High Levels of Persistent Problem Drinking in Women at High Risk for HIV in Kampala, Uganda: A Prospective Cohort Study

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dc.contributor.authorWeiss, Helen A.
dc.contributor.authorVandepitte, Judith
dc.contributor.authorBukenya, Justine N.
dc.contributor.authorMayanja, Yunia
dc.contributor.authorNakubulwa, Susan
dc.contributor.authorKamali, Anatoli
dc.contributor.authorSeeley, Janet
dc.contributor.authorGrosskurth, Heiner
dc.date.accessioned2022-05-17T17:38:13Z
dc.date.available2022-05-17T17:38:13Z
dc.date.issued2016
dc.description.abstractThe aim of this study was to describe the epidemiology of problem drinking in a cohort of women at high-risk of HIV in Kampala, Uganda. Overall, 1027 women at high risk of HIV infection were followed from 2008 to 2013. The CAGE and AUDIT questionnaires were used to identify problem drinkers in the cohort. Interviewer-administered questionnaires were used to ascertain socio-demographic and behavioural factors. Blood and genital samples were tested for HIV and other sexually transmitted infections. At enrollment, most women (71%) reported using alcohol at least weekly and about a third reported having drunk alcohol daily for at least 2 weeks during the past 3 months. Over half (56%) were problem drinkers by CAGE at enrollment, and this was independently associated with vulnerability (being divorced/separated/widowed, less education, recruiting clients at bars/clubs, and forced sex at first sexual experience). Factors associated with problem drinking during follow-up included younger age, meeting clients in bars/clubs, number of clients, using drugs and HSV-2 infection. HIV prevalence was associated with drinking at enrollment, but not during follow-up. This longitudinal study found high levels of persistent problem drinking. Further research is needed to adapt and implement alcohol-focused interventions in vulnerable key populations in sub-Saharan Africa.en_US
dc.identifier.citationWeiss, H. A., Vandepitte, J., Bukenya, J. N., Mayanja, Y., Nakubulwa, S., Kamali, A., ... & Grosskurth, H. (2016). High levels of persistent problem drinking in women at high risk for HIV in Kampala, Uganda: a prospective cohort study. International journal of environmental research and public health, 13(2), 153. doi:10.3390/ijerph13020153en_US
dc.identifier.other10.3390/ijerph13020153
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/3247
dc.language.isoenen_US
dc.publisherInternational journal of environmental research and public healthen_US
dc.subjectAlcoholen_US
dc.subjectSex worken_US
dc.subjectUgandaen_US
dc.subjectHIVen_US
dc.subjectProblem drinkingen_US
dc.titleHigh Levels of Persistent Problem Drinking in Women at High Risk for HIV in Kampala, Uganda: A Prospective Cohort Studyen_US
dc.typeArticleen_US
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