Alcohol use and its association with HIV risk behaviors among a cohort of patients attending HIV clinical care in Tanzania, Kenya, and Namibia
Identifieur interne : 002883 ( Ncbi/Merge ); précédent : 002882; suivant : 002884Alcohol use and its association with HIV risk behaviors among a cohort of patients attending HIV clinical care in Tanzania, Kenya, and Namibia
Auteurs : Amy Medley [États-Unis] ; Puja Seth [États-Unis] ; Sonal Pathak [États-Unis] ; Andrea A. Howard [États-Unis] ; Nickolas Deluca [États-Unis] ; Eva Matiko [Tanzanie] ; Abubakari Mwinyi [Tanzanie] ; Frieda Katuta [Namibie] ; Mushin Sheriff [Kenya] ; Neema Makyao [Tanzanie] ; Lucy Wanjiku [Kenya] ; Carol Ngare [Kenya] ; Pamela Bachanas [États-Unis]Source :
- AIDS care [ 0954-0121 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Alcoolisme (), Alcoolisme (épidémiologie), Consommation d'alcool (), Consommation d'alcool (épidémiologie), Facteurs sexuels, Facteurs socioéconomiques, Femelle, Humains, Hyperalcoolisation rapide (épidémiologie), Infections à VIH (traitement médicamenteux), Infections à VIH (transmission), Kenya (épidémiologie), Modèles de hasards proportionnels, Mâle, Namibie (épidémiologie), Observance du traitement médicamenteux (), Partenaire sexuel (), Prise de risque, Préservatifs masculins (utilisation), Situation de famille, Tanzanie (épidémiologie).
- MESH :
- traitement médicamenteux : Infections à VIH.
- utilisation : Préservatifs masculins.
- épidémiologie : Alcoolisme, Consommation d'alcool, Hyperalcoolisation rapide, Infections à VIH, Kenya, Namibie, Tanzanie.
- Adulte, Alcoolisme, Consommation d'alcool, Facteurs sexuels, Facteurs socioéconomiques, Femelle, Humains, Modèles de hasards proportionnels, Mâle, Observance du traitement médicamenteux, Partenaire sexuel, Prise de risque, Situation de famille.
- Wicri :
English descriptors
- KwdEn :
- Adult, Alcohol Drinking (epidemiology), Alcohol Drinking (prevention & control), Alcoholism (epidemiology), Alcoholism (prevention & control), Binge Drinking (epidemiology), Condoms (utilization), Female, HIV Infections (drug therapy), HIV Infections (transmission), Humans, Kenya (epidemiology), Male, Marital Status, Medication Adherence (statistics & numerical data), Namibia (epidemiology), Proportional Hazards Models, Risk-Taking, Sex Factors, Sexual Partners (classification), Socioeconomic Factors, Tanzania (epidemiology).
- MESH :
- geographic , epidemiology : Kenya, Namibia, Tanzania.
- classification : Sexual Partners.
- drug therapy : HIV Infections.
- epidemiology : Alcohol Drinking, Alcoholism, Binge Drinking.
- prevention & control : Alcohol Drinking, Alcoholism.
- statistics & numerical data : Medication Adherence.
- transmission : HIV Infections.
- utilization : Condoms.
- Adult, Female, Humans, Male, Marital Status, Proportional Hazards Models, Risk-Taking, Sex Factors, Socioeconomic Factors.
Abstract
This article describes the frequency of alcohol use among HIV-positive patients attending clinical care in sub-Saharan Africa and explores the association between alcohol use, medication adherence, and sexual risk behavior. Data from 3538 patients attending an HIV clinic in Kenya, Tanzania, or Namibia were captured through interview and medical record abstraction. Participants were categorized into three drinking categories: nondrinkers, nonharmful drinkers, and harmful/likely dependent drinkers. A proportional odds model was used to identify correlates associated with categories of alcohol use. Overall, 20% of participants reported alcohol use in the past 6 months; 15% were categorized as nonharmful drinkers and 5% as harmful/likely dependent drinkers. Participants who reported missing a dose of their HIV medications [adjusted odds ratio (AOR): 2.04, 95% confidence interval (CI): 1.67, 2.49]; inconsistent condom use (AOR: 1.49, 95% CI: 1.23, 1.79); exchanging sex for food, money, gifts, or a place to stay (AOR: 1.57, 95% CI: 1.06, 2.32); and having a sexually transmitted infection symptom (AOR: 1.40, 95% CI: 1.10, 1.77) were more likely to be categorized in the higher risk drinking categories. This research highlights the need to integrate alcohol screening and counseling into the adherence and risk reduction counseling offered to HIV-positive patients as part of their routine care. Moreover, given the numerous intersections between alcohol and HIV, policies that focus on reducing alcohol consumption and alcohol-related risk behavior should be integrated into HIV prevention, care, and treatment strategies.
