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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Alcohol consumption among HIV-positive pregnant women in KwaZulu-Natal, South Africa: prevalence and correlates</title><author><name sortKey="Desmond, Katherine" sort="Desmond, Katherine" uniqKey="Desmond K" first="Katherine" last="Desmond">Katherine Desmond</name><affiliation><nlm:aff id="A1">Center for Community Health, University of California at Los Angeles, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA, 90024 USA</nlm:aff></affiliation></author><author><name sortKey="Milburn, Norweeta" sort="Milburn, Norweeta" uniqKey="Milburn N" first="Norweeta" last="Milburn">Norweeta Milburn</name><affiliation><nlm:aff id="A1">Center for Community Health, University of California at Los Angeles, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA, 90024 USA</nlm:aff></affiliation></author><author><name sortKey="Richter, Linda" sort="Richter, Linda" uniqKey="Richter L" first="Linda" last="Richter">Linda Richter</name><affiliation><nlm:aff id="A2">Human Sciences Research Council, Durban, Private Bag X07, Dalbridge 4014, South Africa</nlm:aff></affiliation></author><author><name sortKey="Tomlinson, Mark" sort="Tomlinson, Mark" uniqKey="Tomlinson M" first="Mark" last="Tomlinson">Mark Tomlinson</name><affiliation><nlm:aff id="A3">Department of Psychology, Stellenbosch University, Private Bag X1, Matieland, 7602 South Africa</nlm:aff></affiliation></author><author><name sortKey="Greco, Erin" sort="Greco, Erin" uniqKey="Greco E" first="Erin" last="Greco">Erin Greco</name><affiliation><nlm:aff id="A1">Center for Community Health, University of California at Los Angeles, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA, 90024 USA</nlm:aff></affiliation></author><author><name sortKey="Van Heerden, Alastair" sort="Van Heerden, Alastair" uniqKey="Van Heerden A" first="Alastair" last="Van Heerden">Alastair Van Heerden</name><affiliation><nlm:aff id="A2">Human Sciences Research Council, Durban, Private Bag X07, Dalbridge 4014, South Africa</nlm:aff></affiliation></author><author><name sortKey="Van Rooyen, Heidi" sort="Van Rooyen, Heidi" uniqKey="Van Rooyen H" first="Heidi" last="Van Rooyen">Heidi Van Rooyen</name><affiliation><nlm:aff id="A2">Human Sciences Research Council, Durban, Private Bag X07, Dalbridge 4014, South Africa</nlm:aff></affiliation></author><author><name sortKey="Comulada, W Scott" sort="Comulada, W Scott" uniqKey="Comulada W" first="W. Scott" last="Comulada">W. Scott Comulada</name><affiliation><nlm:aff id="A1">Center for Community Health, University of California at Los Angeles, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA, 90024 USA</nlm:aff></affiliation></author><author><name sortKey="Rotheram Borus, Mary Jane" sort="Rotheram Borus, Mary Jane" uniqKey="Rotheram Borus M" first="Mary Jane" last="Rotheram-Borus">Mary Jane Rotheram-Borus</name><affiliation><nlm:aff id="A1">Center for Community Health, University of California at Los Angeles, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA, 90024 USA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21820252</idno><idno type="pmc">3223298</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3223298</idno><idno type="RBID">PMC:3223298</idno><idno type="doi">10.1016/j.drugalcdep.2011.07.004</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">001183</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001183</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Alcohol consumption among HIV-positive pregnant women in KwaZulu-Natal, South Africa: prevalence and correlates</title><author><name sortKey="Desmond, Katherine" sort="Desmond, Katherine" uniqKey="Desmond K" first="Katherine" last="Desmond">Katherine Desmond</name><affiliation><nlm:aff id="A1">Center for Community Health, University of California at Los Angeles, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA, 90024 USA</nlm:aff></affiliation></author><author><name sortKey="Milburn, Norweeta" sort="Milburn, Norweeta" uniqKey="Milburn N" first="Norweeta" last="Milburn">Norweeta Milburn</name><affiliation><nlm:aff id="A1">Center for Community Health, University of California at Los Angeles, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA, 90024 USA</nlm:aff></affiliation></author><author><name sortKey="Richter, Linda" sort="Richter, Linda" uniqKey="Richter L" first="Linda" last="Richter">Linda Richter</name><affiliation><nlm:aff id="A2">Human Sciences Research Council, Durban, Private