Factors Associated with Problem Drinking among Women Employed in Food and Recreational Facilities in Northern Tanzania
Identifieur interne : 002841 ( Main/Curation ); précédent : 002840; suivant : 002842Factors Associated with Problem Drinking among Women Employed in Food and Recreational Facilities in Northern Tanzania
Auteurs : Aika S. Mongi [Tanzanie] ; Kathy Baisley [Royaume-Uni] ; Trong Thanh-Hoang Ao [Tanzanie, Royaume-Uni] ; Joseph Chilongani [Tanzanie] ; Aura Aguirre-Andreasen [Royaume-Uni] ; Suzanna C. Francis [Tanzanie, Royaume-Uni] ; John Shao [Tanzanie] ; Richard Hayes [Royaume-Uni] ; Saidi Kapiga [Tanzanie, Royaume-Uni]Source :
- PLoS ONE [ 1932-6203 ] ; 2013.
Abstract
There is growing evidence that alcohol consumption is associated with increased risk of HIV infection. To determine factors associated with problem drinking, we analyzed data collected in two prospective cohorts of at-risk female food and recreational facility workers in northern Tanzania.
We enrolled HIV seronegative women aged 18–44 years and employed in the towns of Geita, Kahama, Moshi, and Shinyanga. At enrolment, women were interviewed to obtain information about alcohol use, using CAGE and AUDIT screening scales, and risk factors for HIV infection. Blood and genital samples were collected for detection of HIV and sexually transmitted infections (STIs). We characterized alcohol use, concordance, and agreement of the scales, and examined the associations between characteristics of participants and problem drinking as defined by both scales using logistic regression. Lastly, we assessed problem drinking as a risk factor for recent sexual behavior and prevalent STIs.
Among enrollees, 68% women reported ever drinking alcohol; of these 76% reported drinking alcohol in the past 12 months. The prevalence of problem drinking was 20% using CAGE and 13% using AUDIT. Overall concordance between the scales was 75.0% with a Kappa statistic of 0.58. After adjusting for age, independent factors associated with problem drinking, on both scales, were marital status, occupation, facility type, increasing number of lifetime sexual partners, and transactional sex in the past 12 months. In addition, women who were problem drinkers on either scale were more likely to report having ≥1 sexual partner (CAGE: aOR = 1.56, 95% confidence interval, CI: 1.10–2.23; AUDIT: aOR = 2.00, 95% CI: 1.34–3.00) and transactional sex (CAGE: aOR = 1.79, 95% CI: 1.26–2.56; AUDIT: aOR = 1.51, 95% CI: 1.04–2.18), in the past 3 months.
These findings suggest that interventions to reduce problem drinking in this population may reduce high-risk sexual behaviors and contribute in lowering the risk of HIV infection.
Url:
DOI: 10.1371/journal.pone.0084447
PubMed: 24391956
PubMed Central: 3877296
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Mongi</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Mwanza Intervention Trials Unit, Mwanza, Tanzania</addr-line></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Mwanza Intervention Trials Unit, Mwanza</wicri:regionArea><wicri:noRegion>Mwanza</wicri:noRegion></affiliation></author><author><name sortKey="Baisley, Kathy" sort="Baisley, Kathy" uniqKey="Baisley K" first="Kathy" last="Baisley">Kathy Baisley</name><affiliation wicri:level="3"><nlm:aff id="aff2"><addr-line>London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Ao, Trong Thanh Hoang" sort="Ao, Trong Thanh Hoang" uniqKey="Ao T" first="Trong Thanh-Hoang" last="Ao">Trong Thanh-Hoang Ao</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Mwanza Intervention Trials Unit, Mwanza, Tanzania</addr-line></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Mwanza Intervention Trials Unit, Mwanza</wicri:regionArea><wicri:noRegion>Mwanza</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="aff2"><addr-line>London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Chilongani, Joseph" sort="Chilongani, Joseph" uniqKey="Chilongani J" first="Joseph" last="Chilongani">Joseph Chilongani</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>National Institute for Medical Research, Mwanza, Tanzania</addr-line></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>National Institute for Medical Research, Mwanza</wicri:regionArea><wicri:noRegion>Mwanza</wicri:noRegion></affiliation></author><author><name sortKey="Aguirre Andreasen, Aura" sort="Aguirre Andreasen, Aura" uniqKey="Aguirre Andreasen