Url:
DOI: 10.1080/09540121.2014.911809
PubMed: 24773163
PubMed Central: 4664067
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Prevention, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Seth, Puja" sort="Seth, Puja" uniqKey="Seth P" first="Puja" last="Seth">Puja Seth</name><affiliation wicri:level="2"><nlm:aff id="A1">Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Pathak, Sonal" sort="Pathak, Sonal" uniqKey="Pathak S" first="Sonal" last="Pathak">Sonal Pathak</name><affiliation wicri:level="2"><nlm:aff id="A2">ICF International, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>ICF International, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Howard, Andrea A" sort="Howard, Andrea A" uniqKey="Howard A" first="Andrea A." last="Howard">Andrea A. Howard</name><affiliation wicri:level="4"><nlm:aff id="A3">International Center for AIDS Care and Treatment Programs (ICAP), Columbia University, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>International Center for AIDS Care and Treatment Programs (ICAP), Columbia University, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Deluca, Nickolas" sort="Deluca, Nickolas" uniqKey="Deluca N" first="Nickolas" last="Deluca">Nickolas Deluca</name><affiliation wicri:level="2"><nlm:aff id="A1">Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Matiko, Eva" sort="Matiko, Eva" uniqKey="Matiko E" first="Eva" last="Matiko">Eva Matiko</name><affiliation wicri:level="1"><nlm:aff id="A4">U.S. Centers for Disease Control and Prevention, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>U.S. Centers for Disease Control and Prevention, Dar es Salaam</wicri:regionArea><wicri:noRegion>Dar es Salaam</wicri:noRegion></affiliation></author><author><name sortKey="Mwinyi, Abubakari" sort="Mwinyi, Abubakari" uniqKey="Mwinyi A" first="Abubakari" last="Mwinyi">Abubakari Mwinyi</name><affiliation wicri:level="4"><nlm:aff id="A5">International Center for AIDS Care and Treatment Programs (ICAP), Columbia University, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>International Center for AIDS Care and Treatment Programs (ICAP), Columbia University, Dar es Salaam</wicri:regionArea><orgName type="university">Université Columbia</orgName><placeName><settlement type="city">New York</settlement><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Katuta, Frieda" sort="Katuta, Frieda" uniqKey="Katuta F" first="Frieda" last="Katuta">Frieda Katuta</name><affiliation wicri:level="1"><nlm:aff id="A6">Ministry of Health and Social Services, Windhoek, Namibia</nlm:aff><country xml:lang="fr">Namibie</country><wicri:regionArea>Ministry of Health and Social Services, Windhoek</wicri:regionArea><wicri:noRegion>Windhoek</wicri:noRegion></affiliation></author><author><name sortKey="Sheriff, Mushin" sort="Sheriff, Mushin" uniqKey="Sheriff M" first="Mushin" last="Sheriff">Mushin Sheriff</name><affiliation wicri:level="4"><nlm:aff id="A7">International Center for AIDS Care and Treatment Programs(ICAP), Columbia University, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>International Center for AIDS Care and Treatment Programs(ICAP), Columbia University, Nairobi</wicri:regionArea><orgName type="university">Université Columbia</orgName><placeName><settlement type="city">New York</settlement><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Makyao, Neema" sort="Makyao, Neema" uniqKey="Makyao N" first="Neema" last="Makyao">Neema Makyao</name><affiliation wicri:level="1"><nlm:aff id="A8">Ministry of Health and Social Welfare, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ministry of Health and Social Welfare, Dar es Salaam</wicri:regionArea><wicri:noRegion>Dar es Salaam</wicri:noRegion></affiliation></author><author><name sortKey="Wanjiku, Lucy" sort="Wanjiku, Lucy" uniqKey="Wanjiku L" first="Lucy" last="Wanjiku">Lucy Wanjiku</name><affiliation wicri:level="1"><nlm:aff id="A9">U.S. Centers for Disease Control and Prevention, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>U.S. Centers for Disease Control and Prevention, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Ngare, Carol" sort="Ngare, Carol" uniqKey="Ngare C" first="Carol" last="Ngare">Carol Ngare</name><affiliation wicri:level="1"><nlm:aff id="A10">National AIDS/STD Control Programme (NASCOP), Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>National AIDS/STD Control Programme (NASCOP), Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Bachanas, Pamela" sort="Bachanas, Pamela" uniqKey="Bachanas P" first="Pamela" last="Bachanas">Pamela