Alcohol use, depressive symptoms and the receipt of antiretroviral therapy in Southwest Uganda

Martinez, Priscilla; Andia, Irene; Emenyonu, Nneka; Hahn, Judith A.; Hauff, Edvard; Pepper, Larry; Bangsberg, David R.

doi:10.1007/s10461-007-9312-x

Cited by 68HIV/AIDS Research and InterventionsHIV, Drug Use, Sexual RiskHIV/AIDS Impact and Responses

Alcohol use, depressive symptoms and the receipt of antiretroviral therapy in Southwest Uganda

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Martinez, Priscilla, Andia, Irene, Emenyonu, Nneka, Hahn, Judith A., Hauff, Edvard, Pepper, Larry, Bangsberg, David R.·2008·AIDS and Behavior

DOI 10.1007/s10461-007-9312-xPMC PMC3591721

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Abstract

Alcohol use and depressive symptoms are associated with reduced access to antiretroviral therapy (ART) in the developed world. Whether alcohol use and depressive symptoms limit access to ART in resource-limited settings is unknown. This cross-sectional study examined the association between alcohol use, depressive symptoms and the receipt of ART among randomly selected HIV-positive persons presenting for primary health care services at an outpatient HIV clinic in Uganda. Depressive symptoms were defined by the Hopkins Symptom Checklist and alcohol use was measured through frequency of consumption questions. Antiretroviral use was assessed using a standardized survey and confirmed by medical record review. Predictors of ART use were determined via logistic regression. Among 421 HIV-infected patients, factors associated with the receipt of ART were having at least primary education, having an opportunistic infection in the last 3 months, and not drinking within the last year.

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Interventions for AUD have been reported in various general health care settings in sub-Saharan Africa, including HIV or sexually transmitted disease services, antenatal and postnatal care, tuberculosis care, and inpatient and outpatient care.
“In SSA, interventions for AUD have been reported in various general health care settings (3, 17–27), including services for people with HIV or other sexually transmitted diseases (9, 10, 13–16, 18, 21), antenatal and postnatal care (19, 27–29), care for people with tuberculosis (30, 31), inpatient and outpatient care (20, 26, 32–35).”
From Integration of Alcohol Use Disorder Interventions in General Health Care Settings in Sub-Saharan Africa: A Scoping Review (2022) · cites this paper as [23]

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Authors: Martinez, P., Andia, I., Emenyonu, N., Hahn, J. A., Hauff, E., Pepper, L., & Bangsberg, D. R.
Affiliations: Mbarara University of Science and Technology (UG)
San Francisco General Hospital (US)
University of Oslo (NO)
ORCID: Emenyonu, Nneka
Hahn, Judith A.
Bangsberg, David R.
Venue: AIDS and Behavior
Publisher: Springer Science and Business Media LLC
Published: 2007-10-30
Volume: 12
Issue: 4
Pages: 605-612
ISSN: 1090-7165 (ISSN-L)
1573-3254
DOI: 10.1007/s10461-007-9312-x
PMC: PMC3591721
OpenAlex: W2052823793
Cited by: 68
References: 40
Citations by year: 2025: 1 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 4 · 2019: 4 · 2018: 9 · 2017: 12 · 2016: 4 · 2015: 1 · 2014: 7 · 2013: 8 · 2012: 3
FWCI: 1.06
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: www.springer.com/tdm (tdm)
Locations: AIDS and Behavior (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: Johns Hopkins University
U.S. President’s Emergency Plan for AIDS Relief
National Institutes of Health (5k24aa015287-03)
University of California, San Francisco
National Institute on Alcohol Abuse and Alcoholism (AA 15287, AA 14784, R21AA014784)
National Institute of Mental Health (MH 54907, R01MH054907, K24MH087227)
National Institute of Allergy and Infectious Diseases (P30AI027763)
Topics: Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › HIV/AIDS Impact and Responses
Keywords: alcohol consumption, depressive symptoms, antiretroviral therapy, HIV, treatment access, resource-limited settings, opportunistic infections, educational attainment, southwestern Uganda
MeSH terms: Adult, Alcohol Drinking, Depression, Female, Health Services Accessibility, Hospitals, University, Humans, Male, Outpatient Clinics, Hospital, Uganda, HIV Infections, Prevalence, Logistic Models, Anti-HIV Agents, Health Care Surveys

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Alcohol use, depressive symptoms and the receipt of antiretroviral therapy in Southwest Uganda

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