A" first="Aura" last="Aguirre-Andreasen">Aura Aguirre-Andreasen</name><affiliation wicri:level="3"><nlm:aff id="aff2"><addr-line>London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Francis, Suzanna C" sort="Francis, Suzanna C" uniqKey="Francis S" first="Suzanna C." last="Francis">Suzanna C. Francis</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Mwanza Intervention Trials Unit, Mwanza, Tanzania</addr-line></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Mwanza Intervention Trials Unit, Mwanza</wicri:regionArea><wicri:noRegion>Mwanza</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="aff2"><addr-line>London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Shao, John" sort="Shao, John" uniqKey="Shao J" first="John" last="Shao">John Shao</name><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>Kilimanjaro Christian Medical Centre, Moshi, Tanzania</addr-line></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Kilimanjaro Christian Medical Centre, Moshi</wicri:regionArea><wicri:noRegion>Moshi</wicri:noRegion></affiliation></author><author><name sortKey="Hayes, Richard" sort="Hayes, Richard" uniqKey="Hayes R" first="Richard" last="Hayes">Richard Hayes</name><affiliation wicri:level="3"><nlm:aff id="aff2"><addr-line>London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Kapiga, Saidi" sort="Kapiga, Saidi" uniqKey="Kapiga S" first="Saidi" last="Kapiga">Saidi Kapiga</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Mwanza Intervention Trials Unit, Mwanza, Tanzania</addr-line></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Mwanza Intervention Trials Unit, Mwanza</wicri:regionArea><wicri:noRegion>Mwanza</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="aff2"><addr-line>London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></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><title>Background</title><p>There is growing evidence that alcohol consumption is associated with increased risk of HIV infection. To determine factors associated with problem drinking, we analyzed data collected in two prospective cohorts of at-risk female food and recreational facility workers in northern Tanzania.</p></sec><sec><title>Methods</title><p>We enrolled HIV seronegative women aged 18–44 years and employed in the towns of Geita, Kahama, Moshi, and Shinyanga. At enrolment, women were interviewed to obtain information about alcohol use, using CAGE and AUDIT screening scales, and risk factors for HIV infection. Blood and genital samples were collected for detection of HIV and sexually transmitted infections (STIs). We characterized alcohol use, concordance, and agreement of the scales, and examined the associations between characteristics of participants and problem drinking as defined by both scales using logistic regression. Lastly, we assessed problem drinking as a risk factor for recent sexual behavior and prevalent STIs.</p></sec><sec><title>Results</title><p>Among enrollees, 68% women reported ever drinking alcohol; of these 76% reported drinking alcohol in the past 12 months. The prevalence of problem drinking was 20% using CAGE and 13% using AUDIT. Overall concordance between the scales was 75.0% with a Kappa statistic of 0.58. After adjusting for age, independent factors associated with problem drinking, on both scales, were marital status, occupation, facility type, increasing number of lifetime sexual partners, and transactional sex in the past 12 months. In addition, women who were problem drinkers on either scale were more likely to report having ≥1 sexual partner (CAGE: aOR = 1.56, 95% confidence interval, CI: 1.10–2.23; AUDIT: aOR = 2.00, 95% CI: 1.34–3.00) and transactional sex (CAGE: aOR = 1.79, 95% CI: 1.26–2.56; AUDIT: aOR = 1.51, 95% CI: 1.04–2.18), in the past 3 months.</p></sec><sec><title>Conclusion</title><p>These findings suggest that interventions to reduce problem drinking in this population may reduce high-risk sexual behaviors and contribute in lowering the risk of HIV infection.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lim, Ss" uniqKey="Lim S">SS Lim</name></author><author><name sortKey="Vos, T" uniqKey="Vos T">T Vos</name></author><author><name sortKey="Flaxman, Ad" uniqKey="Flaxman A">AD Flaxman</name></author><author><name sortKey="Danaei, G" uniqKey="Danaei G">G Danaei</name></author><author><name sortKey="Shibuya, K" uniqKey="Shibuya K">K 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