SUBSTANCE USE AND HIV INFECTION AWARENESS AMONG HIV-INFECTED FEMALE SEX WORKERS IN LILONGWE, MALAWI
Identifieur interne : 001E58 ( Pmc/Curation ); précédent : 001E57; suivant : 001E59SUBSTANCE USE AND HIV INFECTION AWARENESS AMONG HIV-INFECTED FEMALE SEX WORKERS IN LILONGWE, MALAWI
Auteurs : Kathryn E. Lancaster [États-Unis] ; Vivian F. Go [États-Unis] ; Thandie Lungu [Malawi] ; Pearson Mmodzi [Malawi] ; Mina C. Hosseinipour [Malawi, États-Unis] ; Katy Chadwick [Malawi] ; Kimberly A. Powers [États-Unis] ; Brian W. Pence [États-Unis] ; Irving F. Hoffman [Malawi, États-Unis] ; William C. Miller [États-Unis]Source :
- The International journal on drug policy [ 0955-3959 ] ; 2016.
Abstract
HIV diagnosis, the first step in HIV care and treatment engagement, may be inhibited by substance use among female sex workers (FSW). We assessed the relationship between alcohol and marijuana use and lack of HIV infection awareness among HIV-infected FSW in Lilongwe, Malawi.
From July to September, 2014, 200 FSW aged ≥18 years were enrolled using venue-based sampling to examine substance use, HIV testing history, and serostatus ascertained by HIV rapid test. We used Poisson regression with robust variance estimates to estimate the associations of alcohol and marijuana use and lack of HIV infection awareness.
Of the 138 HIV-infected FSW, 20% were unaware of their HIV infection, with 70% not testing within 6 months prior. According to the Alcohol Use Disorder Identification Tests (AUDIT), 55% of FSW unaware of their HIV infection reported hazardous, harmful, or dependent alcohol consumption. We observed a dose-response relationship between alcohol use and lack of HIV infection awareness, with alcohol dependency significantly associated with lack of HIV infection awareness (adjusted prevalence ratio: 3.0, 95% CI: 1.3, 6.8). Current marijuana use was uncommon (26%) among unaware HIV-infected FSW and weakly associated with lack of HIV infection awareness adjusted prevalence ratio: 1.1, 95% CI: 0.5, 2.5).
Increased levels of alcohol use is associated with lack of HIV infection awareness among HIV-infected FSW in Malawi. Frequent, consistent HIV testing integrated with alcohol reduction strategies could improve the health and infection awareness of substance-using FSW.
Url:
DOI: 10.1016/j.drugpo.2016.02.020
PubMed: 26987607
PubMed Central: 4829472
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Powers</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina</wicri:regionArea></affiliation></author><author><name sortKey="Pence, Brian W" sort="Pence, Brian W" uniqKey="Pence B" first="Brian W." last="Pence">Brian W. 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Miller</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A4">Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26987607</idno><idno type="pmc">4829472</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4829472</idno><idno type="RBID">PMC:4829472</idno><idno type="doi">10.1016/j.drugpo.2016.02.020</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">001E59</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001E59</idno><idno type="wicri:Area/Pmc/Curation">001E58</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001E58</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">SUBSTANCE USE AND HIV INFECTION AWARENESS AMONG HIV-INFECTED FEMALE SEX WORKERS IN LILONGWE, MALAWI</title><author><name sortKey="Lancaster, Kathryn E" sort="Lancaster, Kathryn E" uniqKey="Lancaster K" first="Kathryn E." last="Lancaster">Kathryn E. Lancaster</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina</wicri:regionArea></affiliation></author><author><name sortKey="Go, Vivian F" sort="Go, Vivian F" uniqKey="Go V" first="Vivian F." last="Go">Vivian F. Go</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Health Behavior, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Behavior, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina</wicri:regionArea></affiliation></author><author><name sortKey="Lungu, Thandie" sort="Lungu, Thandie" uniqKey="Lungu T" first="Thandie" last="Lungu">Thandie Lungu</name><affiliation wicri:level="1"><nlm:aff id="A3">UNC Project Malawi, University of North Carolina at Chapel Hill, Lilongwe, Malawi</nlm:aff><country xml:lang="fr">Malawi</country><wicri:regionArea>UNC Project Malawi, University of North Carolina at Chapel Hill, Lilongwe</wicri:regionArea></affiliation></author><author><name sortKey="Mmodzi, Pearson" sort="Mmodzi, Pearson" uniqKey="Mmodzi P" first="Pearson" last="Mmodzi">Pearson Mmodzi</name><affiliation wicri:level="1"><nlm:aff id="A3">UNC Project Malawi, University of North Carolina at Chapel Hill, Lilongwe, Malawi</nlm:aff><country xml:lang="fr">Malawi</country><wicri:regionArea>UNC Project Malawi, University of North Carolina at Chapel Hill, Lilongwe</wicri:regionArea></affiliation></author><author><name