Bachanas</name><affiliation wicri:level="2"><nlm:aff id="A1">Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author></analytic><series><title level="j">AIDS care</title><idno type="ISSN">0954-0121</idno><idno type="eISSN">1360-0451</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Alcohol Drinking (epidemiology)</term><term>Alcohol Drinking (prevention & control)</term><term>Alcoholism (epidemiology)</term><term>Alcoholism (prevention & control)</term><term>Binge Drinking (epidemiology)</term><term>Condoms (utilization)</term><term>Female</term><term>HIV Infections (drug therapy)</term><term>HIV Infections (transmission)</term><term>Humans</term><term>Kenya (epidemiology)</term><term>Male</term><term>Marital Status</term><term>Medication Adherence (statistics & numerical data)</term><term>Namibia (epidemiology)</term><term>Proportional Hazards Models</term><term>Risk-Taking</term><term>Sex Factors</term><term>Sexual Partners (classification)</term><term>Socioeconomic Factors</term><term>Tanzania (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Alcoolisme ()</term><term>Alcoolisme (épidémiologie)</term><term>Consommation d'alcool ()</term><term>Consommation d'alcool (épidémiologie)</term><term>Facteurs sexuels</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Hyperalcoolisation rapide (épidémiologie)</term><term>Infections à VIH (traitement médicamenteux)</term><term>Infections à VIH (transmission)</term><term>Kenya (épidémiologie)</term><term>Modèles de hasards proportionnels</term><term>Mâle</term><term>Namibie (épidémiologie)</term><term>Observance du traitement médicamenteux ()</term><term>Partenaire sexuel ()</term><term>Prise de risque</term><term>Préservatifs masculins (utilisation)</term><term>Situation de famille</term><term>Tanzanie (épidémiologie)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Kenya</term><term>Namibia</term><term>Tanzania</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Sexual Partners</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Alcohol Drinking</term><term>Alcoholism</term><term>Binge Drinking</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Alcohol Drinking</term><term>Alcoholism</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Medication Adherence</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Préservatifs masculins</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Condoms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Alcoolisme</term><term>Consommation d'alcool</term><term>Hyperalcoolisation rapide</term><term>Infections à VIH</term><term>Kenya</term><term>Namibie</term><term>Tanzanie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Marital Status</term><term>Proportional Hazards Models</term><term>Risk-Taking</term><term>Sex Factors</term><term>Socioeconomic Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Alcoolisme</term><term>Consommation d'alcool</term><term>Facteurs sexuels</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Modèles de hasards proportionnels</term><term>Mâle</term><term>Observance du traitement médicamenteux</term><term>Partenaire sexuel</term><term>Prise de risque</term><term>Situation de famille</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Kenya</term><term>Namibie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">This article describes the frequency of alcohol use among HIV-positive patients attending clinical care in sub-Saharan Africa and explores the association between alcohol use, medication adherence, and sexual risk behavior. Data from 3538 patients attending an HIV clinic in Kenya, Tanzania, or Namibia were captured through interview and medical record abstraction. Participants were categorized into three drinking categories: nondrinkers, nonharmful drinkers, and harmful/likely dependent drinkers. A proportional odds model was used to identify correlates associated with categories of alcohol use. Overall, 20% of participants reported alcohol use in the past 6 months; 15% were categorized as nonharmful drinkers and 5% as harmful/likely dependent drinkers. Participants who reported missing a dose of their HIV medications [adjusted odds ratio (AOR): 2.04, 95% confidence interval (CI): 1.67, 2.49]; inconsistent condom use (AOR: 1.49, 95% CI: 1.23, 1.79); exchanging sex for food, money, gifts, or a place to stay (AOR: 1.57, 95% CI: 1.06, 2.32); and having a sexually transmitted infection symptom (AOR: 1.40, 95% CI: 1.10, 1.77) were more likely to be categorized in the higher risk drinking categories. This research highlights the need to integrate alcohol screening and counseling into the adherence and risk reduction counseling offered to HIV-positive patients as part of their routine care. Moreover, given the numerous intersections between alcohol and HIV, policies that focus on reducing alcohol consumption and alcohol-related risk behavior should be integrated into HIV prevention, care, and treatment strategies.