Associations Between Patterns of Alcohol Use and Viral Load Suppression Amongst Women Living with HIV in South Africa
Bibliographic Data
| ID | 15337672 |
|---|---|
| Authors | Bronwyn Myers (0000-0003-0235-6716, South African Medical Research Council, corresponding author), Chantal Lombard (0000-0002-2136-6533, South African Medical Research Council), John A Joska (0000-0003-4260-1181, University of Cape Town), Fareed Abdullah (0000-0002-1118-9430, South African Medical Research Council), Tracey Naledi (0000-0002-7039-9964, University of Cape Town), Crick Lund (0000-0002-5159-8220, University of Cape Town), Petal Petersen Williams (0000-0001-5535-2458, South African Medical Research Council), Dan J Stein (0000-0001-7218-7810, South African Medical Research Council), Katherine Sorsdahl (0000-0002-5517-1697, University of Cape Town), K R Sorsdahl |
| Year | 2021 |
| Volume | 25 |
| Issue | 11 |
| Pages | 3758-3769 |
| Publication date | 2021-04-19 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | AIDS and Behavior (JOURNAL) |
| Journal identifiers | ISSN: 1090-7165 • E-ISSN: 1573-3254 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10461-021-03263-3 |
| PMID | 33876383 |
| OpenAlex | W3153184739 |
| Language | EN |
| Citations received | 15 |
| References cited | 50 |
This study aimed to identify alcohol use patterns associated with viral non-suppression among women living with HIV (WLWH) and the extent to which adherence mediated these relationships. Baseline data on covariates, alcohol consumption, ART adherence, and viral load were collected from 608 WLWH on ART living in the Western Cape, South Africa. We defined three consumption patterns: no/light drinking (drinking ≤ 1/week and ≤ 4 drinks/occasion), occasional heavy episodic drinking (HED) (drinking > 1 and ≤ 2/week and ≥ 5 drinks/occasion) and frequent HED (drinking ≥ 3 times/week and ≥ 5 drinks/occasion). In multivariable analyses, occasional HED (OR 3.07, 95% CI 1.78-5.30) and frequent HED (OR 7.11, 95% CI 4.24-11.92) were associated with suboptimal adherence. Frequent HED was associated with viral non-suppression (OR 2.08, 95% CI 1.30-3.28). Suboptimal adherence partially mediated the relationship between frequent HED and viral non-suppression. Findings suggest a direct relationship between frequency of HED and viral suppression. Given the mediating effects of adherence on this relationship, alcohol interventions should be tailored to frequency of HED while also addressing adherence
Alcohol · Alcohol consumption · Biology · Environmental health · Health psychology · Human immunodeficiency virus (HIV · Injury prevention · Poison control · Psychiatry · Psychological intervention · Public health · Viral load · Demography · HIV Research and Treatment · HIV-related health complications and treatments · HIV/AIDS Research and Interventions · Medicine · Immunology · Internal Medicine
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| Unique citing works | 15 |
|---|---|
| Citations per year | 3,75 |
| Citation span | 2022 - 2026 (5) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 15 |