Prevalence and Correlates of Alcohol Dependence Disorder among TB and HIV Infected Patients in Zambia
Identifieur interne : 002A53 ( Pmc/Curation ); précédent : 002A52; suivant : 002A54Prevalence and Correlates of Alcohol Dependence Disorder among TB and HIV Infected Patients in Zambia
Auteurs : Rebecca O Onnell [Royaume-Uni] ; Nathaniel Chishinga [Royaume-Uni, Zambie] ; Eugene Kinyanda [Ouganda] ; Vikram Patel [Royaume-Uni] ; Helen Ayles [Royaume-Uni, Zambie] ; Helen A. Weiss [Royaume-Uni] ; Soraya Seedat [Afrique du Sud]Source :
- PLoS ONE [ 1932-6203 ] ; 2013.
Abstract
To determine the prevalence and correlates of alcohol dependence disorders in persons receiving treatment for HIV and Tuberculosis (TB) at 16 Primary Health Care centres (PHC) across Zambia.
649 adult patients receiving treatment for HIV and/or TB at PHCs in Zambia (363 males, 286 females) were recruited between 1st December 2009 and 31st January 2010. Data on socio-demographic variables, clinical disease features (TB and HIV), and psychopathological status were collected. The Mini International Neuropsychiatric Interview (MINI) was used to diagnose alcohol dependence disorder. Correlates of alcohol dependence were analyzed for men only, due to low prevalence in women. Univariable and multivariable logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (CI), using general estimating equations to allow for within-PHC clustering.
The prevalence of alcohol dependence was 27.2% (95%CI: 17.7-39.5%) for men and 3.9% (95%CI: 1.4-0.1%) for women. Factors associated with alcohol dependence disorder in men included being single, divorced or widowed compared with married (adjusted OR = 1.47, 95%CI: 1.00-2.14) and being unemployed (adjusted OR=1.30, 95%CI: 1.01-1.67). The highest prevalence of alcohol dependence was among HIV-test unknown TB patients (34.7%), and lowest was among HIV positive patients on treatment but without TB (14.1%), although the difference was not statistically significant (p=0.38).
Male TB/HIV patients in this population have high prevalence of alcohol dependence disorder, and prevalence differs by HIV/TB status. Further work is needed to explore interventions to reduce harmful drinking in this population.
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DOI: 10.1371/journal.pone.0074406
PubMed: 24069309
PubMed Central: 3775777
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Weiss</name><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>MRC Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>MRC Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London</wicri:regionArea></affiliation></author><author><name sortKey="Seedat, Soraya" sort="Seedat, Soraya" uniqKey="Seedat S" first="Soraya" last="Seedat">Soraya Seedat</name><affiliation wicri:level="1"><nlm:aff id="aff6"><addr-line>South African Research Chairs Program & MRC Stress and Anxiety Disorders Unit, Stellenbosch University, Tygerberg, Western Cape, South Africa.</addr-line></nlm:aff><country xml:lang="fr" wicri:curation="lc">Afrique du Sud</country><wicri:regionArea>South African Research Chairs Program & MRC Stress and Anxiety Disorders Unit, Stellenbosch University, Tygerberg, Western Cape</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff7"><addr-line>Department of Psychiatry, Stellenbosch University, Tygerberg, Western Cape, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Psychiatry, Stellenbosch University, Tygerberg, Western Cape</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24069309</idno><idno type="pmc">3775777</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3775777</idno><idno type="RBID">PMC:3775777</idno><idno type="doi">10.1371/journal.pone.0074406</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">002A54</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002A54</idno><idno type="wicri:Area/Pmc/Curation">002A53</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002A53</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Prevalence and Correlates of Alcohol Dependence Disorder among TB and HIV Infected Patients in Zambia</title><author><name sortKey="O Onnell, Rebecca" sort="O Onnell, Rebecca" uniqKey="O Onnell R" first="Rebecca" last="O Onnell">Rebecca O Onnell</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Clinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Clinical Research Department, London School of Hygiene & Tropical Medicine, London</wicri:regionArea></affiliation></author><author><name sortKey="Chishinga, Nathaniel" sort="Chishinga, Nathaniel" uniqKey="Chishinga N" first="Nathaniel" last="Chishinga">Nathaniel Chishinga</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Clinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Clinical Research Department, London School of Hygiene & Tropical Medicine, London</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Zambian Aids Related Tuberculosis Project (ZAMBART), School of Medicine, Ridgeway Campus, Lusaka, Zambia</addr-line></nlm:aff><country xml:lang="fr">Zambie</country><wicri:regionArea>Zambian Aids Related Tuberculosis Project (ZAMBART), School of Medicine, Ridgeway Campus, Lusaka</wicri:regionArea></affiliation></author><author><name sortKey="Kinyanda, Eugene" sort="Kinyanda, Eugene" uniqKey="Kinyanda E" first="Eugene" last="Kinyanda">Eugene Kinyanda</name><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>Medical Research Council/Uganda Virus Research Institute, Unit on AIDS, Entebbe, Uganda</addr-line></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Medical