High prevalence of binge drinking among people living with HIV in four African countries.
- Nouaman MN Programme PACCI, CHU de Treichville, Abidjan, Côte d'Ivoire.
- Vinikoor M Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
- Seydi M Service de maladies infectieuses et tropicales, CRCF, CHU de Fann, Dakar, Sénégal.
- Ekouevi DK Programme PACCI, CHU de Treichville, Abidjan, Côte d'Ivoire.
- Coffie PA Programme PACCI, CHU de Treichville, Abidjan, Côte d'Ivoire.
- Mulenga L University Teaching Hospital, Lusaka, Zambia.
- Tanon A CHU de Treichville, Service de maladies infectieuses et tropicales, Abidjan, Côte d'Ivoire.
- Egger M Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
- Dabis F INSERM U1219 Bordeaux Population Health Research, ISPED, Université de Bordeaux, Bordeaux, France.
- Jaquet A INSERM U1219 Bordeaux Population Health Research, ISPED, Université de Bordeaux, Bordeaux, France.
- Wandeler G Service de maladies infectieuses et tropicales, CRCF, CHU de Fann, Dakar, Sénégal.
- 2018-12-15
Published in:
- Journal of the International AIDS Society. - 2018
HIV
alcohol
antiretroviral therapy
binge drinking
sub-Saharan Africa
viral hepatitis
Adult
Africa South of the Sahara
Binge Drinking
Cross-Sectional Studies
Female
HIV Infections
Humans
Logistic Models
Male
Middle Aged
Prevalence
English
INTRODUCTION
Excessive alcohol consumption leads to unfavourable outcomes in people living with HIV (PLHIV), including reduced adherence to antiretroviral therapy (ART) and engagement into care. However, there is limited information on alcohol consumption patterns among PLHIV in sub-Saharan Africa.
METHODS
Using a cross-sectional approach, the Alcohol Use Disorders Identification Test (AUDIT-C) was administered to PLHIV attending HIV clinics in Côte d'Ivoire, Togo, Senegal and Zambia (2013 to 2015). Hazardous drinking was defined as an AUDIT-C score ≥4 for men or ≥3 for women, and binge drinking as ≥6 drinks at least once per month. The prevalence of binge drinking was compared to estimates from the general population using data from the World Health Organization. Factors associated with binge drinking among persons declaring any alcohol use in the past year were assessed using a logistic regression model to estimate odds ratio (OR) and their corresponding 95% confidence intervals (CI).
RESULTS
Among 1824 PLHIV (median age 39 years, 62.8% female), the prevalence of hazardous alcohol use ranged from 0.9% in Senegal to 38.4% in Zambia. The prevalence of binge drinking ranged from 14.3% among drinkers in Senegal to 81.8% in Zambia, with higher estimates among PLHIV than in the general population. Male sex (OR 2.4, 95% CI 1.6 to 3.7), tobacco use (OR 1.7, 95% CI 1.0 to 2.9) and living in Zambia were associated with binge drinking.
CONCLUSIONS
Alcohol consumption patterns varied widely across settings and binge drinking was more frequent in HIV-positive individuals compared to the general population. Interventions to reduce excessive alcohol use are urgently needed to optimize adherence in the era of universal ART.
Excessive alcohol consumption leads to unfavourable outcomes in people living with HIV (PLHIV), including reduced adherence to antiretroviral therapy (ART) and engagement into care. However, there is limited information on alcohol consumption patterns among PLHIV in sub-Saharan Africa.
METHODS
Using a cross-sectional approach, the Alcohol Use Disorders Identification Test (AUDIT-C) was administered to PLHIV attending HIV clinics in Côte d'Ivoire, Togo, Senegal and Zambia (2013 to 2015). Hazardous drinking was defined as an AUDIT-C score ≥4 for men or ≥3 for women, and binge drinking as ≥6 drinks at least once per month. The prevalence of binge drinking was compared to estimates from the general population using data from the World Health Organization. Factors associated with binge drinking among persons declaring any alcohol use in the past year were assessed using a logistic regression model to estimate odds ratio (OR) and their corresponding 95% confidence intervals (CI).
RESULTS
Among 1824 PLHIV (median age 39 years, 62.8% female), the prevalence of hazardous alcohol use ranged from 0.9% in Senegal to 38.4% in Zambia. The prevalence of binge drinking ranged from 14.3% among drinkers in Senegal to 81.8% in Zambia, with higher estimates among PLHIV than in the general population. Male sex (OR 2.4, 95% CI 1.6 to 3.7), tobacco use (OR 1.7, 95% CI 1.0 to 2.9) and living in Zambia were associated with binge drinking.
CONCLUSIONS
Alcohol consumption patterns varied widely across settings and binge drinking was more frequent in HIV-positive individuals compared to the general population. Interventions to reduce excessive alcohol use are urgently needed to optimize adherence in the era of universal ART.
- Language
-
- English
- Open access status
- gold
- Identifiers
-
- DOI 10.1002/jia2.25202
- PMID 30549445
- Persistent URL
- https://folia.unifr.ch/global/documents/61090
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