Barcelona 2013
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| Abstract #558 - E-Posters English | ||||
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Session: 50.53: E-Posters English (Poster) on Sunday in Chaired by Authors: Presenting Author: Prof Susan Kiene - University of Connecticut School of Medicine, United States |
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| Additional Authors: Dr. Jordi Casabona, Sra Cristina Sanclemente, Dra. Anna Esteve, Dra. Victoria Gonzalez, Grupo HIVITS TS, | ||||
| Aim: In Uganda, regular alcohol consumption and consuming alcohol before sex is associated with higher HIV prevalence (Ssekandi et al., 2012, Seeley et al., 2012, Ssetaala et al., 2012, Zablotska et al, 2009). However, it is unknown if these relationships are driven by any level of alcohol use or by risky levels of alcohol consumption and alcohol dependence. Our objective was to examine how hazardous alcohol use, alcohol dependence, and related factors correlate with HIV status in fishing communities in Uganda. | ||||
| Method / Issue: 300 (132 male, 168 female) residents of three fishing communities in Uganda (75 participants from each of the following high-risk groups: fishmongers, alcohol-sellers, commercial sex workers, and fishermen) completed a cross-sectional interviewer-assisted computerized interview. Measures included sociodemographics, HIV testing history, sexual behavior, the AUDIT (measure of hazardous alcohol use) and AUDADIS (measure of alcohol dependence), alcohol outcome expectancies, and drinking motives. | ||||
| Results / Comments: A significant proportion (19.7%) of the sample reported being HIV positive. Those who reported drinking alcohol during the prior 12 months (25.3% of the sample) tended to drink at hazardous levels according to the AUDIT criteria and/or met criteria for alcohol dependence according to the AUDADIS: of the entire sample 6.7% drank but not at a hazardous level nor were they dependent, 7.0% met criteria for alcohol dependence but did not drink hazardously, and 11.7% were dependent and drank hazardously. Compared to those who did not drink, those who exhibited alcohol dependence and drank at a hazardous level were most likely to be HIV positive (OR 4.25 95%CI 2.02-8.94). There was no increased likelihood of being HIV positive for those who were dependent without hazardous drinking or those who were not dependent nor drank hazardously. Endorsing an enhancement motive for drinking was marginally associated with being HIV positive (OR 2.05, 95%CI 0.91-4.68). Meeting sex partners at alcohol serving establishments was also associated with being HIV positive (OR 3.00, 95%CI 1.17-7.67). Gender, risk-group, condom use while drinking, alcohol outcome expectancies, and other drinking motives were not statistically significant predictors of being HIV positive. | ||||
| Discussion: The association between alcohol use and HIV infection may be driven by those who drink hazardously and are alcohol dependent rather than by lower-risk drinking behavior. Behavioral motives including feeling that drinking alcohol makes one feel ?good? and the behavior of meeting sex partners in alcohol-serving establishments are also important considerations when attempting to understand how alcohol use may be a risk factor for HIV infection. Further research is needed to understand how the behavioral and physiological aspects of alcohol use may interact to increase the risk of HIV infection. | ||||
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