TY  - JOUR
PY  - 2018//
TI  - High prevalence of binge drinking among people living with HIV in four African countries
JO  - Journal of the international AIDS society
A1  - Nouaman, Marcellin N.
A1  - Vinikoor, Michael
A1  - Seydi, Moussa
A1  - Ekouevi, Didier K.
A1  - Coffie, Patrick A.
A1  - Mulenga, Lloyd
A1  - Tanon, Aristophane
A1  - Egger, Matthias
A1  - Dabis, Francois
A1  - Jaquet, Antoine
A1  - Wandeler, Gilles
SP  - e25202
EP  - e25202
VL  - 21
IS  - 12
N2  - 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. <br><br>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). <br><br>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. <br><br>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.<br><br>© 2018 The Authors. Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of the International AIDS Society.<p />  <p>Language: en</p>
LA  - en
SN  - 1758-2652
UR  - http://dx.doi.org/10.1002/jia2.25202
ID  - ref1
ER  -