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

doi:10.1007/s10461-007-9312-x

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 journal › Article › peer-review

59 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 language	English (US)
Pages (from-to)	605-612
Number of pages	8
Journal	AIDS and Behavior
Volume	12
Issue number	4
DOIs	https://doi.org/10.1007/s10461-007-9312-x
State	Published - Jul 2008
Externally published	Yes

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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10.1007/s10461-007-9312-x

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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.",

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AU - Hauff, Edvard

AU - Pepper, Larry

AU - Bangsberg, David R.

N1 - Funding Information: Acknowledgements The authors would like to acknowledge Lillian Namukasa, Nicholas Musinguzi, Peace Margaret Akantorana, and the staff of the ISS Clinic and MUST-UCSF Collaboration for their contributions to the implementation of the study. We would also like to acknowledge Dr. Paul Bolton of Boston University for generously providing the locally validated version of the Hopkins Symptom Check list. This study received funding from the National Institute on

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N2 - 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.

AB - 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.

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

Abstract

Keywords

ASJC Scopus subject areas

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