Bag X07, Dalbridge 4014, South Africa</nlm:aff></affiliation></author><author><name sortKey="Tomlinson, Mark" sort="Tomlinson, Mark" uniqKey="Tomlinson M" first="Mark" last="Tomlinson">Mark Tomlinson</name><affiliation><nlm:aff id="A3">Department of Psychology, Stellenbosch University, Private Bag X1, Matieland, 7602 South Africa</nlm:aff></affiliation></author><author><name sortKey="Greco, Erin" sort="Greco, Erin" uniqKey="Greco E" first="Erin" last="Greco">Erin Greco</name><affiliation><nlm:aff id="A1">Center for Community Health, University of California at Los Angeles, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA, 90024 USA</nlm:aff></affiliation></author><author><name sortKey="Van Heerden, Alastair" sort="Van Heerden, Alastair" uniqKey="Van Heerden A" first="Alastair" last="Van Heerden">Alastair Van Heerden</name><affiliation><nlm:aff id="A2">Human Sciences Research Council, Durban, Private Bag X07, Dalbridge 4014, South Africa</nlm:aff></affiliation></author><author><name sortKey="Van Rooyen, Heidi" sort="Van Rooyen, Heidi" uniqKey="Van Rooyen H" first="Heidi" last="Van Rooyen">Heidi Van Rooyen</name><affiliation><nlm:aff id="A2">Human Sciences Research Council, Durban, Private Bag X07, Dalbridge 4014, South Africa</nlm:aff></affiliation></author><author><name sortKey="Comulada, W Scott" sort="Comulada, W Scott" uniqKey="Comulada W" first="W. Scott" last="Comulada">W. Scott Comulada</name><affiliation><nlm:aff id="A1">Center for Community Health, University of California at Los Angeles, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA, 90024 USA</nlm:aff></affiliation></author><author><name sortKey="Rotheram Borus, Mary Jane" sort="Rotheram Borus, Mary Jane" uniqKey="Rotheram Borus M" first="Mary Jane" last="Rotheram-Borus">Mary Jane Rotheram-Borus</name><affiliation><nlm:aff id="A1">Center for Community Health, University of California at Los Angeles, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA, 90024 USA</nlm:aff></affiliation></author></analytic><series><title level="j">Drug and alcohol dependence</title><idno type="ISSN">0376-8716</idno><idno type="eISSN">1879-0046</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">HIV-positive pregnant women who drink put their children at risk of both HIV and fetal alcohol spectrum disorders. The province of KwaZulu-Natal (KZN) has the highest prevalence of HIV in South Africa, but has not before been considered an area of high alcohol consumption among women. This paper analyzes a large sample of HIV+ pregnant women in KZN to examine alcohol consumption in that population.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">Data came from assessments of women enrolled in Prevention of Mother-To-Child Transmission programs at 8 clinics in KZN. Descriptive statistics and logistic regressions were used to examine the prevalence and correlates of alcohol consumption and binge drinking.</p></sec><sec id="S3"><title>Results</title><p id="P3">Of 1201 women assessed, 18% reported drinking during pregnancy, and 67% of drinkers usually binged when drinking (had 3+ drinks in one sitting). Over one-third of drinkers binged twice a month or more. Women living in urban and peri-urban locations were more likely to drink, as were those with indicators of higher economic status and greater social engagement. Married women were less likely to drink, while women who had poorer mental health, used tobacco, or had a greater history of sexual risk-taking were more likely to drink.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Health care workers in KZN should be aware that pregnant women who drink are likely to do so at a level that is dangerous for their babies. Some factors associated with drinking indicate social/environmental influences that need to be counteracted by greater dissemination of information about the dangers of drinking, and greater support for abstinence or moderation.