sortKey="Hosseinipour, Mina C" sort="Hosseinipour, Mina C" uniqKey="Hosseinipour M" first="Mina C." last="Hosseinipour">Mina C. Hosseinipour</name><affiliation wicri:level="1"><nlm:aff id="A3">UNC Project Malawi, University of North Carolina at Chapel Hill, Lilongwe, Malawi</nlm:aff><country xml:lang="fr">Malawi</country><wicri:regionArea>UNC Project Malawi, University of North Carolina at Chapel Hill, Lilongwe</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A4">Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina</wicri:regionArea></affiliation></author><author><name sortKey="Chadwick, Katy" sort="Chadwick, Katy" uniqKey="Chadwick K" first="Katy" last="Chadwick">Katy Chadwick</name><affiliation wicri:level="1"><nlm:aff id="A5">Theatre for a Change, Lilongwe, Malawi</nlm:aff><country xml:lang="fr">Malawi</country><wicri:regionArea>Theatre for a Change, Lilongwe</wicri:regionArea></affiliation></author><author><name sortKey="Powers, Kimberly A" sort="Powers, Kimberly A" uniqKey="Powers K" first="Kimberly A." last="Powers">Kimberly A. Powers</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina</wicri:regionArea></affiliation></author><author><name sortKey="Pence, Brian W" sort="Pence, Brian W" uniqKey="Pence B" first="Brian W." last="Pence">Brian W. Pence</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina</wicri:regionArea></affiliation></author><author><name sortKey="Hoffman, Irving F" sort="Hoffman, Irving F" uniqKey="Hoffman I" first="Irving F." last="Hoffman">Irving F. Hoffman</name><affiliation wicri:level="1"><nlm:aff id="A3">UNC Project Malawi, University of North Carolina at Chapel Hill, Lilongwe, Malawi</nlm:aff><country xml:lang="fr">Malawi</country><wicri:regionArea>UNC Project Malawi, University of North Carolina at Chapel Hill, Lilongwe</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A4">Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina</wicri:regionArea></affiliation></author><author><name sortKey="Miller, William C" sort="Miller, William C" uniqKey="Miller W" first="William C." last="Miller">William C. Miller</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A4">Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina</wicri:regionArea></affiliation></author></analytic><series><title level="j">The International journal on drug policy</title><idno type="ISSN">0955-3959</idno><idno type="eISSN">1873-4758</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P2">HIV diagnosis, the first step in HIV care and treatment engagement, may be inhibited by substance use among female sex workers (FSW). We assessed the relationship between alcohol and marijuana use and lack of HIV infection awareness among HIV-infected FSW in Lilongwe, Malawi.</p></sec><sec id="S2"><title>Methods</title><p id="P3">From July to September, 2014, 200 FSW aged ≥18 years were enrolled using venue-based sampling to examine substance use, HIV testing history, and serostatus ascertained by HIV rapid test. We used Poisson regression with robust variance estimates to estimate the associations of alcohol and marijuana use and lack of HIV infection awareness.</p></sec><sec id="S3"><title>Results</title><p id="P4">Of the 138 HIV-infected FSW, 20% were unaware of their HIV infection, with 70% not testing within 6 months prior. According to the Alcohol Use Disorder Identification Tests (AUDIT), 55% of FSW unaware of their HIV infection reported hazardous, harmful, or dependent alcohol consumption. We observed a dose-response relationship between alcohol use and lack of HIV infection awareness, with alcohol dependency significantly associated with lack of HIV infection awareness (adjusted prevalence ratio: 3.0, 95% CI: 1.3, 6.8). Current marijuana use was uncommon (26%) among unaware HIV-infected FSW and weakly associated with lack of HIV infection awareness adjusted prevalence ratio: 1.1, 95% CI: 0.5, 2.5).</p></sec><sec id="S4"><title>Conclusion</title><p id="P5">Increased levels of alcohol use is associated with lack of HIV infection awareness among HIV-infected FSW in Malawi. Frequent, consistent HIV testing integrated with alcohol reduction strategies could improve the health and infection awareness of substance-using FSW.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9014759</journal-id><journal-id journal-id-type="pubmed-jr-id">21498</journal-id><journal-id journal-id-type="nlm-ta">Int J Drug Policy</journal-id><journal-id journal-id-type="iso-abbrev">Int. J. Drug Policy</journal-id><journal-title-group><journal-title>The International journal on drug policy</journal-title></journal-title-group><issn pub-type="ppub">0955-3959</issn><issn pub-type="epub">1873-4758</issn></journal-meta><article-meta><article-id pub-id-type="pmid">26987607</article-id><article-id pub-id-type="pmc">4829472</article-id><article-id pub-id-type="doi">10.1016/j.drugpo.2016.02.020</article-id><article-id pub-id-type="manuscript">NIHMS763672</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>SUBSTANCE USE AND HIV INFECTION AWARENESS AMONG HIV-INFECTED FEMALE SEX WORKERS IN LILONGWE, MALAWI</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Lancaster</surname><given-names>Kathryn E.