Heavy alcohol use in patients on highly active antiretroviral therapy: What responses are needed?
Open accessAbstract
BACKGROUND: Alcohol has a negative effect on antiretroviral therapy (ART) adherence and HIV treatment outcomes. METHOD: As part of formative work for a project to test the efficacy of an alcohol-focused intervention to reduce alcohol consumption and improve HIV treatment outcomes, we investigated the extent of problem drinking among patients at ART clinics in Tshwane, South Africa (SA), using the Alcohol Use Disorders Identification Test (AUDIT). RESULTS: The finding that a third of drinkers reported hazardous drinking, roughly 10% reported harmful drinking, and a further 10% were possibly alcohol dependent replicates the findings of similar research in the Western Cape and Gauteng provinces of SA. It also points to the need for more routine screening of ART patients for problematic alcohol use. CONCLUSION: The 10-item AUDIT may be too time consuming for health workers in busy ART clinics to administer and score, necessitating even briefer screening instruments for assessing hazardous and harmful drinking.
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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 [3]
Approximately one in five people attending health care facilities in sub-Saharan Africa meet the criteria for AUD.
“Studies conducted in sub-Saharan Africa (SSA) have shown that approximately one in five people attending health care facilities meet the criteria for AUD (3–7).”
From Integration of Alcohol Use Disorder Interventions in General Health Care Settings in Sub-Saharan Africa: A Scoping Review (2022) · cites this paper as [3]
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The relation between different dimensions of alcohol consumption and burden of disease: an overview
Rehm, J., Baliunas, D., Borges, G. L. G., Graham, K., Irving, H., Kehoe, T., Parry, C. D., Patra, J., Popova, S., Poznyak, V., et al. (2010) · Addiction · doi:10.1111/j.1360-0443.2010.02899.x · Cited by 1,174 · see citing works
Self-citationAlcohol Use and Antiretroviral Adherence: Review and Meta-Analysis
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Parry, C. D., Londani, M., Shuper, P. A., Myers, B., Kekwaletswe, C. T., Nkosi, S., & Morojele, N. K. (2019) · South African Medical Journal · doi:10.7196/samj.2019.v109i10.13586 · Cited by 12 · see citing works
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“Now We Are Told That We Can Mix”: Messages and Beliefs Around Simultaneous Use of Alcohol and ART
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- Authors
- Parry, C. D., Kekwaletswe, C., Shuper, P. A., Nkosi, S., Myers, B. J., & Morojele, N. K.
- Affiliations
- South African Medical Research Council (ZA)
- Centre for Addiction and Mental Health (CA)
- Venue
- South African Medical Journal
- Published
- 2016-05-08
- Volume
- 106
- Issue
- 6
- Pages
- 567
- ISSN
- 0256-9574 (ISSN-L)
- 2078-5135
- OpenAlex
- W2419467506
- Cited by
- 15
- References
- 6
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 3 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 1
- FWCI
- 1.87
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- South African Medical Journal (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- SUNScholar (Stellenbosch University) (submittedVersion)
- Funders
- South African Medical Research Council
- Medical Research Council
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- heavy alcohol use, problem drinking, HIV, highly active antiretroviral therapy, alcohol screening, auditing, hazardous drinking, alcoholism, medication adherence, HIV treatment outcomes
- MeSH terms
- Alcoholism, Female, Humans, Male, Primary Health Care, Surveys and Questionnaires, South Africa, HIV Infections, Antiretroviral Therapy, Highly Active, Medication Adherence
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