Research Council/Uganda Virus Research Institute, Unit on AIDS, Entebbe</wicri:regionArea></affiliation></author><author><name sortKey="Patel, Vikram" sort="Patel, Vikram" uniqKey="Patel V" first="Vikram" last="Patel">Vikram Patel</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Department of Nutrition and Public Health Interventions Research, London School of Hygiene & Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Nutrition and Public Health Interventions Research, London School of Hygiene & Tropical Medicine, London</wicri:regionArea></affiliation></author><author><name sortKey="Ayles, Helen" sort="Ayles, Helen" uniqKey="Ayles H" first="Helen" last="Ayles">Helen Ayles</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Clinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Clinical Research Department, London School of Hygiene & Tropical Medicine, London</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Zambian Aids Related Tuberculosis Project (ZAMBART), School of Medicine, Ridgeway Campus, Lusaka, Zambia</addr-line></nlm:aff><country xml:lang="fr">Zambie</country><wicri:regionArea>Zambian Aids Related Tuberculosis Project (ZAMBART), School of Medicine, Ridgeway Campus, Lusaka</wicri:regionArea></affiliation></author><author><name sortKey="Weiss, Helen A" sort="Weiss, Helen A" uniqKey="Weiss H" first="Helen A." last="Weiss">Helen A. Weiss</name><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>MRC Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>MRC Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London</wicri:regionArea></affiliation></author><author><name sortKey="Seedat, Soraya" sort="Seedat, Soraya" uniqKey="Seedat S" first="Soraya" last="Seedat">Soraya Seedat</name><affiliation wicri:level="1"><nlm:aff id="aff6"><addr-line>South African Research Chairs Program & MRC Stress and Anxiety Disorders Unit, Stellenbosch University, Tygerberg, Western Cape, South Africa.</addr-line></nlm:aff><country xml:lang="fr" wicri:curation="lc">Afrique du Sud</country><wicri:regionArea>South African Research Chairs Program & MRC Stress and Anxiety Disorders Unit, Stellenbosch University, Tygerberg, Western Cape</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff7"><addr-line>Department of Psychiatry, Stellenbosch University, Tygerberg, Western Cape, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Psychiatry, Stellenbosch University, Tygerberg, Western Cape</wicri:regionArea></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec sec-type="headed"><title>Objectives</title><p>To determine the prevalence and correlates of alcohol dependence disorders in persons receiving treatment for HIV and Tuberculosis (TB) at 16 Primary Health Care centres (PHC) across Zambia.</p></sec><sec sec-type="headed"><title>Methods</title><p>649 adult patients receiving treatment for HIV and/or TB at PHCs in Zambia (363 males, 286 females) were recruited between 1st December 2009 and 31st January 2010. Data on socio-demographic variables, clinical disease features (TB and HIV), and psychopathological status were collected. The Mini International Neuropsychiatric Interview (MINI) was used to diagnose alcohol dependence disorder. Correlates of alcohol dependence were analyzed for men only, due to low prevalence in women. Univariable and multivariable logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (CI), using general estimating equations to allow for within-PHC clustering.</p></sec><sec sec-type="headed"><title>Results</title><p>The prevalence of alcohol dependence was 27.2% (95%CI: 17.7-39.5%) for men and 3.9% (95%CI: 1.4-0.1%) for women. Factors associated with alcohol dependence disorder in men included being single, divorced or widowed compared with married (adjusted OR = 1.47, 95%CI: 1.00-2.14) and being unemployed (adjusted OR=1.30, 95%CI: 1.01-1.67). The highest prevalence of alcohol dependence was among HIV-test unknown TB patients (34.7%), and lowest was among HIV positive patients on treatment but without TB (14.1%), although the difference was not statistically significant (p=0.38).</p></sec><sec sec-type="headed"><title>Conclusions</title><p>Male TB/HIV patients in this population have high prevalence of alcohol dependence disorder, and prevalence differs by HIV/TB status. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS One</journal-id><journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id><journal-id journal-id-type="publisher-id">plos</journal-id><journal-id journal-id-type="pmc">plosone</journal-id><journal-title-group><journal-title>PLoS ONE</journal-title></journal-title-group><issn pub-type="epub">1932-6203</issn><publisher><publisher-name>Public Library of Science</publisher-name><publisher-loc>San Francisco, USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24069309</article-id><article-id pub-id-type="pmc">3775777</article-id><article-id pub-id-type="publisher-id">PONE-D-13-12212</article-id><article-id pub-id-type="doi">10.1371/journal.pone.0074406</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Prevalence and Correlates of Alcohol Dependence Disorder among TB and HIV Infected Patients in Zambia</article-title><alt-title alt-title-type="running-head">HIV, TB and Alcohol Dependence in Zambia</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>O’Connell</surname><given-names>Rebecca</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Chishinga</surname><given-names>Nathaniel</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Kinyanda</surname><given-names>Eugene</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Patel</surname><given-names>Vikram</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Ayles</surname><given-names>Helen</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Weiss</surname><given-names>Helen A.