</p></div></front></TEI><double pmid="24773163"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Alcohol use and its association with HIV risk behaviors among a cohort of patients attending HIV clinical care in Tanzania, Kenya, and Namibia</title><author><name sortKey="Medley, Amy" sort="Medley, Amy" uniqKey="Medley A" first="Amy" last="Medley">Amy Medley</name><affiliation wicri:level="2"><nlm:aff id="A1">Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Seth, Puja" sort="Seth, Puja" uniqKey="Seth P" first="Puja" last="Seth">Puja Seth</name><affiliation wicri:level="2"><nlm:aff id="A1">Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Pathak, Sonal" sort="Pathak, Sonal" uniqKey="Pathak S" first="Sonal" last="Pathak">Sonal Pathak</name><affiliation wicri:level="2"><nlm:aff id="A2">ICF International, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>ICF International, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Howard, Andrea A" sort="Howard, Andrea A" uniqKey="Howard A" first="Andrea A." last="Howard">Andrea A. Howard</name><affiliation wicri:level="4"><nlm:aff id="A3">International Center for AIDS Care and Treatment Programs (ICAP), Columbia University, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>International Center for AIDS Care and Treatment Programs (ICAP), Columbia University, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Deluca, Nickolas" sort="Deluca, Nickolas" uniqKey="Deluca N" first="Nickolas" last="Deluca">Nickolas Deluca</name><affiliation wicri:level="2"><nlm:aff id="A1">Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Matiko, Eva" sort="Matiko, Eva" uniqKey="Matiko E" first="Eva" last="Matiko">Eva Matiko</name><affiliation wicri:level="1"><nlm:aff id="A4">U.S. Centers for Disease Control and Prevention, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>U.S. Centers for Disease Control and Prevention, Dar es Salaam</wicri:regionArea><wicri:noRegion>Dar es Salaam</wicri:noRegion></affiliation></author><author><name sortKey="Mwinyi, Abubakari" sort="Mwinyi, Abubakari" uniqKey="Mwinyi A" first="Abubakari" last="Mwinyi">Abubakari Mwinyi</name><affiliation wicri:level="4"><nlm:aff id="A5">International Center for AIDS Care and Treatment Programs (ICAP), Columbia University, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>International Center for AIDS Care and Treatment Programs (ICAP), Columbia University, Dar es Salaam</wicri:regionArea><orgName type="university">Université Columbia</orgName><placeName><settlement type="city">New York</settlement><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Katuta, Frieda" sort="Katuta, Frieda" uniqKey="Katuta F" first="Frieda" last="Katuta">Frieda Katuta</name><affiliation wicri:level="1"><nlm:aff id="A6">Ministry of Health and Social Services, Windhoek, Namibia</nlm:aff><country xml:lang="fr">Namibie</country><wicri:regionArea>Ministry of Health and Social Services, Windhoek</wicri:regionArea><wicri:noRegion>Windhoek</wicri:noRegion></affiliation></author><author><name sortKey="Sheriff, Mushin" sort="Sheriff, Mushin" uniqKey="Sheriff M" first="Mushin" last="Sheriff">Mushin Sheriff</name><affiliation wicri:level="4"><nlm:aff id="A7">International Center for AIDS Care and Treatment Programs(ICAP), Columbia University, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>International Center for AIDS Care and Treatment Programs(ICAP), Columbia University, Nairobi</wicri:regionArea><orgName type="university">Université Columbia</orgName><placeName><settlement type="city">New York</settlement><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Makyao, Neema" sort="Makyao, Neema" uniqKey="Makyao N" first="Neema" last="Makyao">Neema Makyao</name><affiliation wicri:level="1"><nlm:aff id="A8">Ministry of Health and Social Welfare, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ministry of Health and Social Welfare, Dar es Salaam</wicri:regionArea><wicri:noRegion>Dar es Salaam</wicri:noRegion></affiliation></author><author><name sortKey="Wanjiku, Lucy" sort="Wanjiku, Lucy" uniqKey="Wanjiku L" first="Lucy" last="Wanjiku">Lucy