Alcohol use disorders and associated factors among people living with HIV who are attending services in south west Ethiopia
Identifieur interne : 001F97 ( Main/Exploration ); précédent : 001F96; suivant : 001F98Alcohol use disorders and associated factors among people living with HIV who are attending services in south west Ethiopia
Auteurs : Matiwos Soboka [Éthiopie] ; Markos Tesfaye [Éthiopie] ; Garumma Tolu Feyissa [Éthiopie] ; Charlotte Hanlon [Éthiopie, Royaume-Uni]Source :
- BMC Research Notes [ 1756-0500 ] ; 2014.
Abstract
Alcohol use disorders (AUDs) in persons living with human immunodeficiency virus (PLHIV) in high-income countries have been associated with poor adherence to antiretroviral medications and worse HIV-related outcomes. Little is known about AUDs among people attending HIV services in sub-Saharan Africa.
Across-sectional study was carried out among PLHIV who attended HIV services at Jimma University Specialized Hospital in September 2012. The World Health Organization’s Alcohol Use Disorders Identification Tool (AUDIT) was used to measure probable hazardous, harmful and dependent use of alcohol (‘alcohol use disorders’). Associations between AUDs and other variables were explored using logistic regression analysis. All variables associated with AUDs with a p value <0.25 were included in the final multivariable model.
The overall prevalence of AUDs was 32.6%, with hazardous use, harmful use and alcohol dependence accounting for 24.7%, 2.8% and 5.1% of the total, respectively. There was no significant difference in the prevalence of AUDs in persons receiving antiretroviral treatment compared to those who were antiretroviral therapy naïve (32.6% vs. 38.6%). AUDs were identified in 26.0% and 44.1% of females and males, respectively. Male gender, smoking cigarettes and psychological distress were positively associated independently with AUDs.
The high prevalence of AUDs detected in our facility-based survey of PLHIV in Ethiopia highlights the need to integrate delivery of effective and feasible interventions for AUDs into HIV care.
Url:
DOI: 10.1186/1756-0500-7-828
PubMed: 25417542
PubMed Central: 4289332
Affiliations:
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University, Jimma, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Psychiatry, College of Public Health and Medical Sciences, Jimma University, Jimma</wicri:regionArea><wicri:noRegion>Jimma</wicri:noRegion></affiliation></author><author><name sortKey="Feyissa, Garumma Tolu" sort="Feyissa, Garumma Tolu" uniqKey="Feyissa G" first="Garumma Tolu" last="Feyissa">Garumma Tolu Feyissa</name><affiliation wicri:level="1"><nlm:aff id="Aff22">Department of Health Education and Behavioral Science, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Health Education and Behavioral Science, College of Public Health and Medical Sciences, Jimma University, Jimma</wicri:regionArea><wicri:noRegion>Jimma</wicri:noRegion></affiliation></author><author><name sortKey="Hanlon, Charlotte" sort="Hanlon, Charlotte" uniqKey="Hanlon C" first="Charlotte" last="Hanlon">Charlotte Hanlon</name><affiliation wicri:level="1"><nlm:aff id="Aff23">Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa</wicri:regionArea><wicri:noRegion>Addis Ababa</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff24">Centre for Global Mental Health, Health Services and Population Research Department, King’s College London, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Global Mental Health, Health Services and Population Research Department, King’s College London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand 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type="wicri:Area/Main/Curation">001F97</idno><idno type="wicri:Area/Main/Exploration">001F97</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Alcohol use disorders and associated factors among people living with HIV who are attending services in south west Ethiopia</title><author><name sortKey="Soboka, Matiwos" sort="Soboka, Matiwos" uniqKey="Soboka M" first="Matiwos" last="Soboka">Matiwos Soboka</name><affiliation wicri:level="1"><nlm:aff id="Aff21">Department of Psychiatry, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Psychiatry, College of Public Health and Medical Sciences, Jimma University, Jimma</wicri:regionArea><wicri:noRegion>Jimma</wicri:noRegion></affiliation></author><author><name sortKey="Tesfaye, Markos" sort="Tesfaye, Markos" uniqKey="Tesfaye M" first="Markos" last="Tesfaye">Markos Tesfaye</name><affiliation wicri:level="1"><nlm:aff id="Aff21">Department of Psychiatry, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Psychiatry, College of Public Health and Medical Sciences, Jimma University, Jimma</wicri:regionArea><wicri:noRegion>Jimma</wicri:noRegion></affiliation></author><author><name sortKey="Feyissa, Garumma