Intersection of alcohol use, HIV infection, and the HIV care continuum in Zambia: nationally representative survey.
AIDS Care
; 35(10): 1555-1562, 2023 10.
Article
em En
| MEDLINE
| ID: mdl-35761776
ABSTRACT
Through a nationally-representative household survey, we measured the prevalence and correlates of unhealthy alcohol use (UAU) in Zambia and its association with the HIV care continuum. Adolescent and adult (ages 15-59 years) data, including the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), from the 2016 Zambia Population-based HIV Impact Assessment, were analyzed. UAU was defined as AUDIT-C of 3 + points for women and 4 + for men. Among 20,923 participants, 15.3% had UAU; this was 21.6% among people living with HIV (PLWH). Male sex, increasing age, being employed, urban residence, and having HIV were independent correlates of UAU (all P < 0.05). Among PLWH, UAU was associated with reduced HIV diagnosis (adjusted odds ratio [AOR] 0.66, 95% CI 0.50-0.88) and non-significant trends toward reduced ART use if diagnosed (AOR 0.73, 95% CI 0.73-1.10) and reduced viral suppression (VS) if on ART (AOR 0.91, 95% CI 0.57-1.44). Overall, UAU was linked to 25% lower odds of VS compared to abstinence. UAU in Zambia disproportionately affects certain groups including PLWH. Achieving and sustaining HIV epidemic control in Zambia will require evidence-based approaches to screen and treat UAU.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Infecções por HIV
/
Alcoolismo
Tipo de estudo:
Risk_factors_studies
Limite:
Adolescent
/
Adult
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Female
/
Humans
/
Male
País/Região como assunto:
Africa
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article