Alcohol use disorders and associated factors among people living with HIV who are attending services in south west Ethiopia
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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.
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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 [18]
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References 34 · Cited by 76
Research works printed but not linked: 1
- [2]Global Burden of Disease 2010: Understanding Disease, Injury, and Risk. 2012. Available at www.thelancet.com Vol 380 December 15, 2012
- Authors
- Soboka, M., Tesfaye, M., Feyissa, G., & Hanlon, C.
- Affiliations
- Jimma University (ET)
- King's College London (GB)
- Corresponding author
- Soboka, Matiwos
- Tesfaye, Markos
- Feyissa, Garumma
- Hanlon, Charlotte
- Venue
- BMC Research Notes
- Published
- 2014
- Volume
- 7
- Issue
- 1
- Pages
- 828
- ISSN
- 1756-0500 (ISSN-L)
- PMC
- PMC4289332
- OpenAlex
- W2088996428
- Cited by
- 76
- References
- 34
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 4 · 2023: 2 · 2022: 7 · 2021: 13 · 2020: 13 · 2019: 8 · 2018: 6 · 2017: 8 · 2016: 4 · 2015: 2
- FWCI
- 3.53
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Research Notes (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Portal (King's College London) (acceptedVersion, other-oa)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, cc-by)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion, cc-by)
- Greater South Information System
- Funders
- Jimma University
- Center for International Health
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- alcoholism, people living with HIV, hazardous drinking, antiretroviral therapy, smoking, psychological distress, gender differences, HIV care integration, sub-Saharan Africa
- MeSH terms
- Adolescent, Adult, Ethiopia, Female, Humans, Male, Middle Aged, HIV Infections, Alcohol-Related Disorders
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