Tolu" sort="Feyissa, Garumma Tolu" uniqKey="Feyissa G" first="Garumma Tolu" last="Feyissa">Garumma Tolu Feyissa</name><affiliation wicri:level="1"><nlm:aff id="Aff22">Department of Health Education and Behavioral Science, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Health Education and Behavioral Science, College of Public Health and Medical Sciences, Jimma University, Jimma</wicri:regionArea><wicri:noRegion>Jimma</wicri:noRegion></affiliation></author><author><name sortKey="Hanlon, Charlotte" sort="Hanlon, Charlotte" uniqKey="Hanlon C" first="Charlotte" last="Hanlon">Charlotte Hanlon</name><affiliation wicri:level="1"><nlm:aff id="Aff23">Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa</wicri:regionArea><wicri:noRegion>Addis Ababa</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff24">Centre for Global Mental Health, Health Services and Population Research Department, King’s College London, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Global Mental Health, Health Services and Population Research Department, King’s College London, 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">BMC Research Notes</title><idno type="eISSN">1756-0500</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Alcohol use disorders (AUDs) in persons living with human immunodeficiency virus (PLHIV) in high-income countries have been associated with poor adherence to antiretroviral medications and worse HIV-related outcomes. Little is known about AUDs among people attending HIV services in sub-Saharan Africa.</p></sec><sec><title>Methods</title><p>Across-sectional study was carried out among PLHIV who attended HIV services at Jimma University Specialized Hospital in September 2012. The World Health Organization’s Alcohol Use Disorders Identification Tool (AUDIT) was used to measure probable hazardous, harmful and dependent use of alcohol (‘alcohol use disorders’). Associations between AUDs and other variables were explored using logistic regression analysis. All variables associated with AUDs with a p value <0.25 were included in the final multivariable model.</p></sec><sec><title>Results</title><p>The overall prevalence of AUDs was 32.6%, with hazardous use, harmful use and alcohol dependence accounting for 24.7%, 2.8% and 5.1% of the total, respectively. There was no significant difference in the prevalence of AUDs in persons receiving antiretroviral treatment compared to those who were antiretroviral therapy naïve (32.6% vs. 38.6%). AUDs were identified in 26.0% and 44.1% of females and males, respectively. Male gender, smoking cigarettes and psychological distress were positively associated independently with AUDs.</p></sec><sec><title>Conclusion</title><p>The high prevalence of AUDs detected in our facility-based survey of PLHIV in Ethiopia highlights the need to integrate delivery of effective and feasible interventions for AUDs into HIV care.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Mathers, C" uniqKey="Mathers C">C Mathers</name></author><author><name sortKey="Ayuso Mateos, Jl" uniqKey="Ayuso Mateos J">JL Ayuso-Mateos</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Babor, Tf" uniqKey="Babor T">TF Babor</name></author><author><name sortKey="Higgins Biddle, Jc" uniqKey="Higgins Biddle J">JC Higgins-Biddle</name></author><author><name sortKey="Saunders, Jb" uniqKey="Saunders J">JB Saunders</name></author><author><name 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Cheng</name></author><author><name sortKey="Coleman, S" uniqKey="Coleman S">S Coleman</name></author><author><name sortKey="Bridden, C" uniqKey="Bridden C">C Bridden</name></author><author><name sortKey="Pardesi, M" uniqKey="Pardesi M">M Pardesi</name></author><author><name sortKey="Saggurti, N" uniqKey="Saggurti N">N Saggurti</name></author><author><name sortKey="Raj, A" uniqKey="Raj A">A Raj</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li><li>Éthiopie</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement></list><tree><country name="Éthiopie"><noRegion><name sortKey="Soboka, Matiwos" sort="Soboka, Matiwos" uniqKey="Soboka M" first="Matiwos" last="Soboka">Matiwos Soboka</name></noRegion><name sortKey="Feyissa, Garumma Tolu" sort="Feyissa, Garumma Tolu" uniqKey="Feyissa G" first="Garumma Tolu" last="Feyissa">Garumma Tolu Feyissa</name><name sortKey="Hanlon, Charlotte" sort="Hanlon, Charlotte" uniqKey="Hanlon C" first="Charlotte" last="Hanlon">Charlotte Hanlon</name><name sortKey="Tesfaye, Markos" sort="Tesfaye, Markos" uniqKey="Tesfaye M" first="Markos" last="Tesfaye">Markos Tesfaye</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Hanlon, Charlotte" sort="Hanlon, Charlotte" uniqKey="Hanlon C" first="Charlotte" last="Hanlon">Charlotte Hanlon</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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