Alcohol use disorders and associated factors among people living with HIV who are attending services in south west Ethiopia

BMC Research Notes

Charlotte Hanlon²  Garumma Tolu Feyissa³  Markos Tesfaye¹  Matiwos Soboka¹ 

[1] Department of Psychiatry, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia;Centre for Global Mental Health, Health Services and Population Research Department, King’s College London, London, UK;Department of Health Education and Behavioral Science, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia

关键词: Depression;    Mental health;    Sub-Saharan Africa;    HIV;    Alcohol dependence;    Harmful alcohol use;    Hazardous alcohol use;    Alcohol use disorders;   

Others  :  1118340
DOI  :  10.1186/1756-0500-7-828

 received in 2013-11-23, accepted in 2014-11-11,  发布年份 2014

【 摘 要 】

Background

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.

Methods

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.

Results

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.

Conclusion

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.

【 授权许可】

   
2014 Soboka et al.; licensee BioMed Central Ltd.

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