Assessing the Interaction between Depressive Symptoms and Alcohol Use Prior to Antiretroviral Therapy on Viral Suppression among People Living with HIV in Rural Uganda

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dc.contributor.authorFoley, Jacklyn D.
dc.contributor.authorSheinfil, Alan
dc.contributor.authorWoolf-King, Sarah E.
dc.contributor.authorFatch, Robin
dc.contributor.authorEmenyonu, Nneka I.
dc.contributor.authorMuyindike, Winnie R.
dc.contributor.authorKekibiina, Allen
dc.contributor.authorNgabirano, Christine
dc.contributor.authorSamet, Jeffrey H.
dc.contributor.authorCheng, Debbie M.
dc.contributor.authorHahn, Judith A.
dc.date.accessioned2022-01-30T19:45:29Z
dc.date.available2022-01-30T19:45:29Z
dc.date.issued2020
dc.description.abstractAlthough there is evidence of individual associations between depressive symptoms and hazardous alcohol use with suboptimal antiretroviral therapy (ART) adherence among people living with HIV (PLWH), few studies have established how the two risk factors may interact to predict viral suppression. We conducted secondary data analyses with two cohorts of Ugandan PLWH (N = 657) to investigate the hypothesized interaction between depressive symptoms (Center for Epidemiological Studies Depression Scale) and hazardous alcohol use (Alcohol Use Disorder Identification Test – Consumption and/or Phosphatidylethanol biomarker) prior to ART initiation with viral suppression (<550 copies/ml). We were unable to detect an interaction between depressive symptoms and hazardous alcohol use prior to ART initiation with viral suppression in the first two years (M = 19.9 months) after ART initiation (p = 0.75). There was also no evidence of a main effect association for depressive symptoms (Adjusted Odds Ratio [AOR] = 0.88, 95% Confidence Interval [CI]: 0.50, 1.55) or hazardous alcohol use (AOR = 1.37, 95% CI: 0.80, 2.33). PLWH with depressive symptoms and/or hazardous alcohol use appear to exhibit similar levels of viral suppression as others in care; further work is needed to determine effects on HIV testing and treatment engagement.en_US
dc.identifier.citationFoley, J. D., Sheinfil, A., Woolf-King, S. E., Fatch, R., Emenyonu, N. I., Muyindike, W. R., ... & Hahn, J. A. (2020). Assessing the interaction between depressive symptoms and alcohol use prior to antiretroviral therapy on viral suppression among people living with HIV in Rural Uganda. AIDS care, 32(10), 1251-1257. doi:10.1080/09540121.2020.1770671.en_US
dc.identifier.other10.1080/09540121.2020.1770671.
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/1636
dc.language.isoenen_US
dc.publisherAIDS careen_US
dc.subjectDepressive symptomsen_US
dc.subjectHazardous alcohol useen_US
dc.subjectAntiretroviral therapyen_US
dc.titleAssessing the Interaction between Depressive Symptoms and Alcohol Use Prior to Antiretroviral Therapy on Viral Suppression among People Living with HIV in Rural Ugandaen_US
dc.typeArticleen_US
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