Factors Associated With Changes in Alcohol Use During Pregnancy and the Postpartum Transition Among People With HIV in South Africa and Uganda
oleh: Amelia M. Stanton PhD, Benjamin D. Hornstein PhD, MPH, Nicholas Musinguzi MSc, Brett Dolotina BS, BSA, Catherine Orrell MBChB, PhD, Gideon Amanyire MBChB, MPH, Stephen Asiimwe MBChB, MS, DrPH, Anna Cross MBChB, Christina Psaros PhD, David Bangsberg MD, MPH, MSc, Judith A. Hahn PhD, MA, Jessica E. Haberer MD, MS, Lynn T. Matthews MD, MPH
| Format: | Article |
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| Diterbitkan: | SAGE Publishing 2023-03-01 |
Deskripsi
Identifying factors associated with alcohol use changes during pregnancy is important for developing interventions for people with HIV (PWH). Pregnant PWH (n = 202) initiating antiretroviral therapy in Uganda and South Africa completed two assessments, 6 months apart (T1, T2). Categories were derived based on AUDIT-C scores: “no use” (AUDIT-C = 0 at T1 and T2), “new use” (AUDIT-C = 0 at T1, >0 at T2), “quit” (AUDIT-C > 0 at T1, =0 at T2), and “continued use” (AUDIT-C > 0, T1 and T2). Factors associated with these categories were assessed. Most participants had “no use” (68%), followed by “continued use” (12%), “quit” (11%), and “new use” (9%). Cohabitating with a partner was associated with lower relative risk of “continued use.” Borderline significant associations between food insecurity and higher risk of “new use” and between stigma and reduced likelihood of “quitting” also emerged. Alcohol use interventions that address partnership, food security, and stigma could benefit pregnant and postpartum PWH.