Alcohol reduction outcomes following brief counseling among adults with HIV in Zambia
A sequential mixed methods study
Bibliographic Data
| ID | 19592635 |
|---|---|
| Authors | Mah Asombang (0000-0002-7455-4255, Centre for Infectious Disease Research in Zambia, corresponding author), Anna Helova (0000-0002-2177-756X, University of Alabama at Birmingham), Jenala Chipungu (0000-0002-3152-2771, Centre for Infectious Disease Research in Zambia), Anjali Sharma (0000-0001-6297-3113, Centre for Infectious Disease Research in Zambia), Gilles Wandeler (0000-0002-5278-8763, University of Bern), Jeremy C Kane (0000-0002-6598-3840, Columbia University), Janet M Turan (0000-0002-7802-6206, University of Alabama at Birmingham), Helen Smith (0000-0003-2212-2781), Michael J Vinikoor (0000-0002-3862-7795, Centre for Infectious Disease Research in Zambia), for IeDEA Southern Africa |
| Editors | Roopa Shivashankar (0000-0002-4361-9423) |
| Year | 2022 |
| Volume | 2 |
| Issue | 5 |
| Pages | e0000240 |
| Publication date | 2022-05-25 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | PLOS Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2767-3375 • E-ISSN: 2767-3375 |
| Publisher | Public Library of Science (PLoS) (PUBLISHER) |
| DOI | 10.1371/journal.pgph.0000240 |
| PMID | 36962202 |
| OpenAlex | W4281489881 |
| Language | EN |
| Citations received | 3 |
| References cited | 21 |
Data from sub-Saharan Africa on the impact of alcohol on the HIV epidemic in sub-Saharan Africa is limited. In this region, it is not well understood how people with HIV (PLWHA) respond to alcohol reduction counseling while they are linked to HIV clinical care. We conducted an explanatory sequential mixed-methods study to understand patterns of alcohol use among adults (18+ years) within a prospective HIV cohort at two urban public-sector clinics in Zambia. At antiretroviral therapy (ART) start and one year later, we measured alcohol use with Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) and those reporting any alcohol use were provided brief counseling. We conducted focus groups at 1 year with participants who had any alcohol use and 20 in-depth interviews among the subgroup with unhealthy use pre-ART and who either reduced or did not reduce their use by 1 year to moderate levels or abstinence. Focus group Discussions (FGDs) (n = 2) were also held with HIV clinic staff. Qualitative data were analyzed using thematic analysis. The data obtained from 693 participants was analyzed (median age 34 years, 45% men), it revealed that unhealthy alcohol use (AUDIT-C >3 for men; >2 for women) was reported among 280 (40.4%) at baseline and 205 (29.6%) at 1 year on ART. Reduction from unhealthy to moderate use or abstinence was more common with older age, female, non-smoking, and at Clinic B (all P
Abstinence · Alcohol · Alcohol use disorder · Alcohol Use Disorders Identification Test · Audit · Cohort · Environmental health · Family medicine · Focus group · Injury prevention · Poison control · Psychiatry · Public health · Qualitative research · Thematic analysis · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Homelessness and Social Issues · Medicine · Nursing · Internal Medicine
Alcohol Use and Human Immunodeficiency Virus (HIV) Infection
Audit‐C as a Brief Screen for Alcohol Misuse in Primary Care
The Audit Alcohol Consumption Questions (Audit-C) An Effective Brief Screening Test for Problem Drinking
Qualitative Study of Changes in Alcohol Use Among HIV-Infected Adults Entering Care and Treatment for HIV/Aids in Rural Southwest Uganda
Understanding the dynamic interactions driving Zambian health centre performance
Using thematic analysis in psychology
Thematic networks
| Unique citing works | 3 |
|---|---|
| Citations per year | 1,5 |
| Citation span | 2024 - 2026 (3) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 2 |