Perinatal alcohol use among young women living with HIV in South Africa
Context, experiences, and implications for interventions
Bibliographic Data
| ID | 15541385 |
|---|---|
| Authors | Kirsty Brittain (0000-0003-3940-1242, University of Cape Town, corresponding author), Jennifer A Pellowski (0000-0003-3316-4135, Brown University), Sandisiwe Noholoza (0009-0007-7018-7738, University of Cape Town), Claude Ann Mellins (0000-0002-1978-7638, New York Psychoanalytic Society and Institute), Linda-Gail Bekker (0000-0002-0755-4386, University of Cape Town), Ashraf Kagee (0000-0003-1241-2566, Stellenbosch University), Robert H Remien (0000-0002-3963-3273, New York Psychoanalytic Society and Institute), Elaine J Abrams (0000-0001-7938-8981, Columbia University), Landon Myers (0000-0002-8106-7658, University of Cape Town) |
| Year | 2023 |
| Volume | 18 |
| Issue | 1 |
| Pages | 2221732-2221732 |
| Publication date | 2023-01-02 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1744-1692 • E-ISSN: 1744-1706 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/17441692.2023.2221732 |
| PMID | 37302089 |
| OpenAlex | W4380248735 |
| Language | EN |
| References cited | 42 |
Perinatal alcohol use is common in South Africa, including among young women living with HIV (WLHIV), but there are few insights into the drivers of alcohol use in this population. Following the completion of a pilot trial of a peer support intervention for WLHIV aged 16-24 years in Cape Town, we purposively selected participants who had reported perinatal alcohol use at ≥1 study visits to complete a qualitative in-depth interview exploring their experiences of substance use. Of 119 women enrolled, 28 reported alcohol use, and 24 were interviewed, with ≥1/3 reporting drinking throughout their pregnancy. Women described living in a community where heavy perinatal alcohol consumption is normalised, including among their peers, leading to social pressure. Despite being aware of the risks of perinatal alcohol use, women described a disconnect between public health messaging and their experiences. Although most acknowledged the negative effects of alcohol in their lives, self-efficacy to reduce consumption was diminished by peer influences and the lack of formal employment and opportunities for recreation. These findings provide insights into the drivers of perinatal alcohol use in this setting, and suggest that without meaningful community-level changes, including employment opportunities and alternatives for socialising, interventions may have limited impact
Community-based participatory research · Context (archaeology · Environmental health · Geography · Participatory action research · Peer pressure · Population · Psychiatry · Psychological intervention · Public health · Qualitative research · Gestational Diabetes Research and Management · Homelessness and Social Issues · Medicine · Nursing · Prenatal Substance Exposure Effects · Psychology · Social Psychology · Gerontology
Adolescent Alcohol Use
Pregnancy
Adherence to antiretroviral therapy during and after pregnancy in low-income, middle-income, and high-income countries
A Systematic Review of Individual and Contextual Factors Affecting ART Initiation, Adherence, and Retention for HIV-Infected Pregnant and Postpartum Women
Two Brief Alcohol-Screening Tests From the Alcohol Use Disorders Identification Test (Audit)
Perinatally acquired HIV infection in adolescents from sub-Saharan Africa
The Audit Alcohol Consumption Questions (Audit-C) An Effective Brief Screening Test for Problem Drinking
Theory development for HIV behavioral health
Impact of adverse childhood experiences on women’s psychosocial and HIV-related outcomes and early child development in their offspring
Did Covid-19-Related Alcohol Sales Restrictions Reduce Alcohol Consumption? Findings from a National Online Survey in South Africa
Alcohol Use During Pregnancy in a South African Community
Alcohol, But Not Depression or IPV, Reduces HIV Adherence Among South African Mothers Living with HIV Over 5 Years
Self-Reported Long-Term Antiretroviral Adherence
Patterns of Alcohol Abuse, Depression, and Intimate Partner Violence Among Township Mothers in South Africa Over 5 Years
A scoping review of the determinants of foetal alcohol spectrum disorder in South Africa
The Shame of Drinking Alcohol While Pregnant
Social action theory for a public health psychology
Using thematic analysis in psychology
Development of the Alcohol Use Disorders Identification Test (Audit)
Attitudes toward alcohol use during pregnancy among women recruited from alcohol-serving venues in Cape Town, South Africa
Alcohol use during pregnancy in rural Lesotho
It's better for me to drink, at least the stress is going away
| Citation velocity | historical |
|---|---|
| Highly cited | No |