Alcohol use and its association with HIV risk behaviors among a cohort of patients attending HIV clinical care in Tanzania, Kenya, and Namibia
Bibliographic Data
This article describes the frequency of alcohol use among HIV-positive patients attending clinical care in sub-Saharan Africa and explores the association between alcohol use, medication adherence, and sexual risk behavior. Data from 3538 patients attending an HIV clinic in Kenya, Tanzania, or Namibia were captured through interview and medical record abstraction. Participants were categorized into three drinking categories: nondrinkers, nonharmful drinkers, and harmful/likely dependent drinkers. A proportional odds model was used to identify correlates associated with categories of alcohol use. Overall, 20% of participants reported alcohol use in the past 6 months; 15% were categorized as nonharmful drinkers and 5% as harmful/likely dependent drinkers. Participants who reported missing a dose of their HIV medications [adjusted odds ratio (AOR): 2.04, 95% confidence interval (CI): 1.67, 2.49]; inconsistent condom use (AOR: 1.49, 95% CI: 1.23, 1.79); exchanging sex for food, money, gifts, or a place to stay (AOR: 1.57, 95% CI: 1.06, 2.32); and having a sexually transmitted infection symptom (AOR: 1.40, 95% CI: 1.10, 1.77) were more likely to be categorized in the higher risk drinking categories. This research highlights the need to integrate alcohol screening and counseling into the adherence and risk reduction counseling offered to HIV-positive patients as part of their routine care. Moreover, given the numerous intersections between alcohol and HIV, policies that focus on reducing alcohol consumption and alcohol-related risk behavior should be integrated into HIV prevention, care, and treatment strategies
Cohort · Cohort study · Condom · Confidence interval · Environmental health · Family medicine · Logistic regression · Odds · Odds ratio · Syphilis · Tanzania · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Sex work and related issues · Internal Medicine
Correlates of Alcohol Use and Hazardous Alcohol Consumption Among Adults Living with HIV in Tanzania
Determinants of adherence to antiretroviral therapy among HIV-positive adults in sub-Saharan Africa
The Impact of Alcohol Use and Related Disorders on the HIV Continuum of Care: a Systematic Review
Influence of alcohol-serving venue characteristics on yield of HIV status-neutral screening in rural East Africa
HIV and alcohol knowledge, self-perceived risk for HIV, and risky sexual behavior among young HIV-negative men identified as harmful or hazardous drinkers in Katutura, Namibia
Sexual behaviour of women in rural South Africa
Pepfar support of alcohol–HIV prevention activities in Namibia and Botswana
Community perspectives of second-generation alcohol misuse and HIV risk in rural Kenya
Introduction of an Alcohol-Related Electronic Screening and Brief Intervention (eSBI) Program to Reduce Hazardous Alcohol Consumption in Namibia’s Antiretroviral Treatment (ART) Program
Gender Differences and Psychosocial Factors Associated with Problem Drinking Among Adults Enrolling in HIV Care in Tanzania
Associations with Unprotected Sexual Behavior Among HIV-Infected Drinkers in Western Kenya
A mixed-methods comparison of gender differences in alcohol consumption and drinking characteristics among patients in Moshi, Tanzania
Epidemiology of alcohol use and alcohol use disorders among people living with HIV on antiretroviral therapy in Northwest Tanzania
Prevalence and factors associated with alcohol drinking among HIV and tuberculosis co-infected patients in Dar es Salaam, Tanzania
Sub-optimal adherence to combination anti-retroviral therapy and its associated factors according to self-report, clinician-recorded and pharmacy-refill assessment methods among HIV-infected adults in Addis Ababa
Hazardous alcohol use is associated with sexual behaviors that increase risk for HIV acquisition among fishermen in a high HIV prevalence area of Kenya
Common Mental Disorders among HIV-Infected Individuals in South Africa
A Temporal and Dose‐Response Association Between Alcohol Consumption and Medication Adherence Among Veterans in Care
Depression, Alcohol Use and Adherence to Antiretroviral Therapy in Sub-Saharan Africa
The Association Between HIV Infection and Alcohol Use
Alcohol as a Correlate of Unprotected Sexual Behavior Among People Living with HIV/Aids
Hazardous Alcohol Use
Alcohol Use Accelerates HIV Disease Progression
Alcohol Use and Sexual Risks for HIV/Aids in Sub-Saharan Africa
Alcohol Use and Antiretroviral Adherence
Prevention of HIV-1 Infection with Early Antiretroviral Therapy
Longitudinal association of alcohol use with HIV disease progression and psychological health of women with HIV
Estimating the impact of alcohol consumption on survival for HIV+ individuals
Perceptions of alcohol risk among individuals living with HIV
Use of Audit, and measures of drinking frequency and patterns to detect associations between alcohol and sexual behaviour in male sex workers in Kenya
Alcohol Use, Depressive Symptoms and the Receipt of Antiretroviral Therapy in Southwest Uganda
Biomarker Testing to Estimate Under-Reported Heavy Alcohol Consumption by Persons with HIV Initiating ART in Uganda
Alcohol Consumption is Associated with Poor Health in HIV Clinic Patient Population
| Citations per year | 1.45 |
|---|---|
| Citation span | 2015 - 2026 (12) |
| Highly cited | No |