Alcohol-related intentional nonadherence to antiretroviral therapy among people living with HIV, Cape Town, South Africa
Bibliographic Data
| ID | 19438800 |
|---|---|
| Authors | Seth Kalichman (University of Connecticut), Seth C Kalichman (0000-0002-0912-5112, University of Connecticut, corresponding author), Catherine Mathews (0000-0001-5368-1127, Health Systems Research Unit, Medical Research Council, Cape Town, South Africa), Ellen Banas (University of Connecticut), Moira O Kalichman (0000-0003-4495-4140, University of Connecticut), Moira Kalichman (University of Connecticut) |
| Year | 2019 |
| Volume | 31 |
| Issue | 8 |
| Pages | 951-957 |
| Publication date | 2019-08-03 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2019.1587357 |
| PMID | 30884956 |
| OpenAlex | W2925122129 |
| Language | EN |
| Citations received | 10 |
| References cited | 38 |
Alcohol use may have significant negative impacts on individuals’ ability to remain adherent to antiretroviral therapy (ART), and may also yield other negative psychosocial, health-related, and behavioral outcomes. In addition, false beliefs about the consequences of mixing alcohol with ART use may cause individuals to avoid taking ART when drinking (alcohol-related ART avoidance). Although research conducted in the U.S. and Europe has reported on alcohol-ART avoidance, the current study presents among the first quantitative evidence of alcohol-related intentional ART nonadherence in South Africa. Patients receiving ART from a community clinic in Cape Town (N = 441) completed anonymous surveys of alcohol use, ART adherence, and alcohol-ART avoidance. Results showed that 292 (66%) participants reported current alcohol use; 25% who use alcohol believed that people who drink should stop taking ART when they are drinking and 24% stop their own ART when drinking. Alcohol-ART avoidance mediated the association between alcohol use and ART adherence. Results were robust when controlling for participant age, gender, current care status, and first- versus second-line ART. We found alcohol-ART avoidance may threaten successful ART in South Africa. Corrective messages that take a harm reduction approach to maximize ART adherence when drinking should be implemented in existing clinical services
Alcohol · Antiretroviral therapy · Art Therapy · Family medicine · Harm · Harm reduction · Psychiatry · Psychological intervention · Psychosocial · Viral load · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Social Psychology
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| Citations per year | 1.67 |
|---|---|
| Citation span | 2020 - 2025 (6) |
| Highly cited | No |