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Antiretroviral Therapy (ART) Adherence and Prenatal Alcohol Use among Women Who Are Pregnant with HIV in South Africa

Bibliographic Data

ID15486692
AuthorsYukiko Washio (0000-0002-3882-2953, RTI International, corresponding author), F A Browne (0000-0002-4230-2096, University of North Carolina at Chapel Hill), Jacqueline Ndirangu (0000-0001-8346-7359, RTI International), Tracy Kline (0000-0002-6675-0360, RTI International), Tracy L Kline (Substance Use, Gender and Applied Research, RTI International, Research Triangle Park, NC 27709, USA), W M Wechsberg (0000-0002-5146-6463, University of North Carolina at Chapel Hill)
Year2021
Volume18
Issue14
Pages7446-7446
Publication date2021-07-13
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18147446
PMID34299897
OpenAlexW3177907036
LanguageEN
Citations received1
References cited13

This brief report emphasizes the need to focus on women with HIV who are pregnant who use alcohol or other drugs. A recently completed implementation science study tested a gender-focused behavioral intervention, the Women's Health CoOp (WHC), to improve antiretroviral therapy (ART) adherence and reduce alcohol use among women with HIV. The study identified 33 participants who had a positive pregnancy test result at the baseline assessment, of whom five participants remained pregnant during the 6-month duration of the study. Of the 33 pregnant participants at the baseline assessment, 55% reported past-month alcohol use, with 27% reporting a history of physical abuse and 12% reporting a history of sexual abuse. The five women who remained pregnant at 6 months showed improved ART adherence and reduced prenatal alcohol use. The gender-focused WHC intervention shows promise as a cost-effective, sustainable, behavioral intervention to address these intersecting syndemic issues. Future research should focus on identifying the needs of women with HIV who are pregnant who use alcohol or other drugs and developing tailored evidence-based behavioral interventions such as the WHC for preventing FASD in addition to improving ART adherence in this key population of women and reducing the economic burden on society

Alcohol abuse · Brief intervention · Environmental health · Family medicine · Focus group · Human immunodeficiency virus (HIV · Intervention (counseling · Population · Pregnancy · Prenatal care · Psychiatry · Psychological intervention · Syndemic · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Prenatal Substance Exposure Effects

  • A scoping review of substance use brief interventions in Africa

    Open Access•Florence Jaguga, Sarah Kanana Kiburi et al.•PLOS Global Public Health•2024

  • Global Prevalence of Fetal Alcohol Spectrum Disorder Among Children and Youth

    Open Access•Shannon Lange, Charlotte Probst et al.•JAMA Pediatrics•2017

  • HIV/Aids and Intimate Partner Violence

    Open Access•Andrea C Gielen, Reem M Ghandour et al.•Trauma Violence & Abuse•2007

  • Outcomes of Implementing in the Real World the Women's Health CoOp Intervention in Cape Town, South Africa

    Open Access•W M Wechsberg, F A Browne et al.•AIDS and Behavior•2021

Unique citing works1
Citations per year0,5
Citation span2024 - 2024 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1
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