Patient perceptions of facilitators and barriers to reducing hazardous alcohol use among people living with HIV in East Africa

Substance Abuse Treatment, Prevention, and Policy

Research

Cosmas Apaka¹  Julius Cheruiyot¹  Hillary Koros¹  Lorna Kiprono¹  Margaret Mburu²  Sarah Obatsa²  Maurice Aluda²  Steve Brown³  Lameck Diero⁴  Edith Kamaru Kwobah⁵  Jayne Lewis-Kulzer⁶  Suzanne Goodrich⁷  Kara Wools-Kaloustian⁷  Winnie Muyindike⁸ 

[1] Academic Model Providing Access to Health Care (AMPATH), P.O. Box 4606-30100, Eldoret, Kenya;Centre for Microbiology Research, Kenya Medical Research Institute, P.O. Box 1578-40100, Kisumu, Kenya;Department of Biostatistics and Health Data Science, School of Medicine, Indiana University, 410 W. 10th Street, HITS 3000, Indianapolis, IN, USA;Department of Medicine, Moi University School of Medicine, P.O. Box 4606-30100, Eldoret, Kenya;Department of Mental Health, Moi Teaching and Referral Hospital, P.O. Box 3-30100, Eldoret, Kenya;Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Francisco, 550 16TH Street, 3rd Floor, San Francisco, CA, USA;Division of Infectious Diseases, Department of Medicine, School of Medicine, Indiana University, 545 Barnhill Drive, Indianapolis, IN, USA;The Immune Suppression Syndrome Clinic, Mbarara University of Science and Technology, P.O. Box 40, Mbarara, Uganda;

关键词: HIV;    Antiretroviral therapy;    Alcohol;    Adherence;    East Africa;   

DOI  :  10.1186/s13011-023-00520-7

 received in 2022-08-25, accepted in 2023-01-30,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundHazardous alcohol use among people living with HIV is associated with poor outcomes and increased morbidity and mortality. Understanding the hazardous drinking experiences of people living with HIV is needed to reduce their alcohol use.MethodsWe conducted 60 interviews among people living with HIV in East Africa with hazardous drinking histories. Interviews and Alcohol Use Disorder Identification Test (AUDIT) scores were conducted 41 – 60 months after their baseline assessment of alcohol use to identify facilitators and barriers to reduced alcohol use over time.ResultsPeople living with HIV who stopped or reduced hazardous drinking were primarily motivated by their HIV condition and desire for longevity. Facilitators of reduced drinking included health care workers’ recommendations to reduce drinking (despite little counseling and no referrals) and social support. In those continuing to drink at hazardous levels, barriers to reduced drinking were stress, social environment, alcohol accessibility and alcohol dependency.ConclusionsInterventions that capacity-build professional and lay health care workers with the skills and resources to decrease problematic alcohol use, along with alcohol cessation in peer support structures, should be explored.

【 授权许可】

CC BY   
© The Author(s) 2023