infidelity. We conducted 42 interviews with participants ( n = 32) in the Drinkers' Intervention to Prevent Tuberculosis (DIPT) study which included economic incentives, and their partners ( n = 10) to understand how participating in D…
Mlambe economic and relationship-strengthening intervention for alcohol use decreases violence and improves relationship quality in couples living with HIV in Malawi
Open AccessAmy A Conroy, Allison Ruark et al.ARTICLESocial Science & Medicine2024References: 62
Understanding Patients’ Experiences with a Brief Alcohol Reduction Intervention among People Living with HIV in Uganda
Open AccessMargaret W Gichane, Carol S Camlin et al.ARTICLESubstance Use & Misuse2023
Background: Brief alcohol reduction interventions for people living with HIV (PLWH) have resulted in mixed findings with some studies showing null or limited treatment effects. To better understand factors that may contribute to their success or failure, this qualitative study sought to explore participants’ experiences in a randomized trial (RCT) of a brief counseling-based alcohol reduction intervention, including challenges that may have imped…
HIV stigma and disclosure of alcohol use to physicians
Jeremy C Kane, Pia M Mauro et al.ARTICLEAIDS Care2023
Alcohol use among persons living with HIV (PWH) can lead to poor disease outcomes. Disclosure of alcohol consumption to physicians is critical to inform HIV care. HIV stigma is associated with poor care engagement, and this relationship is partially mediated by depression. However, less is known about how HIV stigma and depression affect reporting of alcohol use to care providers. We used baseline data from an HIV intervention trial of 330 adult …
Effects of Maternal HIV Infection and Alcohol Use in Pregnancy on Birth Outcomes in Uganda
Open AccessJulian Adong, Nicholas Musinguzi et al.ARTICLEAIDS and Behavior2023
The Relationship between Age at Initiation of Regular Drinking of Alcohol and Viral Suppression Status, and Depression Symptoms Among People Living with HIV in South-Western Uganda
Open AccessRaymond Odokonyero, Robin Fatch et al.ARTICLEAIDS and Behavior2023
Alcohol use is an important factor in achieving and maintaining viral suppression and optimal mental health among persons with HIV (PWH), however, the effect of age at first regular drinking on viral suppression and depression remains poorly understood. Here, using secondary data from the Alcohol Drinkers' Exposure to Preventive Therapy for Tuberculosis (ADEPT-T) study, we used logistic regression analyses to explore whether there is an associati…
Costs of a Brief Alcohol Consumption Reduction Intervention for Persons Living with HIV in Southwestern Uganda
Open AccessJudith A Hahn, Sebastian Kevany et al.ARTICLEAIDS and Behavior2023
Low-cost interventions are needed to reduce alcohol use among persons with HIV (PWH) in low-income settings. Brief alcohol interventions hold promise, and technology may efficiently deliver brief intervention components with high frequency. We conducted a costing study of the components of a randomized trial that compared a counselling-based intervention with two in-person one-on-one sessions supplemented by booster sessions to reinforce the inte…
Effects of a Covid-19 Public Health Lockdown on Drinking and Health Behavior Among Persons with HIV and with Unhealthy Alcohol use in Uganda
Open AccessBrian Beesiga, Kara Marson et al.ARTICLEAIDS and Behavior2023
To better understand the impact of Uganda’s initial COVID-19 lockdown on alcohol use, we conducted a cross-sectional survey (August 2020-September 2021) among persons with HIV (PWH) with unhealthy alcohol use (but not receiving an alcohol intervention), enrolled in a trial of incentives to reduce alcohol use and improve isoniazid preventive therapy. We examined associations between bar-based drinking and decreased alcohol use, and decreased alcoh…

Revolving Doors
Margot Kushel, Margot B Kushel et al.ARTICLEAmerican Journal of Public Health2005Cited by: 22References: 29
Objectives. We studied a sample of homeless and marginally housed adults to examine whether a history of imprisonment was associated with differences in health status, drug use, and sexual behaviors among the homeless. Methods. We interviewed 1426 community-based homeless and marginally housed adults. We used multivariate models to analyze factors associated with a history of imprisonment. Results. Almost one fourth of participants (23.1%) had a …
Tripling of Methamphetamine/Amphetamine Use among Homeless and Marginally Housed Persons, 1996–2003
Open AccessMoupali Das-Douglas, Grant Colfax et al.ARTICLEJournal of Urban Health2007Cited by: 3
Hepatitis B Virus Immunization Among Young Injection Drug Users in San Francisco, Calif
Paula J Lum, Kristen C Ochoa et al.ARTICLEAmerican Journal of Public Health2003Cited by: 3References: 30
Hepatitis B virus (HBV) infection is common (44%–80%) in injection drug users (IDUs),1–8 and younger IDUs are at high risk.9–11 Although a safe and effective vaccine is available, high vaccine completion rates in IDUs (70%–86%) have been achieved primarily in drug treatment settings.12–15 Among street-recruited young injectors in San Francisco, Calif, only 13% had serological evidence of prior immunization, and 28% had been infected with HBV.16 W…
A Longitudinal Study of Multiple Drug Use and Overdose Among Young People Who Inject Drugs
Elise D Riley, Jennifer L Evans et al.ARTICLEAmerican Journal of Public Health2016Cited by: 2References: 15
Objectives. To determine the association between multiple drug use and nonfatal overdose among young people (younger than 30 years) who inject drugs. Methods. We completed a longitudinal study of 173 injection drug users younger than 30 years living in San Francisco, California, between April 2012 and February 2014. Results. The odds of nonfatal overdose increased significantly as heroin and benzodiazepine pill-taking days increased and when alco…
Alcohol Use and Unprotected Sex Among HIV-Infected Ugandan Adults
Open AccessSarah E Woolf-King, Robin Fatch et al.ARTICLEArchives of Sexual Behavior2018Cited by: 1References: 53