The Relationship Between Spirituality/Religiousness and Unhealthy Alcohol Use Among HIV-Infected Adults in Southwestern Uganda.
Identifieur interne : 000161 ( Main/Exploration ); précédent : 000160; suivant : 000162The Relationship Between Spirituality/Religiousness and Unhealthy Alcohol Use Among HIV-Infected Adults in Southwestern Uganda.
Auteurs : Julian Adong [Ouganda] ; Christina Lindan [États-Unis] ; Robin Fatch [États-Unis] ; Nneka I. Emenyonu [États-Unis] ; Winnie R. Muyindike [Ouganda] ; Christine Ngabirano [Ouganda] ; Michael R. Winter [États-Unis] ; Christine Lloyd-Travaglini [États-Unis] ; Jeffrey H. Samet [États-Unis] ; Debbie M. Cheng [États-Unis] ; Judith A. Hahn [États-Unis]Source :
- AIDS and behavior [ 1573-3254 ] ; 2017.
Abstract
HIV and alcohol use are two serious and co-existing problems in sub-Saharan Africa. We examined the relationship between spirituality and/or religiousness (SR) and unhealthy alcohol use among treatment-naïve HIV-infected adults attending the HIV clinic in Mbarara, Uganda. Unhealthy alcohol was defined as having either an alcohol use disorders identification test-consumption score of ≥4 for men or ≥3 for women, or having a phosphatidylethanol level of ≥50 ng/ml based on analysis of dried bloodspot specimens. Of the 447 participants, 67.8% were female; the median age was 32 years (interquartile range [IQR] 27-40). About half reported being Protestant (49.2%), 35.1% Catholic, and 9.2% Muslim. The median SR score was high (103 [IQR 89-107]); 43.3% drank at unhealthy levels. Higher SR scores were associated with lower odds of unhealthy drinking (adjusted odds ratio [aOR]: 0.83 per standard deviation [SD] increase; 95% confidence interval [CI] 0.66-1.03). The "religious behavior" SR subscale was significantly associated with unhealthy alcohol use (aOR: 0.72 per SD increase; 95% CI 0.58-0.88). Religious institutions, which facilitate expression of religious behavior, may be helpful in promoting and maintaining lower levels of alcohol use.
DOI: 10.1007/s10461-017-1805-7
PubMed: 28555316
Affiliations:
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Muyindike</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, Mbarara Regional Referral Hospital, Mbarara, Uganda.</nlm:affiliation><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Medicine, Mbarara Regional Referral Hospital, Mbarara</wicri:regionArea><wicri:noRegion>Mbarara</wicri:noRegion></affiliation></author><author><name sortKey="Ngabirano, Christine" sort="Ngabirano, Christine" uniqKey="Ngabirano C" first="Christine" last="Ngabirano">Christine Ngabirano</name><affiliation wicri:level="1"><nlm:affiliation>Mbarara University of Science and Technology, Mbarara, Uganda.</nlm:affiliation><country xml:lang="fr">Ouganda</country><wicri:regionArea>Mbarara University of Science and Technology, Mbarara</wicri:regionArea><wicri:noRegion>Mbarara</wicri:noRegion></affiliation></author><author><name sortKey="Winter, Michael R" sort="Winter, Michael R" uniqKey="Winter M" first="Michael R" last="Winter">Michael R. 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Samet</name><affiliation wicri:level="2"><nlm:affiliation>School of Public Health, Boston University, Boston, MA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>School of Public Health, Boston University, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Cheng, Debbie M" sort="Cheng, Debbie M" uniqKey="Cheng D" first="Debbie M" last="Cheng">Debbie M. Cheng</name><affiliation wicri:level="2"><nlm:affiliation>School of Public Health, Boston University, Boston, MA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>School of Public Health, Boston University, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Hahn, Judith A" sort="Hahn, Judith A" uniqKey="Hahn J" first="Judith A" last="Hahn">Judith A. Hahn</name><affiliation wicri:level="3"><nlm:affiliation>Department of Medicine, University of California, San Francisco, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, University of California, San Francisco</wicri:regionArea><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName></affiliation></author></analytic><series><title level="j">AIDS and behavior</title><idno type="eISSN">1573-3254</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">HIV and alcohol use are two serious and co-existing problems in sub-Saharan Africa. We examined the relationship between spirituality and/or religiousness (SR) and unhealthy alcohol use among treatment-naïve HIV-infected adults attending the HIV clinic in Mbarara, Uganda. Unhealthy alcohol was defined as having either an alcohol use disorders identification test-consumption score of ≥4 for men or ≥3 for women, or having a phosphatidylethanol level of ≥50 ng/ml based on analysis of dried bloodspot specimens. Of the 447 participants, 67.8% were female; the median age was 32 years (interquartile range [IQR] 27-40). About half reported being Protestant (49.2%), 35.1% Catholic, and 9.2% Muslim. The median SR score was high (103 [IQR 89-107]); 43.3% drank at unhealthy levels. Higher SR scores were associated with lower odds of unhealthy drinking (adjusted odds ratio [aOR]: 0.83 per standard deviation [SD] increase; 95% confidence interval [CI] 0.66-1.03). The "religious behavior" SR subscale was significantly associated with unhealthy alcohol use (aOR: 0.72 per SD increase; 95% CI 0.58-0.88). Religious institutions, which facilitate expression of religious behavior, may be helpful in promoting and maintaining lower levels of alcohol use.</div></front></TEI><affiliations><list><country><li>Ouganda</li><li>États-Unis</li></country><region><li>Californie</li><li>Massachusetts</li></region><settlement><li>San Francisco</li></settlement></list><tree><country name="Ouganda"><noRegion><name sortKey="Adong, Julian" sort="Adong, Julian" uniqKey="Adong J" first="Julian" last="Adong">Julian Adong</name></noRegion><name sortKey="Muyindike, Winnie R" sort="Muyindike, Winnie R" uniqKey="Muyindike W" first="Winnie R" last="Muyindike">Winnie R. Muyindike</name><name sortKey="Ngabirano, Christine" sort="Ngabirano, Christine" uniqKey="Ngabirano C" first="Christine" last="Ngabirano">Christine Ngabirano</name></country><country name="États-Unis"><region name="Californie"><name sortKey="Lindan, Christina" sort="Lindan, Christina" uniqKey="Lindan C" first="Christina" last="Lindan">Christina Lindan</name></region><name sortKey="Cheng, Debbie M" sort="Cheng, Debbie M" uniqKey="Cheng D" first="Debbie M" last="Cheng">Debbie M. Cheng</name><name sortKey="Emenyonu, Nneka I" sort="Emenyonu, Nneka I" uniqKey="Emenyonu N" first="Nneka I" last="Emenyonu">Nneka I. Emenyonu</name><name sortKey="Fatch, Robin" sort="Fatch, Robin" uniqKey="Fatch R" first="Robin" last="Fatch">Robin Fatch</name><name sortKey="Hahn, Judith A" sort="Hahn, Judith A" uniqKey="Hahn J" first="Judith A" last="Hahn">Judith A. Hahn</name><name sortKey="Lloyd Travaglini, Christine" sort="Lloyd Travaglini, Christine" uniqKey="Lloyd Travaglini C" first="Christine" last="Lloyd-Travaglini">Christine Lloyd-Travaglini</name><name sortKey="Samet, Jeffrey H" sort="Samet, Jeffrey H" uniqKey="Samet J" first="Jeffrey H" last="Samet">Jeffrey H. Samet</name><name sortKey="Winter, Michael R" sort="Winter, Michael R" uniqKey="Winter M" first="Michael R" last="Winter">Michael R. Winter</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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