The prevalence and factors associated with alcohol use disorder among people living with HIV/AIDS in Africa: a systematic review and meta-analysis

Abstract Background Alcohol use disorder among people living with HIV/AIDS contributes to decreased adherence and effectiveness of antiretroviral medication, decreased help-seeking to HIV/AIDS care and treatment, increased load of the virus in the blood, and development of drug-resistant HIV strains. This study therefore aimed and assessed the pooled evidence on prevalence and associated factors of alcohol use disorder in retroviral infected patients in Africa. Methods We implemented our electronic data base search on PubMed, Scopus, EMBASE, and Psych-INFO libraries. In addition, WHO websites and Google scholar were also investigated for grey literatures. Moreover, we further investigated the reference lists of published articles. Stata-11meta-prop package with 95% confidence interval was used. Subgroup and sensitivity analysis were also performed. Cochran's Q- and the I2 test were used to check heterogeneity. Publication bias was evaluated with Egger's test and funnel plots. Results In this meta-analysis, we included 22 studies with a total of 16774 patients and the pooled prevalence of alcohol use disorder was 22.03%( 95% CI: 17.18, 28.67). The average prevalence of AUD in South Africa (28.77%) was higher than in Uganda (16.61%) and Nigeria (22.8%). Besides, the average prevalence of AUD in studies published before 2011, 2011–2015, and after 2015 was found to be 13.47%, 24.93% and 22.88% respectively. Moreover, the pooled magnitude of AUD among studies which utilized a sample size > 450 was 16.71% whereas it was 26.46% among studies that utilized sample size < 450. Furthermore, the pooled estimated prevalence of hazardous, harmful and dependent drinking was 10.87%, 8.1%, and 3.12% respectively. Being male was an associated factor for alcohol use disorder (AOR = 5.5%; 95% CI: 1.10, 9.98). Moreover, the average odds ratio of cigarette smoking and chat chewing were found to be 3.95% (95% CI: 3.00, 4.89) and 3.34% (95% CI: 1.71, 4.96) respectively. Conclusion The average estimated prevalence of AUD in HIV/AIDs patients was high and factors such as being Male, cigarette smoking and chat chewing were associated with it. Early detection and appropriate management of AUD and the mentioned associated factors have to be a routine practice.

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Factors Associated With Alcohol Use Disorder Among People Living With HIV/AIDS Attending Art Clinic, Mizan Tep University Teaching Hospital, South West Ethiopia

10.21203/rs.2.11097/v2 ◽

2019 ◽

Author(s):

Bereket Beyene Gebre

Keyword(s):

Alcohol Use ◽

Teaching Hospital ◽

Alcohol Use Disorder ◽

University Teaching ◽

Southern Ethiopia ◽

People Living With Hiv ◽

Factors Associated ◽

Khat Chewing ◽

Living With Hiv ◽

Hiv Aids

Abstract Abstract Objective: To assess the magnitude of alcohol use and factors among HIV/AIDS positive adults visiting ART clinic at Mizan Tep university Teaching Hospital (MTUTH), Southern Ethiopia from October 2017 to December 2017. Result: A total of 332 participants were enrolled in the study with the prevalence of alcohol use disorder (AUD) of 18.4%. Factors associated with alcohol use disorder were sex AOR=3.48 (95%CI: 1.27, 9.59), cigarette smoking AOR=5.12(95%CI:4.02,8.61), “Khat” chewing AOR=3.23(95%CI: 2.06,6.89),and CD4 count of 0-200 AOR = 19.49 (95% CI:1.74 ,218.4). Key words:-Magnitude, Alcohol use disorder, factors.

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FACTORS ASSOCIATED WITH ALCOHOL USE DISORDER AMONG PEOPLE LIVING WITH HIV/AIDS ATTENDING ART CLINIC, MIZAN TEP UNIVERISTY TEACHING HOSPITAL, SOUTH WEST ETHIOPIA

10.21203/rs.2.11097/v1 ◽

2019 ◽

Author(s):

Bereket Beyene Gebre

Keyword(s):

Alcohol Use ◽

Teaching Hospital ◽

Alcohol Use Disorder ◽

University Teaching ◽

Southern Ethiopia ◽

People Living With Hiv ◽

Factors Associated ◽

Khat Chewing ◽

Living With Hiv ◽

Hiv Aids

Abstract Abstract Objective: To assess the magnitude of alcohol use and factors among HIV/AIDS positive adults visiting ART clinic at Mizan Tep university Teaching Hospital (MTUTH), Southern Ethiopia from October 2017 to December 2017. Result: A total of 332 participants were enrolled in the study with the prevalence of alcohol use disorder (AUD) of 18.4%. Factors associated with alcohol use disorder were sex AOR=3.48 (95%CI: 1.27, 9.59), cigarette smoking AOR=5.12(95%CI:4.02,8.61), “Khat” chewing AOR=3.23(95%CI: 2.06,6.89),and CD4 count of 0-200 AOR = 19.49 (95% CI:1.74 ,218.4). Key words:-Magnitude, Alcohol use disorder, factors.

