Alcohol use among people who inject drugs living with HIV in Kenya is associated with needle sharing, more new sex partners, and lower engagement in HIV care

被引：1

作者：

DesLauriers, N. ^{[1
]}

Sambai, B. ^{[2
]}

Mbogo, L. ^{[2
]}

Ludwig-Barron, N. ^{[3
,4
]}

Kingston, H. ^{[5
]}

Chohan, B. ^{[3
,6
]}

Gitau, E. ^{[7
]}

Sinkele, W. ^{[7
]}

Masyuko, S. ^{[3
,8
]}

Herbeck, J. ^{[3
]}

Bukusi, D. ^{[2
]}

Guthrie, B. L. ^{[3
,4
]}

Farquhar, C. ^{[1
,3
,4
]}

Monroe-Wise, A. ^{[3
]}

机构：

[1] Univ Washington, Dept Med, Seattle, WA 98195 USA

[2] Kenyatta Natl Hosp, HIV Testing & Counseling & HIV Prevent, Nairobi, Kenya

[3] Univ Washington, Dept Global Hlth, Seattle, WA USA

[4] Univ Washington, Dept Epidemiol, Seattle, WA USA

[5] Univ Washington, Inst Publ Hlth Genet, Seattle, WA USA

[6] Kenya Med Res Inst KEMRI, Nairobi, Kenya

[7] Support Addict Prevent & Treatment Afr, Nairobi, Kenya

[8] Kenya Minist Hlth, Natl AIDS & STI Control Programme NASCOP, Nairobi, Kenya

来源：

AIDS AND BEHAVIOR | 2023年 / 27卷 / 12期

基金：

美国国家卫生研究院;

关键词：

HIV; Alcohol; Injection drug use; HIV risk behaviors; Care engagement; Kenya; RISK BEHAVIORS; ANTIRETROVIRAL THERAPY; IMPACT; METAANALYSIS; CONSUMPTION; PREVALENCE; INFECTION; DISORDERS; CONTINUUM; OUTCOMES;

D O I：

10.1007/s10461-023-04113-0

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

We assessed the prevalence and correlates of alcohol use among 870 people who inject drugs living with HIV in Kenya, with attention toward (1) sexual and injecting risk behaviors for HIV transmission and (2) HIV care engagement. We defined heavy alcohol use as > 14 drinks/week for men and > 7 drinks/week for women, moderate alcohol use as any lesser but non-zero amount, and any alcohol use as either moderate or heavy use. Approximately 39% of participants reported any alcohol use and 15% heavy use. In multivariate analysis, any alcohol use compared to no use was associated with needle sharing, > 3 new sex partners in the past 3 months, being unaware of HIV status, never enrolling in HIV care, and not being on ART (all p < 0.05). Heavy alcohol use as compared to no use was associated with needle sharing (aOR = 2.72; 95% CI 1.43, 5.13), injection equipment sharing (aOR = 1.80; 95% CI 1.00, 3.16), > 3 new sex partners in the past 3 months (aOR = 1.99; 95% CI 1.12, 3.49), and being unaware of HIV status (aOR = 2.77; 95% CI 1.46, 5.19). There was no association between any measure of alcohol use and unsuppressed viral load. Alcohol use among people who inject drugs living with HIV may carry elevated risk of HIV transmission mediated by sexual and injecting practices and is associated with lower engagement in multiple stages of the HIV care cascade.

引用

页码：3970 / 3980

页数：11

共 52 条

[1] At-Risk Drinking and Injection and Sexual Risk Behaviors of HIV-Positive Injection Drug Users Entering Drug Treatment in New York City [J].