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Factors Associated With Changes in Alcohol Use During Pregnancy and the Postpartum Transition Among People With HIV in South Africa and Uganda.

Authors :
Stanton AM
Hornstein BD
Musinguzi N
Dolotina B
Orrell C
Amanyire G
Asiimwe S
Cross A
Psaros C
Bangsberg D
Hahn JA
Haberer JE
Matthews LT
Source :
Journal of the International Association of Providers of AIDS Care [J Int Assoc Provid AIDS Care] 2023 Jan-Dec; Vol. 22, pp. 23259582231161029.
Publication Year :
2023

Abstract

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.

Details

Language :
English
ISSN :
2325-9582
Volume :
22
Database :
MEDLINE
Journal :
Journal of the International Association of Providers of AIDS Care
Publication Type :
Academic Journal
Accession number :
36945860
Full Text :
https://doi.org/10.1177/23259582231161029