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Behavioral Interventions Targeting Alcohol Use Among People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

AIDS and Behavior ◽

10.1007/s10461-017-1886-3 ◽

2017 ◽

Vol 21 (S2) ◽

pp. 126-143 ◽

Cited By ~ 40

Author(s):

Lori A. J. Scott-Sheldon ◽

◽

Kate B. Carey ◽

Blair T. Johnson ◽

Michael P. Carey

Keyword(s):

Systematic Review ◽

Alcohol Use ◽

Behavioral Interventions ◽

Meta Analysis ◽

People Living With Hiv ◽

Living With Hiv ◽

Hiv Aids

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The prevalence of alcohol use disorders among people living with HIV/AIDS: a systematic review and meta-analysis

Substance Abuse Treatment Prevention and Policy ◽

10.1186/s13011-019-0240-3 ◽

2019 ◽

Vol 14 (1) ◽

Cited By ~ 10

Author(s):

Bereket Duko ◽

Mohammed Ayalew ◽

Getinet Ayano

Keyword(s):

Systematic Review ◽

Developing Countries ◽

Alcohol Use ◽

Meta Analysis ◽

Alcohol Use Disorders ◽

Prevalence Estimate ◽

People Living With Hiv ◽

Pooled Prevalence ◽

Living With Hiv ◽

Hiv Aids

Abstract Background Alcohol use disorder (AUD) is common among people living with HIV/AIDS (PLWHA) and associated with a greater risk of poor medication adherence, unsafe sexual behaviors as well as poor quality of life. To our knowledge, there is no previous systematic review and meta-analysis that reported the pooled prevalence estimate of AUD among PLWHA. Therefore, this review aimed to systematically review the available studies on the prevalence of AUD among PLWHA and forward possible recommendations for future clinical practice and research. Methods PubMed, EMBASE, Psych INFO and SCOPUS databases were searched to identify the relevant studies. We have also scanned the reference lists of the eligible studies to supplement our electronic search. We used the Comprehensive Meta-Analysis software versions 3.0 to conduct a meta-analysis. Subgroup and sensitivity analysis were performed and Cochran’s Q- and the I2- test were employed to see the heterogeneity. The presence of publication bias was explored by utilizing Egger’s test and visual inspection of the symmetry in funnel plots. Results A total of 25 studies with 25,154 participants across developed and developing countries were included in the final analysis. Our meta-analysis revealed that the pooled prevalence estimate of AUD among PLWHA was found to be 29.80% (95% CI; 24.10–35.76). The prevalence of AUD was higher in males (26.90%) than female (13.37%) HIV patients. In this study, the pooled prevalence of AUD was considerably higher (31.52%) when measured by Alcohol Use Disorders Identification Test (AUDIT) as compared to Composite International Diagnostic Interview (CIDI) (13.51%). In addition, the pooled prevalence of AUD was higher in the developed countries (42.09%) while lower for developing countries (24.52%). Conclusion In the current study, the pooled prevalence estimates of AUD among PLWHA was considerably high (29.80%). Screening and appropriate management of AUD among PLWHA are recommended.

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Factors Associated With Alcohol Use Disorder Among People Living With HIV/AIDS Attending Art Clinic, Mizan Tep University Teaching Hospital, South West Ethiopia

HIV/AIDS - Research and Palliative Care ◽

10.2147/hiv.s220211 ◽

2019 ◽

Vol Volume 11 ◽

pp. 239-245

Author(s):

Bereket Beyene Gebre

Keyword(s):

Alcohol Use ◽

Teaching Hospital ◽

Alcohol Use Disorder ◽

University Teaching ◽

People Living With Hiv ◽

Factors Associated ◽

South West ◽

Living With Hiv ◽

South West Ethiopia ◽

Hiv Aids

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Prevalence and factors associated with Alcohol Use Disorder among People Living with HIV/AIDS in Africa: A systematic review and Meta-analysis.

10.21203/rs.3.rs-22440/v2 ◽

2020 ◽

Author(s):

Mogesie Necho ◽

Asmare Belete ◽

Yibeltal Getachew

Keyword(s):

Alcohol Use ◽

Cigarette Smoking ◽

Sample Size ◽

Associated Factors ◽

Alcohol Use Disorder ◽

Meta Analysis ◽

People Living With Hiv ◽

Khat Chewing ◽

Living With Hiv ◽

Hiv Aids

Abstract Background: Alcohol use disorder (AUD) in HIV/AIDS patient’s decreases adherence and effectiveness of medications and help-seeking to HIV/AIDS care and treatment. This study, therefore, assessed the average prevalence and associated factors of alcohol use disorder in HIV/AIDS patients. Methods: We did an electronic data search on PubMed, Scopus, EMBASE, Psych-INFO libraries, African index Medicus and African Journals Online (AJOL). Google scholar was also investigated for non-published articles. The reference lists of published articles were also reviewed. The stata-11meta-prop package was employed. Subgroup and sensitivity analyses were done. Cochran's Q-statistics and the Higgs I2 test were used to check heterogeneity. Publication bias was evaluated with Egger's test and funnel plots.Results: Of 1362 articles identified using the search strategies; only 22 studies were included in the final analysis. The average prevalence of AUD was 22.03% (95% CI: 17.18, 28.67). The average prevalence of AUD in South Africa (28.77%) was higher than in Uganda (16.61 %) and Nigeria (22.8%). The prevalence of AUD in studies published before 2011, 2011-2015, and after 2015 was found to be 13.47%, 24.93%, and 22.88% respectively. The average prevalence of AUD among studies with a sample size > 450 was 16.71% whereas it was 26.46% among studies with a sample size < 450. Furthermore, the average prevalence of hazardous, harmful, and dependent drinking was 10.87%, 8.1%, and 3.12 % respectively. Our narrative analysis showed that male sex, cigarette smoking, family history of alcohol use, missing ART medication, mental distress, khat chewing, low CD4 count, and low income were among the associated factors for AUD in people with HIV AIDS. On quantitative meta-analysis for associated factors of AUD, the AOR of being male, Cigarette smoking and khat chewing were 5.5, 3.95, and 3.34 respectively. Conclusion: The average prevalence of AUD in HIV/AIDs patients was high and qualitatively factors such as being Male, cigarette smoking, and khat chewing were associated with it. Therefore, clinical services for people living with HIV/AIDS should integrate this public health problem. Policymakers should also develop guidelines and implementation strategies for addressing this problem.

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