Alcohol use disorders and associated factors among people living with HIV who are attending services in south west Ethiopia
Identifieur interne : 002D12 ( Ncbi/Merge ); précédent : 002D11; suivant : 002D13Alcohol 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
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<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>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Res Notes</journal-id>
<journal-id journal-id-type="iso-abbrev">BMC Res Notes</journal-id>
<journal-title-group><journal-title>BMC Research Notes</journal-title>
</journal-title-group>
<issn pub-type="epub">1756-0500</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25417542</article-id>
<article-id pub-id-type="pmc">4289332</article-id>
<article-id pub-id-type="publisher-id">3429</article-id>
<article-id pub-id-type="doi">10.1186/1756-0500-7-828</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Alcohol use disorders and associated factors among people living with HIV who are attending services in south west Ethiopia</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Soboka</surname>
<given-names>Matiwos</given-names>
</name>
<address><email>matiwos2004@yahoo.com</email>
</address>
<xref ref-type="aff" rid="Aff21"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tesfaye</surname>
<given-names>Markos</given-names>
</name>
<address><email>tesmarkos@yahoo.com</email>
</address>
<xref ref-type="aff" rid="Aff21"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Feyissa</surname>
<given-names>Garumma Tolu</given-names>
</name>
<address><email>garummatolu@yahoo.com</email>
</address>
<xref ref-type="aff" rid="Aff22"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hanlon</surname>
<given-names>Charlotte</given-names>
</name>
<address><email>charlhanlon@yahoo.com</email>
</address>
<xref ref-type="aff" rid="Aff23"></xref>
<xref ref-type="aff" rid="Aff24"></xref>
</contrib>
<aff id="Aff21"><label></label>
Department of Psychiatry, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia</aff>
<aff id="Aff22"><label></label>
Department of Health Education and Behavioral Science, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia</aff>
<aff id="Aff23"><label></label>
Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia</aff>
<aff id="Aff24"><label></label>
Centre for Global Mental Health, Health Services and Population Research Department, King’s College London, London, UK</aff>
</contrib-group>
<pub-date pub-type="epub"><day>24</day>
<month>11</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="collection"><year>2014</year>
</pub-date>
<volume>7</volume>
<elocation-id>828</elocation-id>
<history><date date-type="received"><day>23</day>
<month>11</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>11</day>
<month>11</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>© Soboka et al.; licensee BioMed Central Ltd. 2014</copyright-statement>
<license license-type="open-access"><license-p>This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1"><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>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Alcohol use disorders</kwd>
<kwd>Hazardous alcohol use</kwd>
<kwd>Harmful alcohol use</kwd>
<kwd>Alcohol dependence</kwd>
<kwd>HIV</kwd>
<kwd>Sub-Saharan Africa</kwd>
<kwd>Mental health</kwd>
<kwd>Depression</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2014</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<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>
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