</given-names></name><xref ref-type="aff" rid="aff5"><sup>5</sup></xref></contrib><contrib contrib-type="author"><name><surname>Seedat</surname><given-names>Soraya</given-names></name><xref ref-type="aff" rid="aff6"><sup>6</sup></xref><xref ref-type="aff" rid="aff7"><sup>7</sup></xref></contrib></contrib-group><aff id="aff1"><label>1</label><addr-line>Clinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom</addr-line></aff><aff id="aff2"><label>2</label><addr-line>Zambian Aids Related Tuberculosis Project (ZAMBART), School of Medicine, Ridgeway Campus, Lusaka, Zambia</addr-line></aff><aff id="aff3"><label>3</label><addr-line>Department of Nutrition and Public Health Interventions Research, London School of Hygiene & Tropical Medicine, London, United Kingdom</addr-line></aff><aff id="aff4"><label>4</label><addr-line>Medical Research Council/Uganda Virus Research Institute, Unit on AIDS, Entebbe, Uganda</addr-line></aff><aff id="aff5"><label>5</label><addr-line>MRC Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, United Kingdom</addr-line></aff><aff id="aff6"><label>6</label><addr-line>South African Research Chairs Program & MRC Stress and Anxiety Disorders Unit, Stellenbosch University, Tygerberg, Western Cape, South Africa.</addr-line></aff><aff id="aff7"><label>7</label><addr-line>Department of Psychiatry, Stellenbosch University, Tygerberg, Western Cape, South Africa</addr-line></aff><contrib-group><contrib contrib-type="editor"><name><surname>Sued</surname><given-names>Omar</given-names></name><role>Editor</role><xref ref-type="aff" rid="edit1"></xref></contrib></contrib-group><aff id="edit1"><addr-line>Fundacion Huesped, Argentina</addr-line></aff><author-notes><corresp id="cor1">* E-mail: <email>rebecca.oconnell@bartshealth.nhs.uk</email></corresp><fn fn-type="conflict"><p><bold>Competing Interests: </bold>The authors have declared that no competing interests exist.</p></fn><fn fn-type="con"><p>Conceived and designed the experiments: NC HA EK. Performed the experiments: NC. Analyzed the data: ROC HW NC. Contributed reagents/materials/analysis tools: ROC HW SS NC. Wrote the manuscript: ROC. Gave direction: VP. Reviewed and contributed to the manuscript: NC HW SS. </p></fn></author-notes><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>17</day><month>9</month><year>2013</year></pub-date><volume>8</volume><issue>9</issue><elocation-id>e74406</elocation-id><history><date date-type="received"><day>23</day><month>3</month><year>2013</year></date><date date-type="accepted"><day>31</day><month>7</month><year>2013</year></date></history><permissions><copyright-year>2013</copyright-year><copyright-holder>O'Connell et al</copyright-holder><license><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p></license></permissions><abstract><sec sec-type="headed"><title>Objectives</title><p>To determine the prevalence and correlates of alcohol dependence disorders in persons receiving treatment for HIV and Tuberculosis (TB) at 16 Primary Health Care centres (PHC) across Zambia.</p></sec><sec sec-type="headed"><title>Methods</title><p>649 adult patients receiving treatment for HIV and/or TB at PHCs in Zambia (363 males, 286 females) were recruited between 1st December 2009 and 31st January 2010. Data on socio-demographic variables, clinical disease features (TB and HIV), and psychopathological status were collected. The Mini International Neuropsychiatric Interview (MINI) was used to diagnose alcohol dependence disorder. Correlates of alcohol dependence were analyzed for men only, due to low prevalence in women. Univariable and multivariable logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (CI), using general estimating equations to allow for within-PHC clustering.</p></sec><sec sec-type="headed"><title>Results</title><p>The prevalence of alcohol dependence was 27.2% (95%CI: 17.7-39.5%) for men and 3.9% (95%CI: 1.4-0.1%) for women. Factors associated with alcohol dependence disorder in men included being single, divorced or widowed compared with married (adjusted OR = 1.47, 95%CI: 1.00-2.14) and being unemployed (adjusted OR=1.30, 95%CI: 1.01-1.67). The highest prevalence of alcohol dependence was among HIV-test unknown TB patients (34.7%), and lowest was among HIV positive patients on treatment but without TB (14.1%), although the difference was not statistically significant (p=0.38).</p></sec><sec sec-type="headed"><title>Conclusions</title><p>Male TB/HIV patients in this population have high prevalence of alcohol dependence disorder, and prevalence differs by HIV/TB status. Further work is needed to explore interventions to reduce harmful drinking in this population.</p></sec></abstract><funding-group><funding-statement>This project was funded by the Evidence for Action on HIV treatment and care systems (EfA) research consortium. EfA is funded by the UK Department for International Development (DFID), for the benefit of developing countries. The views expressed are not necessarily those of DFID. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</funding-statement></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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