The aim of this study was to
describe the epidemiology of problem drinking in a cohort of women at high-risk
of HIV in Kampala, Uganda.
Overall, 1027 women at high risk of HIV infection
were followed from 2008 to 2013. The CAGE and AUDIT questionnaires were used to
identify problem drinkers in the cohort. Interviewer-administered
questionnaires were used to ascertain socio-demographic and behavioural
factors. Blood and genital samples were tested for HIV and other sexually
transmitted infections.
At enrollment, most women (71%) reported using alcohol
at least weekly and about a third reported having drunk alcohol daily for at
least 2 weeks during the past 3 months. Over half (56%) were problem drinkers
by CAGE at enrollment, and this was independently associated with vulnerability
(being divorced/separated/widowed, less education, recruiting clients at
bars/clubs, and forced sex at first sexual experience).
Factors associated with
problem drinking during follow-up included younger age, meeting clients in
bars/clubs, number of clients, using drugs and HSV-2 infection. HIV prevalence
was associated with drinking at enrollment, but not during follow-up.
This
longitudinal study found high levels of persistent problem drinking. Further
research is needed to adapt and implement alcohol-focused interventions in
vulnerable key populations in sub-Saharan Africa.
Full article at:
By:
- 1MRC Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK. helen.weiss@lshtm.ac.uk.
- 2Uganda Research Unit on AIDS, Medical Research Council/Uganda Virus Research Institute (MRC/UVRI), Entebbe, Uganda. jvdpitte@hotmail.co.uk.
- 3Department of Community Health and Behavioral Sciences, School of Public Health, Colleges of Health Sciences, Makerere University, Kampala, Uganda. jbukenya@musph.ac.ug.
- 4Uganda Research Unit on AIDS, Medical Research Council/Uganda Virus Research Institute (MRC/UVRI), Entebbe, Uganda. yunia.mayanja@mrcuganda.org.
- 5Uganda Research Unit on AIDS, Medical Research Council/Uganda Virus Research Institute (MRC/UVRI), Entebbe, Uganda. Susan.nakubulwa@mrcuganda.org.
- 6Uganda Research Unit on AIDS, Medical Research Council/Uganda Virus Research Institute (MRC/UVRI), Entebbe, Uganda. anatoli.kamali@mrcuganda.org.
- 7Uganda Research Unit on AIDS, Medical Research Council/Uganda Virus Research Institute (MRC/UVRI), Entebbe, Uganda. janet.seeley@lshtm.ac.uk.
- 8Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London WC1E 9RE, UK. janet.seeley@lshtm.ac.uk.
- 9MRC Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK. heiner.grosskurth@lshtm.ac.uk.
- Int J Environ Res Public Health. 2016 Jan 22;13(2). pii: E153. doi: 10.3390/ijerph13020153.
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