Alcohol use, depressive symptoms and the receipt of antiretroviral therapy in southwest Uganda

Priscilla Martinez, Irene Andia, Nneka Emenyonu, Judith A. Hahn, Edvard Hauff, Larry Pepper, David R. Bangsberg

Research output: Contribution to journalArticle

48 Scopus citations

Abstract

Alcohol use and depressive symptoms are associated with reduced access to antiretroviral therapy (ART) in the developed world. Whether alcohol use and depressive symptoms limit access to ART in resource-limited settings is unknown. This cross-sectional study examined the association between alcohol use, depressive symptoms and the receipt of ART among randomly selected HIV-positive persons presenting for primary health care services at an outpatient HIV clinic in Uganda. Depressive symptoms were defined by the Hopkins Symptom Checklist and alcohol use was measured through frequency of consumption questions. Antiretroviral use was assessed using a standardized survey and confirmed by medical record review. Predictors of ART use were determined via logistic regression. Among 421 HIV-infected patients, factors associated with the receipt of ART were having at least primary education, having an opportunistic infection in the last 3 months, and not drinking within the last year.

Original languageEnglish (US)
Pages (from-to)605-612
Number of pages8
JournalAIDS and Behavior
Volume12
Issue number4
DOIs
StatePublished - Jul 1 2008
Externally publishedYes

Keywords

  • Access to care
  • Africa
  • Alcohol use
  • Antiretroviral therapy
  • Depression

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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