Wanjiku</name><affiliation wicri:level="1"><nlm:aff id="A9">U.S. Centers for Disease Control and Prevention, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>U.S. Centers for Disease Control and Prevention, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Ngare, Carol" sort="Ngare, Carol" uniqKey="Ngare C" first="Carol" last="Ngare">Carol Ngare</name><affiliation wicri:level="1"><nlm:aff id="A10">National AIDS/STD Control Programme (NASCOP), Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>National AIDS/STD Control Programme (NASCOP), Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Bachanas, Pamela" sort="Bachanas, Pamela" uniqKey="Bachanas P" first="Pamela" last="Bachanas">Pamela Bachanas</name><affiliation wicri:level="2"><nlm:aff id="A1">Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24773163</idno><idno type="pmc">4664067</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4664067</idno><idno type="RBID">PMC:4664067</idno><idno type="doi">10.1080/09540121.2014.911809</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001E09</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001E09</idno><idno type="wicri:Area/Pmc/Curation">001E08</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001E08</idno><idno type="wicri:Area/Pmc/Checkpoint">001560</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001560</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Alcohol use and its association with HIV risk behaviors among a cohort of patients attending HIV clinical care in Tanzania, Kenya, and Namibia</title><author><name sortKey="Medley, Amy" sort="Medley, Amy" uniqKey="Medley A" first="Amy" last="Medley">Amy Medley</name><affiliation wicri:level="2"><nlm:aff id="A1">Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Seth, Puja" sort="Seth, Puja" uniqKey="Seth P" first="Puja" last="Seth">Puja Seth</name><affiliation wicri:level="2"><nlm:aff id="A1">Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Pathak, Sonal" sort="Pathak, Sonal" uniqKey="Pathak S" first="Sonal" last="Pathak">Sonal Pathak</name><affiliation wicri:level="2"><nlm:aff id="A2">ICF International, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>ICF International, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Howard, Andrea A" sort="Howard, Andrea A" uniqKey="Howard A" first="Andrea A." last="Howard">Andrea A. Howard</name><affiliation wicri:level="4"><nlm:aff id="A3">International Center for AIDS Care and Treatment Programs (ICAP), Columbia University, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>International Center for AIDS Care and Treatment Programs (ICAP), Columbia University, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Deluca, Nickolas" sort="Deluca, Nickolas" uniqKey="Deluca N" first="Nickolas" last="Deluca">Nickolas Deluca</name><affiliation wicri:level="2"><nlm:aff id="A1">Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Matiko, Eva" sort="Matiko, Eva" uniqKey="Matiko E" first="Eva" last="Matiko">Eva Matiko</name><affiliation wicri:level="1"><nlm:aff id="A4">U.S. Centers for Disease Control and Prevention, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>U.S. Centers for Disease Control and Prevention, Dar es Salaam</wicri:regionArea><wicri:noRegion>Dar es Salaam</wicri:noRegion></affiliation></author><author><name sortKey="Mwinyi, Abubakari" sort="Mwinyi, Abubakari" uniqKey="Mwinyi A" first="Abubakari" last="Mwinyi">Abubakari Mwinyi</name><affiliation wicri:level="4"><nlm:aff id="A5">International Center for AIDS Care and Treatment Programs (ICAP), Columbia University, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>International Center for AIDS Care and Treatment Programs (ICAP), Columbia University, Dar es Salaam</wicri:regionArea><orgName type="university">Université Columbia</orgName><placeName><settlement type="city">New York</settlement><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Katuta, Frieda" sort="Katuta, Frieda" uniqKey="Katuta F" first="Frieda" last="Katuta">Frieda Katuta</name><affiliation wicri:level="1"><nlm:aff id="A6">Ministry of Health and Social Services, Windhoek, Namibia</nlm:aff><country xml:lang="fr">Namibie</country><wicri:regionArea>Ministry of Health and Social Services, Windhoek</wicri:regionArea><wicri:noRegion>Windhoek</wicri:noRegion></affiliation></author><author><name sortKey="Sheriff, Mushin" sort="Sheriff, Mushin" uniqKey="Sheriff M" first="Mushin" last="Sheriff">Mushin Sheriff</name><affiliation wicri:level="4"><nlm:aff id="A7">International