A qualitative study on alcohol consumption and HIV treatment adherence among men living with HIV in Ugandan fishing communities
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Date
2019
Journal Title
Journal ISSN
Volume Title
Publisher
AIDS care
Abstract
Ugandan fishing communities are dually burdened with high rates of HIV and alcohol use. This qualitative study explores context and motivation of alcohol consumption, and alcohol’s effect on antiretroviral treatment (ART) adherence, among male fisherfolk living with HIV in Wakiso District, Uganda. We conducted in-depth semi-structured interviews with 30 men in HIV care and on ART, and used a thematic analysis approach for analysis. Alcohol use was identified as a major barrier to ART adherence through cognitive impairment and the intentional skipping of doses when drinking. Men reportedly reduced their drinking since HIV diagnosis – motivated by counseling received from providers and a newfound desire to live a healthy lifestyle. However, social, occupational, and stress-related influences that make alcohol reduction difficult were identified. Our findings suggest alcohol use may pose a challenge to ART adherence for fishermen living with HIV – and has implications for the tailoring of screening and brief intervention for alcohol reduction in HIV care for this population
Description
Keywords
Alcohol, HIV/AIDS, fisherfolk, Uganda, medication adherence
Citation
Sileo, K. M., Kizito, W., Wanyenze, R. K., Chemusto, H., Musoke, W., Mukasa, B., & Kiene, S. M. (2019). A qualitative study on alcohol consumption and HIV treatment adherence among men living with HIV in Ugandan fishing communities. AIDS care, 31(1), 35-40.10.1080/09540121.2018.1524564.