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Alcohol use and non‐adherence to antiretroviral therapy in HIV‐infected patients in West Africa
Author(s) -
Jaquet Antoine,
Ekouevi Didier K.,
Bashi Jules,
Aboubakrine Maiga,
Messou Eugène,
Maiga Moussa,
Traore Hamar Alassane,
Zannou Marcel Djimon,
Guehi Calixte,
BaGomis Franck Olivier,
Minga Albert,
Allou Gérard,
Eholie Serge Paul,
Bissagnene Emmanuel,
Sasco Annie J.,
Dabis Francois
Publication year - 2010
Publication title -
addiction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.424
H-Index - 193
eISSN - 1360-0443
pISSN - 0965-2140
DOI - 10.1111/j.1360-0443.2010.02978.x
Subject(s) - medicine , interquartile range , odds ratio , confidence interval , cross sectional study , young adult , human immunodeficiency virus (hiv) , environmental health , immunology , pathology
Aim To investigate the association between alcohol use and adherence to highly active antiretroviral treatment (HAART) among human immunodeficiency virus (HIV)‐infected patients in subSaharan Africa. Design and setting Cross‐sectional survey conducted in eight adult HIV treatment centres from Benin, Côte d'Ivoire and Mali. Participants and measurements During a 4‐week period, health workers administered the Alcohol Use Disorders Identification Test to HAART‐treated patients and assessed treatment adherence using the AIDS Clinical Trials Group follow‐up questionnaire. Findings A total of 2920 patients were enrolled with a median age of 38 years [interquartile range (IQR) 32–45 years] and a median duration on HAART of 3 years (IQR 1–4 years). Overall, 91.8% of patients were identified as adherent to HAART. Non‐adherence was associated with current drinking [odds ratio (OR) 1.4; 95% confidence interval (CI) 1.1–2.0], hazardous drinking (OR 4.7; 95% CI 2.6–8.6) and was associated inversely with a history of counselling on adherence (OR 0.7; 95% CI 0.5–0.9). Conclusions Alcohol consumption and hazardous drinking is associated with non‐adherence to HAART among HIV‐infected patients from West Africa. Adult HIV care programmes should integrate programmes to reduce hazardous and harmful drinking.