Center for AIDS Care and Treatment Programs(ICAP), Columbia University, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>International Center for AIDS Care and Treatment Programs(ICAP), Columbia University, Nairobi</wicri:regionArea><orgName type="university">Université Columbia</orgName><placeName><settlement type="city">New York</settlement><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Makyao, Neema" sort="Makyao, Neema" uniqKey="Makyao N" first="Neema" last="Makyao">Neema Makyao</name><affiliation wicri:level="1"><nlm:aff id="A8">Ministry of Health and Social Welfare, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Ministry of Health and Social Welfare, Dar es Salaam</wicri:regionArea><wicri:noRegion>Dar es Salaam</wicri:noRegion></affiliation></author><author><name sortKey="Wanjiku, Lucy" sort="Wanjiku, Lucy" uniqKey="Wanjiku L" first="Lucy" last="Wanjiku">Lucy Wanjiku</name><affiliation wicri:level="1"><nlm:aff id="A9">U.S. Centers for Disease Control and Prevention, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>U.S. Centers for Disease Control and Prevention, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Ngare, Carol" sort="Ngare, Carol" uniqKey="Ngare C" first="Carol" last="Ngare">Carol Ngare</name><affiliation wicri:level="1"><nlm:aff id="A10">National AIDS/STD Control Programme (NASCOP), Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>National AIDS/STD Control Programme (NASCOP), Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Bachanas, Pamela" sort="Bachanas, Pamela" uniqKey="Bachanas P" first="Pamela" last="Bachanas">Pamela Bachanas</name><affiliation wicri:level="2"><nlm:aff id="A1">Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author></analytic><series><title level="j">AIDS care</title><idno type="ISSN">0954-0121</idno><idno type="eISSN">1360-0451</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">This article describes the frequency of alcohol use among HIV-positive patients attending clinical care in sub-Saharan Africa and explores the association between alcohol use, medication adherence, and sexual risk behavior. Data from 3538 patients attending an HIV clinic in Kenya, Tanzania, or Namibia were captured through interview and medical record abstraction. Participants were categorized into three drinking categories: nondrinkers, nonharmful drinkers, and harmful/likely dependent drinkers. A proportional odds model was used to identify correlates associated with categories of alcohol use. Overall, 20% of participants reported alcohol use in the past 6 months; 15% were categorized as nonharmful drinkers and 5% as harmful/likely dependent drinkers. Participants who reported missing a dose of their HIV medications [adjusted odds ratio (AOR): 2.04, 95% confidence interval (CI): 1.67, 2.49]; inconsistent condom use (AOR: 1.49, 95% CI: 1.23, 1.79); exchanging sex for food, money, gifts, or a place to stay (AOR: 1.57, 95% CI: 1.06, 2.32); and having a sexually transmitted infection symptom (AOR: 1.40, 95% CI: 1.10, 1.77) were more likely to be categorized in the higher risk drinking categories. This research highlights the need to integrate alcohol screening and counseling into the adherence and risk reduction counseling offered to HIV-positive patients as part of their routine care. Moreover, given the numerous intersections between alcohol and HIV, policies that focus on reducing alcohol consumption and alcohol-related risk behavior should be integrated into HIV prevention, care, and treatment strategies.</p></div></front></TEI></pmc><pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Alcohol use and its association with HIV risk behaviors among a cohort of patients attending HIV clinical care in Tanzania, Kenya, and Namibia.</title><author><name sortKey="Medley, Amy" sort="Medley, Amy" uniqKey="Medley A" first="Amy" last="Medley">Amy Medley</name><affiliation wicri:level="2"><nlm:affiliation>a Division of Global HIV/AIDS , U.S. Centers for Disease Control and Prevention , Atlanta , GA , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>a Division of Global HIV/AIDS , U.S. Centers for Disease Control and Prevention , Atlanta , GA </wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Seth, Puja" sort="Seth, Puja" uniqKey="Seth P" first="Puja" last="Seth">Puja Seth</name></author><author><name sortKey="Pathak, Sonal" sort="Pathak, Sonal" uniqKey="Pathak S" first="Sonal" last="Pathak">Sonal Pathak</name></author><author><name sortKey="Howard, Andrea A" sort="Howard, Andrea