IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v13y2016i2p153-d62727.html
   My bibliography  Save this article

High Levels of Persistent Problem Drinking in Women at High Risk for HIV in Kampala, Uganda: A Prospective Cohort Study

Author

Listed:
  • Helen A. Weiss

    (MRC Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK)

  • Judith Vandepitte

    (Uganda Research Unit on AIDS, Medical Research Council/Uganda Virus Research Institute (MRC/UVRI), Entebbe, Uganda)

  • Justine N. Bukenya

    (Department of Community Health and Behavioral Sciences, School of Public Health, Colleges of Health Sciences, Makerere University, Kampala, Uganda)

  • Yunia Mayanja

    (Uganda Research Unit on AIDS, Medical Research Council/Uganda Virus Research Institute (MRC/UVRI), Entebbe, Uganda)

  • Susan Nakubulwa

    (Uganda Research Unit on AIDS, Medical Research Council/Uganda Virus Research Institute (MRC/UVRI), Entebbe, Uganda
    The new e-mail address of Susan Nakubulwa nakubulwas@yahoo.com)

  • Anatoli Kamali

    (Uganda Research Unit on AIDS, Medical Research Council/Uganda Virus Research Institute (MRC/UVRI), Entebbe, Uganda)

  • Janet Seeley

    (Uganda Research Unit on AIDS, Medical Research Council/Uganda Virus Research Institute (MRC/UVRI), Entebbe, Uganda
    Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London WC1E 9RE, UK)

  • Heiner Grosskurth

    (MRC Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK)

Abstract

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.

Suggested Citation

  • Helen A. Weiss & Judith Vandepitte & Justine N. Bukenya & Yunia Mayanja & Susan Nakubulwa & Anatoli Kamali & Janet Seeley & Heiner Grosskurth, 2016. "High Levels of Persistent Problem Drinking in Women at High Risk for HIV in Kampala, Uganda: A Prospective Cohort Study," IJERPH, MDPI, vol. 13(2), pages 1-15, January.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:2:p:153-:d:62727
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/13/2/153/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/13/2/153/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Dolly Baliunas & Jürgen Rehm & Hyacinth Irving & Paul Shuper, 2010. "Alcohol consumption and risk of incident human immunodeficiency virus infection: a meta-analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(3), pages 159-166, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Hanne Ochieng Lichtwarck & Method Rwelengera Kazaura & Kåre Moen & Elia John Mmbaga, 2022. "Harmful Alcohol Use and Associated Socio-Structural Factors among Female Sex Workers Initiating HIV Pre-Exposure Prophylaxis in Dar es Salaam, Tanzania," IJERPH, MDPI, vol. 20(1), pages 1-15, December.
    2. Yunia Mayanja & Onesmus Kamacooko & Daniel Bagiire & Gertrude Namale & Janet Seeley, 2020. "Epidemiological Findings of Alcohol Misuse and Dependence Symptoms among Adolescent Girls and Young Women Involved in High-Risk Sexual Behavior in Kampala, Uganda," IJERPH, MDPI, vol. 17(17), pages 1-13, August.
    3. Emmanuel Peprah & Bronwyn Myers & Andre-Pascal Kengne & Nasheeta Peer & Omar El-Shahawy & Temitope Ojo & Barbara Mukasa & Oliver Ezechi & Juliet Iwelunmor & Nessa Ryan & Fatoumata Sakho & John Patena , 2022. "Using a Syndemics Framework to Understand How Substance Use Contributes to Morbidity and Mortality among People Living with HIV in Africa: A Call to Action," IJERPH, MDPI, vol. 19(3), pages 1-12, January.
    4. Monica H. Swahn & Rachel Culbreth & Laura F. Salazar & Nazarius Mbona Tumwesigye & David H. Jernigan & Rogers Kasirye & Isidore S. Obot, 2020. "The Prevalence and Context of Alcohol Use, Problem Drinking and Alcohol-Related Harm among Youth Living in the Slums of Kampala, Uganda," IJERPH, MDPI, vol. 17(7), pages 1-16, April.
    5. Monica O. Kuteesa & Helen A. Weiss & Sarah Cook & Janet Seeley & Josephine N. Ssentongo & Robert Kizindo & Paul Ngonzi & Moses Sewankambo & Emily L. Webb, 2020. "Epidemiology of Alcohol Misuse and Illicit Drug Use Among Young People Aged 15–24 Years in Fishing Communities in Uganda," IJERPH, MDPI, vol. 17(7), pages 1-21, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ritchwood, Tiarney D. & Ford, Haley & DeCoster, Jamie & Sutton, Marnie & Lochman, John E., 2015. "Risky sexual behavior and substance use among adolescents: A meta-analysis," Children and Youth Services Review, Elsevier, vol. 52(C), pages 74-88.
    2. Amir Hasan Dawi & Mahizer Hamzah & Noraini Mohamed Noh, 2017. "Developing Module for Ethnic Interaction in Secondary School in Malaysia," European Journal of Social Sciences Education and Research Articles, Revistia Research and Publishing, vol. 4, May - Aug.
    3. Jon Agley & Yunyu Xiao & Wasantha Jayawardene & Albert Gay & Rosemary King & Kelly Horne & Roland Walker, 2021. "HIV/AIDS and Substance Use Prevention for African American Young Adults: Field Evaluation of “Color it Realâ€," SAGE Open, , vol. 11(2), pages 21582440211, May.
    4. Milena Stanojlović Ph.D & Prof. Ubaldo Cuesta Cambra & Ph.D. Candidate Borja Paredes, 2023. "Self-Affirmation Effect on Risk Perception and the Moderating Role of Self-Efficacy in Anti-Alcohol Messages," Humanities Today: Proceedings Articles, Revistia Research and Publishing, vol. 2, January -.
    5. Maria Ganczak & Grażyna Czubińska & Marcin Korzeń & Zbigniew Szych, 2017. "A Cross-Sectional Study on Selected Correlates of High risk Sexual Behavior in Polish Migrants Resident in the United Kingdom," IJERPH, MDPI, vol. 14(4), pages 1-15, April.
    6. Diego Rios-Zertuche & Jose Cuchilla & Paola Zúñiga-Brenes & Bernardo Hernández & Patricia Jara & Ali H. Mokdad & Emma Iriarte, 2017. "Alcohol abuse and other factors associated with risky sexual behaviors among adolescent students from the poorest areas in Costa Rica," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(2), pages 271-282, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:13:y:2016:i:2:p:153-:d:62727. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.