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Go</surname><given-names>Vivian F.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Lungu</surname><given-names>Thandie</given-names></name><degrees>MBBS</degrees><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Mmodzi</surname><given-names>Pearson</given-names></name><degrees>MPH</degrees><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Hosseinipour</surname><given-names>Mina C.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A3">3</xref><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Chadwick</surname><given-names>Katy</given-names></name><degrees>MSc</degrees><xref ref-type="aff" rid="A5">5</xref></contrib><contrib contrib-type="author"><name><surname>Powers</surname><given-names>Kimberly A.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Pence</surname><given-names>Brian W.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Hoffman</surname><given-names>Irving F.</given-names></name><degrees>PA</degrees><xref ref-type="aff" rid="A3">3</xref><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Miller</surname><given-names>William C.</given-names></name><degrees>MD, PhD</degrees><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A4">4</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America</aff><aff id="A2"><label>2</label>Department of Health Behavior, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America</aff><aff id="A3"><label>3</label>UNC Project Malawi, University of North Carolina at Chapel Hill, Lilongwe, Malawi</aff><aff id="A4"><label>4</label>Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America</aff><aff id="A5"><label>5</label>Theatre for a Change, Lilongwe, Malawi</aff><author-notes><corresp id="FN1">Corresponding author: Kathryn E. Lancaster, University of North Carolina, Institute of Global Health and Infectious Diseases, 130 Mason Farm Rd, Chapel Hill, NC 27599 USA, Phone: 919-966-2536, Fax: 919-966-6714, <email>kathryn_lancaster@med.unc.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>3</day><month>3</month><year>2016</year></pub-date><pub-date pub-type="epub"><day>26</day><month>2</month><year>2016</year></pub-date><pub-date pub-type="ppub"><month>4</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>4</month><year>2017</year></pub-date><volume>30</volume><fpage>124</fpage><lpage>131</lpage><pmc-comment>elocation-id from pubmed: 10.1016/j.drugpo.2016.02.020</pmc-comment>
<abstract><sec id="S1"><title>Background</title><p id="P2">HIV diagnosis, the first step in HIV care and treatment engagement, may be inhibited by substance use among female sex workers (FSW). We assessed the relationship between alcohol and marijuana use and lack of HIV infection awareness among HIV-infected FSW in Lilongwe, Malawi.</p></sec><sec id="S2"><title>Methods</title><p id="P3">From July to September, 2014, 200 FSW aged ≥18 years were enrolled using venue-based sampling to examine substance use, HIV testing history, and serostatus ascertained by HIV rapid test. We used Poisson regression with robust variance estimates to estimate the associations of alcohol and marijuana use and lack of HIV infection awareness.</p></sec><sec id="S3"><title>Results</title><p id="P4">Of the 138 HIV-infected FSW, 20% were unaware of their HIV infection, with 70% not testing within 6 months prior. According to the Alcohol Use Disorder Identification Tests (AUDIT), 55% of FSW unaware of their HIV infection reported hazardous, harmful, or dependent alcohol consumption. We observed a dose-response relationship between alcohol use and lack of HIV infection awareness, with alcohol dependency significantly associated with lack of HIV infection awareness (adjusted prevalence ratio: 3.0, 95% CI: 1.3, 6.8). Current marijuana use was uncommon (26%) among unaware HIV-infected FSW and weakly associated with lack of HIV infection awareness adjusted prevalence ratio: 1.1, 95% CI: 0.5, 2.5).</p></sec><sec id="S4"><title>Conclusion</title><p id="P5">Increased levels of alcohol use is associated with lack of HIV infection awareness among HIV-infected FSW in Malawi. Frequent, consistent HIV testing integrated with alcohol reduction strategies could improve the health and infection awareness of substance-using FSW.</p></sec></abstract><kwd-group><kwd>alcohol</kwd><kwd>marijuana</kwd><kwd>HIV testing</kwd><kwd>sub-Saharan Africa</kwd><kwd>sex work</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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