A" uniqKey="Howard A" first="Andrea A" last="Howard">Andrea A. Howard</name></author><author><name sortKey="Deluca, Nickolas" sort="Deluca, Nickolas" uniqKey="Deluca N" first="Nickolas" last="Deluca">Nickolas Deluca</name></author><author><name sortKey="Matiko, Eva" sort="Matiko, Eva" uniqKey="Matiko E" first="Eva" last="Matiko">Eva Matiko</name></author><author><name sortKey="Mwinyi, Abubakari" sort="Mwinyi, Abubakari" uniqKey="Mwinyi A" first="Abubakari" last="Mwinyi">Abubakari Mwinyi</name></author><author><name sortKey="Katuta, Frieda" sort="Katuta, Frieda" uniqKey="Katuta F" first="Frieda" last="Katuta">Frieda Katuta</name></author><author><name sortKey="Sheriff, Mushin" sort="Sheriff, Mushin" uniqKey="Sheriff M" first="Mushin" last="Sheriff">Mushin Sheriff</name></author><author><name sortKey="Makyao, Neema" sort="Makyao, Neema" uniqKey="Makyao N" first="Neema" last="Makyao">Neema Makyao</name></author><author><name sortKey="Wanjiku, Lucy" sort="Wanjiku, Lucy" uniqKey="Wanjiku L" first="Lucy" last="Wanjiku">Lucy Wanjiku</name></author><author><name sortKey="Ngare, Carol" sort="Ngare, Carol" uniqKey="Ngare C" first="Carol" last="Ngare">Carol Ngare</name></author><author><name sortKey="Bachanas, Pamela" sort="Bachanas, Pamela" uniqKey="Bachanas P" first="Pamela" last="Bachanas">Pamela Bachanas</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24773163</idno><idno type="pmid">24773163</idno><idno type="doi">10.1080/09540121.2014.911809</idno><idno type="wicri:Area/PubMed/Corpus">001A30</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001A30</idno><idno type="wicri:Area/PubMed/Curation">001A30</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001A30</idno><idno type="wicri:Area/PubMed/Checkpoint">001A30</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001A30</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Alcohol use and its association with HIV risk behaviors among a cohort of patients attending HIV clinical care in Tanzania, Kenya, and Namibia.</title><author><name sortKey="Medley, Amy" sort="Medley, Amy" uniqKey="Medley A" first="Amy" last="Medley">Amy Medley</name><affiliation wicri:level="2"><nlm:affiliation>a Division of Global HIV/AIDS , U.S. Centers for Disease Control and Prevention , Atlanta , GA , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>a Division of Global HIV/AIDS , U.S. Centers for Disease Control and Prevention , Atlanta , GA </wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Seth, Puja" sort="Seth, Puja" uniqKey="Seth P" first="Puja" last="Seth">Puja Seth</name></author><author><name sortKey="Pathak, Sonal" sort="Pathak, Sonal" uniqKey="Pathak S" first="Sonal" last="Pathak">Sonal Pathak</name></author><author><name sortKey="Howard, Andrea A" sort="Howard, Andrea A" uniqKey="Howard A" first="Andrea A" last="Howard">Andrea A. Howard</name></author><author><name sortKey="Deluca, Nickolas" sort="Deluca, Nickolas" uniqKey="Deluca N" first="Nickolas" last="Deluca">Nickolas Deluca</name></author><author><name sortKey="Matiko, Eva" sort="Matiko, Eva" uniqKey="Matiko E" first="Eva" last="Matiko">Eva Matiko</name></author><author><name sortKey="Mwinyi, Abubakari" sort="Mwinyi, Abubakari" uniqKey="Mwinyi A" first="Abubakari" last="Mwinyi">Abubakari Mwinyi</name></author><author><name sortKey="Katuta, Frieda" sort="Katuta, Frieda" uniqKey="Katuta F" first="Frieda" last="Katuta">Frieda Katuta</name></author><author><name sortKey="Sheriff, Mushin" sort="Sheriff, Mushin" uniqKey="Sheriff M" first="Mushin" last="Sheriff">Mushin Sheriff</name></author><author><name sortKey="Makyao, Neema" sort="Makyao, Neema" uniqKey="Makyao N" first="Neema" last="Makyao">Neema Makyao</name></author><author><name sortKey="Wanjiku, Lucy" sort="Wanjiku, Lucy" uniqKey="Wanjiku L" first="Lucy" last="Wanjiku">Lucy Wanjiku</name></author><author><name sortKey="Ngare, Carol" sort="Ngare, Carol" uniqKey="Ngare C" first="Carol" last="Ngare">Carol Ngare</name></author><author><name sortKey="Bachanas, Pamela" sort="Bachanas, Pamela" uniqKey="Bachanas P" first="Pamela" last="Bachanas">Pamela Bachanas</name></author></analytic><series><title level="j">AIDS care</title><idno type="eISSN">1360-0451</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Alcohol Drinking (epidemiology)</term><term>Alcohol Drinking (prevention & control)</term><term>Alcoholism (epidemiology)</term><term>Alcoholism (prevention & control)</term><term>Binge Drinking (epidemiology)</term><term>Condoms (utilization)</term><term>Female</term><term>HIV