Alcohol use, depressive symptoms and the receipt of antiretroviral therapy in Southwest Uganda

被引:54
作者
Martinez, Priscilla [1 ]
Andia, Irene [2 ]
Emenyonu, Nneka [3 ,4 ]
Hahn, Judith A. [3 ,4 ]
Hauff, Edvard [1 ]
Pepper, Larry [2 ]
Bangsberg, David R. [3 ,4 ,5 ]
机构
[1] Univ Oslo, Sect Int Hlth, Dept Gen Practice & Commun Med, N-0407 Oslo, Norway
[2] Mbarara Univ Sci & Technol, Mbarara, Uganda
[3] Univ Calif San Francisco, San Francisco Gen Hosp, Div Infect Dis, San Francisco, CA USA
[4] Univ Calif San Francisco, San Francisco Gen Hosp, Epidemiol & Prevent Intervent Ctr, San Francisco, CA USA
[5] Univ Calif San Francisco, San Francisco Gen Hosp, Posit Hlth Program, San Francisco, CA USA
关键词
antiretroviral therapy; alcohol use; depression; Africa; access to care;
D O I
10.1007/s10461-007-9312-x
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Alcohol use and depressive symptoms are associated with reduced access to antiretroviral therapy (ART) in the developed world. Whether alcohol use and depressive symptoms limit access to ART in resource-limited settings is unknown. This cross-sectional study examined the association between alcohol use, depressive symptoms and the receipt of ART among randomly selected HIV-positive persons presenting for primary health care services at an outpatient HIV clinic in Uganda. Depressive symptoms were defined by the Hopkins Symptom Checklist and alcohol use was measured through frequency of consumption questions. Antiretroviral use was assessed using a standardized survey and confirmed by medical record review. Predictors of ART use were determined via logistic regression. Among 421 HIV-infected patients, factors associated with the receipt of ART were having at least primary education, having an opportunistic infection in the last 3 months, and not drinking within the last year.
引用
收藏
页码:605 / 612
页数:8
相关论文
共 42 条
[1]  
Alexandre PK, 2001, RECENT DEV ALCOHOL, V15, P285
[2]  
[Anonymous], UG SUMM COUNTR PROF
[3]  
[Anonymous], 2002, AIDS and Behavior
[4]  
[Anonymous], 2004, GLOB STAT REP ALC 20
[5]   Depressive symptoms increase risk of HIV disease progression and mortality among women, in Tanzania [J].
Antelman, Gretchen ;
Kaaya, Sylvia ;
Wei, Ruilan ;
Mbwambo, Jessie ;
Msamanga, Gernard I. ;
Fawzi, Wafaie W. ;
Fawzi, Mary C. Smith .
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2007, 44 (04) :470-477
[6]  
Babor T.F., 2001, Primary Care, V2nd
[7]  
BABOR TF, 1992, AUDIT ALCOHOL USE DI
[8]   Psychiatric disorders and drug use among human immunodeficiency virus-infected adults in the United States [J].
Bing, EG ;
Burnam, A ;
Longshore, D ;
Fleishman, JA ;
Sherbourne, CD ;
London, AS ;
Turner, BJ ;
Eggan, F ;
Beckman, R ;
Vitiello, B ;
Morton, SC ;
Orlando, M ;
Bozzette, SA ;
Ortiz-Barron, L ;
Shapiro, M .
ARCHIVES OF GENERAL PSYCHIATRY, 2001, 58 (08) :721-728
[9]   Cross-cultural validity and reliability testing of a standard psychiatric assessment instrument without a gold standard [J].
Bolton, P .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 2001, 189 (04) :238-242
[10]  
BOLTON P, 2001, CROSS CULT ASS TRAUM