</p></sec></div></front></TEI><pmc article-type="research-article" xml:lang="en"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">7513587</journal-id><journal-id journal-id-type="pubmed-jr-id">3445</journal-id><journal-id journal-id-type="nlm-ta">Drug Alcohol Depend</journal-id><journal-title-group><journal-title>Drug and alcohol dependence</journal-title></journal-title-group><issn pub-type="ppub">0376-8716</issn><issn pub-type="epub">1879-0046</issn></journal-meta><article-meta><article-id pub-id-type="pmid">21820252</article-id><article-id pub-id-type="pmc">3223298</article-id><article-id pub-id-type="doi">10.1016/j.drugalcdep.2011.07.004</article-id><article-id pub-id-type="manuscript">NIHMS317504</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Alcohol consumption among HIV-positive pregnant women in KwaZulu-Natal, South Africa: prevalence and correlates</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Desmond</surname><given-names>Katherine</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Milburn</surname><given-names>Norweeta</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Richter</surname><given-names>Linda</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Tomlinson</surname><given-names>Mark</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Greco</surname><given-names>Erin</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>van Heerden</surname><given-names>Alastair</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>van Rooyen</surname><given-names>Heidi</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Comulada</surname><given-names>W. Scott</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Rotheram-Borus</surname><given-names>Mary Jane</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>Center for Community Health, University of California at Los Angeles, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA, 90024 USA</aff><aff id="A2"><label>2</label>Human Sciences Research Council, Durban, Private Bag X07, Dalbridge 4014, South Africa</aff><aff id="A3"><label>3</label>Department of Psychology, Stellenbosch University, Private Bag X1, Matieland, 7602 South Africa</aff><author-notes><corresp id="cor1">Corresponding author: Mary Jane Rotheram-Borus, 10920 Wilshire Boulevard, Suite 350, University of California at Los Angeles, Los Angeles, CA 90024-6543, <email>cchpublications@mednet.ucla.edu</email>, Phone: 310-794-8280, Fax: 310-794-8297</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>11</day><month>8</month><year>2011</year></pub-date><pub-date pub-type="epub"><day>4</day><month>8</month><year>2011</year></pub-date><pub-date pub-type="ppub"><day>1</day><month>1</month><year>2012</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>1</month><year>2013</year></pub-date><volume>120</volume><issue>1-3</issue><fpage>113</fpage><lpage>118</lpage><permissions><copyright-statement>© 2011 Elsevier Ireland Ltd. All rights reserved.</copyright-statement><copyright-year>2011</copyright-year></permissions><abstract><sec id="S1"><title>Background</title><p id="P1">HIV-positive pregnant women who drink put their children at risk of both HIV and fetal alcohol spectrum disorders. The province of KwaZulu-Natal (KZN) has the highest prevalence of HIV in South Africa, but has not before been considered an area of high alcohol consumption among women. This paper analyzes a large sample of HIV+ pregnant women in KZN to examine alcohol consumption in that population.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">Data came from assessments of women enrolled in Prevention of Mother-To-Child Transmission programs at 8 clinics in KZN. Descriptive statistics and logistic regressions were used to examine the prevalence and correlates of alcohol consumption and binge drinking.</p></sec><sec id="S3"><title>Results</title><p id="P3">Of 1201 women assessed, 18% reported drinking during pregnancy, and 67% of drinkers usually binged when drinking (had 3+ drinks in one sitting). Over one-third of drinkers binged twice a month or more. Women living in urban and peri-urban locations were more likely to drink, as were those with indicators of higher economic status and greater social engagement. Married women were less likely to drink, while women who had poorer mental health, used tobacco, or had a greater history of sexual risk-taking were more likely to drink.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Health care workers in KZN should be aware that pregnant women who drink are likely to do so at a level that is dangerous for their babies. Some factors associated with drinking indicate social/environmental influences that need to be counteracted by greater dissemination of information about the dangers of drinking, and greater support for abstinence or moderation.</p></sec></abstract><kwd-group><kwd>Alcohol</kwd><kwd>HIV</kwd><kwd>pregnancy</kwd><kwd>South Africa</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source><award-id>R01 MH077553-01A1 || MH</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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