A qualitative study on alcohol consumption and HIV treatment adherence among men living with HIV in Ugandan fishing communities

被引:20
作者
Sileo, Katelyn M. [1 ,2 ]
Kizito, Williams [3 ]
Wanyenze, Rhoda K. [4 ]
Chemusto, Harriet [3 ]
Musoke, William [3 ]
Mukasa, Barbara [3 ]
Kiene, Susan M. [1 ]
机构
[1] San Diego State Univ, Grad Sch Publ Hlth, San Diego, CA 92182 USA
[2] Yale Univ, Ctr Interdisciplinary Res AIDS, 135 Coll St,Suite 200, New Haven, CT 06510 USA
[3] Mildmay Uganda, Kampala, Uganda
[4] Makerere Univ, Makerere Sch Publ Hlth, Kampala, Uganda
来源
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2019年 / 31卷 / 01期
关键词
Alcohol; HIV/AIDS; fisherfolk; Uganda; medication adherence; ANTIRETROVIRAL ADHERENCE; MEDICATIONS; BELIEFS;
D O I
10.1080/09540121.2018.1524564
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Ugandan fishing communities are dually burdened with high rates of HIV and alcohol use. This qualitative study explores context and motivation of alcohol consumption, and alcohol's effect on antiretroviral treatment (ART) adherence, among male fisherfolk living with HIV in Wakiso District, Uganda. We conducted in-depth semi-structured interviews with 30 men in HIV care and on ART, and used a thematic analysis approach for analysis. Alcohol use was identified as a major barrier to ART adherence through cognitive impairment and the intentional skipping of doses when drinking. Men reportedly reduced their drinking since HIV diagnosis - motivated by counseling received from providers and a newfound desire to live a healthy lifestyle. However, social, occupational, and stress-related influences that make alcohol reduction difficult were identified. Our findings suggest alcohol use may pose a challenge to ART adherence for fishermen living with HIV - and has implications for the tailoring of screening and brief intervention for alcohol reduction in HIV care for this population.
引用
收藏
页码:35 / 40
页数:6
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