Exploring the Association Between Social Support and Hazardous Alcohol Use Among Persons Living with HIV in South Western Uganda

AIDS Behav. 2022 Jul;26(7):2113-2122. doi: 10.1007/s10461-021-03557-6. Epub 2022 Jan 18.


Hazardous alcohol use and psychological distress are common among persons living with HIV (PLWH). In Uganda, HIV prevalence is 6.2% with average pure alcohol consumption per capita of 9.8 L. Social support may mitigate hazardous alcohol use. In a cohort of 443 PLWH, we measured social support using the Duke-UNC functional social support scale and self-reported alcohol consumption using the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), augmented by phosphatidylethanol (PEth). We examined the association between low social support and hazardous alcohol use using multiple logistic regression models. 30% had low social support and 44% had hazardous alcohol use (AUDIT-C ≥ 3 for women and ≥ 4 for men and/or PEth ≥ 50 ng/mL). We did not detect an association between low social support and hazardous alcohol use. Social support may play no role or a minimal role in preventing PLWH from hazardous alcohol use.

Keywords: Hazardous alcohol use; Social support; Uganda.

MeSH terms

  • Alcohol Drinking / epidemiology
  • Alcoholism* / complications
  • Alcoholism* / epidemiology
  • Female
  • Glycerophospholipids
  • HIV Infections* / epidemiology
  • Humans
  • Male
  • Social Support
  • Uganda / epidemiology


  • Glycerophospholipids