Infections (drug therapy)</term><term>HIV Infections (transmission)</term><term>Humans</term><term>Kenya (epidemiology)</term><term>Male</term><term>Marital Status</term><term>Medication Adherence (statistics & numerical data)</term><term>Namibia (epidemiology)</term><term>Proportional Hazards Models</term><term>Risk-Taking</term><term>Sex Factors</term><term>Sexual Partners (classification)</term><term>Socioeconomic Factors</term><term>Tanzania (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Alcoolisme ()</term><term>Alcoolisme (épidémiologie)</term><term>Consommation d'alcool ()</term><term>Consommation d'alcool (épidémiologie)</term><term>Facteurs sexuels</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Hyperalcoolisation rapide (épidémiologie)</term><term>Infections à VIH (traitement médicamenteux)</term><term>Infections à VIH (transmission)</term><term>Kenya (épidémiologie)</term><term>Modèles de hasards proportionnels</term><term>Mâle</term><term>Namibie (épidémiologie)</term><term>Observance du traitement médicamenteux ()</term><term>Partenaire sexuel ()</term><term>Prise de risque</term><term>Préservatifs masculins (utilisation)</term><term>Situation de famille</term><term>Tanzanie (épidémiologie)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Kenya</term><term>Namibia</term><term>Tanzania</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Sexual Partners</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Alcohol Drinking</term><term>Alcoholism</term><term>Binge Drinking</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Alcohol Drinking</term><term>Alcoholism</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Medication Adherence</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Préservatifs masculins</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Condoms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Alcoolisme</term><term>Consommation d'alcool</term><term>Hyperalcoolisation rapide</term><term>Infections à VIH</term><term>Kenya</term><term>Namibie</term><term>Tanzanie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Marital Status</term><term>Proportional Hazards Models</term><term>Risk-Taking</term><term>Sex Factors</term><term>Socioeconomic Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Alcoolisme</term><term>Consommation d'alcool</term><term>Facteurs sexuels</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Modèles de hasards proportionnels</term><term>Mâle</term><term>Observance du traitement médicamenteux</term><term>Partenaire sexuel</term><term>Prise de risque</term><term>Situation de famille</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Kenya</term><term>Namibie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This article describes the frequency of alcohol use among HIV-positive patients attending clinical care in sub-Saharan Africa and explores the association between alcohol use, medication adherence, and sexual risk behavior. Data from 3538 patients attending an HIV clinic in Kenya, Tanzania, or Namibia were captured through interview and medical record abstraction. Participants were categorized into three drinking categories: nondrinkers, nonharmful drinkers, and harmful/likely dependent drinkers. A proportional odds model was used to identify correlates associated with categories of alcohol use. Overall, 20% of participants reported alcohol use in the past 6 months; 15% were categorized as nonharmful drinkers and 5% as harmful/likely dependent drinkers. Participants who reported missing a dose of their HIV medications [adjusted odds ratio (AOR): 2.04, 95% confidence interval (CI): 1.67, 2.49]; inconsistent condom use (AOR: 1.49, 95% CI: 1.23, 1.79); exchanging sex for food, money, gifts, or a place to stay (AOR: 1.57, 95% CI: 1.06, 2.32); and having a sexually transmitted infection symptom (AOR: 1.40, 95% CI: 1.10, 1.77) were more likely to be categorized in the higher risk drinking categories. This research highlights the need to integrate alcohol screening and counseling into the adherence and risk reduction counseling offered to HIV-positive patients as part of their routine care. Moreover, given the numerous intersections between alcohol and HIV, policies that focus on reducing alcohol consumption and alcohol-related risk behavior should be integrated into HIV prevention, care, and treatment strategies.</div></front></TEI></pubmed></double></record>Pour manipuler ce document sous Unix (Dilib)
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