Alcohol Consumption in Ugandan HIV-Infected Household-Brewers Versus Non-Brewers

AIDS Behav. 2016 Oct;20(10):2408-2417. doi: 10.1007/s10461-016-1421-y.

Abstract

The brewing of alcohol in Ugandan households is common, yet little is known about its relationship with alcohol consumption in HIV-infected individuals. We performed a cross-sectional analysis to assess the association between household brewing and unhealthy alcohol consumption among 387 HIV-infected adults in a prospective study examining the association between alcohol consumption and HIV-disease progression. Household brewing was defined as participants reporting that they or a household member home-brewed alcohol. Logistic regression was used to assess the association between household brewing and unhealthy alcohol consumption, defined as phosphatidylethanol (PEth) level ≥50 ng/ml or AUDIT-C (modified to measure the prior 3 months) positive. Sixty-six (17.0 %) participants reported household brewing. Household brewers had higher odds of unhealthy alcohol consumption (AOR 2.27, 95 % CI 1.26-4.12). Among HIV-infected individuals, household brewing was associated with unhealthy alcohol consumption. Interventions to reduce alcohol consumption in this population could target household brewers.

Keywords: Africa; Alcohol; HIV; Household brewing; Unhealthy alcohol use.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • African Continental Ancestry Group* / psychology
  • African Continental Ancestry Group* / statistics & numerical data
  • Alcohol Drinking / epidemiology*
  • Cross-Sectional Studies
  • Female
  • Glycerophospholipids / metabolism
  • HIV Infections / epidemiology*
  • HIV Infections / psychology
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Prospective Studies
  • Residence Characteristics
  • Uganda / epidemiology
  • Young Adult

Substances

  • Glycerophospholipids
  • phosphatidylethanol