Associations with Unprotected Sexual Behavior Among HIV-Infected Drinkers in Western Kenya

Papas, Rebecca K.; Gakinya, Benson N.; Mwaniki, Michael M.; Wu, Xiaotian K.; Lee, Hana; Martino, Steve; Klein, Debra A.; Sidle, John E.; Loxley, Michelle P.; Keter, Alfred; Baliddawa, Joyce; Maisto, Stephen A.

doi:10.1007/s10461-018-2150-1

Cited by 4 publications

(4 citation statements)

References 50 publications

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“…Another predictor found in this study was that using alcohol during sexual intercourse is 2.1 more likely to have unprotected sex with an HIV-serodifferent sexual partnership. This result is in line with several other studies in the literature that have shown the association between alcohol use and risky sexual behavior among PLHIV ( 36 - 37 ) . Among serodifferent partnerships, this behavior is particularly worrying, mainly because it exposes seronegative partners to HIV exposure.…”

Section: Discussionsupporting

confidence: 93%

Inconsistent condom use between serodifferent sexual partnerships to the human immunodeficiency virus

Reis

Melo

Fernandes

et al. 2019

Rev. Latino-Am. Enfermagem

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Objective: to analyze predictors of inconsistent condom use among HIV-positive people with sexual immunodeficiency virus serodifferent sexual partnership. Method: cross-sectional, analytical study with a consecutive non-probabilistic sample consisting of people living with the human immunodeficiency virus with serodifferent sexual partnership and who were in outpatient clinical follow-up. Data were collected through individual interviews guided by a semi-structured questionnaire and subsequently analyzed with bivariate analysis and logistic regression. Results: Seven variables were independently associated with inconsistent condom use. Schooling less than 11 years of schooling (4.9 [2.4-10.1]), having multiple partnerships (5.0 [1.3-19.6]), using alcohol (2.1 [1.1 -4.4]) or other drugs (2.8 [1.2-6.3]), do not receive advice from a healthcare professional (2.0 [1.1-3.9]), have no knowledge of treatment as prevention (3.0 [1,2-6,9]) and not knowing that undetectable viral load reduces the risk of human immunodeficiency virus transmission (3.8 [1,1-13,7]) were predictors for inconsistent condom use. Conclusion: The study showed that psychosocial factors interfere with consistent condom use between serodifferent partnerships. Thus, it is highlighted that there is a need for comprehensive interventions that include the integration of clinical and psychosocial care.

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Section: Discussionsupporting

confidence: 93%

Inconsistent condom use between serodifferent sexual partnerships to the human immunodeficiency virus

Reis

Melo

Fernandes

et al. 2019

Rev. Latino-Am. Enfermagem

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“…Finally, the use of condoms depends on the level of social development. All studies, known to us, not unequivocally confirming the association between alcohol drinking and non-use of condoms, were performed in more developed countries including Russia [17,[42][43][44][45][46][47][48][49][50]; while those from less developed and newly industrialized countries do generally confirm such association [51][52][53][54][55][56][57][58][59]. In the U.S. indicators of the alcohol consumption were stronger predictors of an inconsistent condom use in African Americans than in Whites [60].…”

Section: Casementioning

confidence: 99%

Alcohol, Condom Use and Sexually Transmitted Infections: A Letter from Russia

2018

J Addict & Prev

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The abortion rate in the former Soviet Union was reported to be the world highest, being caused not only by the insufficient availability of modern contraception but also by irresponsible behavior. The alcohol overconsumption has been perceived as a contributing factor. The social background and cause-effect relationships between the alcohol abuse, heavy binge drinking and certain behavioral stereotypes are discussed here based on the literature and our observations since the 1970s. The conclusion is that the use of condoms is dependent on individual traits and a level of social development; however, alcohol consumption at sexual encounters and heavy binge drinking are risk factors for the non-use of condoms and other irresponsible behaviors potentially contributing to the spread of sexually transmitted infections.in [4,5]. The methods of topical treatment and provocation, inherited from the pre-antibiotic era, not mentioned by internationally used textbooks, reviews and recommendations by the World Health Organization (WHO), have been used until recently in the former Soviet Union (SU) [4,5]. High-risk groups knew about lengthy and unpleasant treatments applied at the governmental prevention and treatment centers (so-called dermatovenereological dispensaries) and avoided them. Responsible individuals administered themselves regular courses of antibiotics, but others treated themselves inadequately and continued spreading STI.

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“…Hazardous alcohol use (HAU), defined as a pattern of alcohol consumption that increases the risk of harmful consequences for the user or others, is associated with both elevated risk of acquiring HIV and poor health outcomes among PLHIV [ 5 , 6 , 7 , 8 ]. Alcohol consumption is associated with an increased likelihood of engaging in behaviours that elevate the risk of HIV acquisition, such as decreased sexual inhibition, acts of condomless sex and multiple sexual partners [ 6 , 7 , 8 , 9 ]. In addition, excessive alcohol consumption can result in deferred testing for HIV infection, delayed linkage to ART initiation for newly diagnosed PLHIV and lower treatment adherence [ 7 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Hazardous alcohol use and HIV indicators in six African countries: results from the Population‐based HIV Impact Assessments, 2015–2017

Chang

West

Kim³

et al. 2022

J Int AIDS Soc.

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Introduction: Hazardous alcohol use (HAU), defined as a pattern of alcohol consumption that increases the risk of harmful consequences for the user or others, is associated with an elevated risk of human immunodeficiency virus (HIV) infection and poor health outcomes. We describe the association between people living with HIV (PLHIV) who report HAU and key HIV indicators. Gaps in current literature in estimating HAU on HIV outcomes at the regional level of Eastern and Southern Africa still exist and our analysis aims to address this issue. Methods: We used weighted pooled data (2015-2017) from the nationally representative Population-based HIV Impact Assessments among adults who provided written consent aged 18-59 years from Eswatini, Malawi, Namibia, Tanzania, Zambia and Zimbabwe. We estimated differences in the prevalence of HIV infection and The Joint United Nations Programme on HIV and AIDS (UNAIDS) 90-90-90 indicators between PLHIV by HAU status using log-binomial regression, stratified by sex. HAU was determined using the Alcohol Use Identification Test-Consumption. Results: Among the 9755 women and 4444 men who tested HIV positive, 6.6% of women and 21.8% of men engaged in HAU. Women who reported HAU were more likely to be HIV positive (adjusted prevalence ratio [aPR] = 1.31, 95% CI: 1.18-1.46) compared to those who did not report HAU. For the UNAIDS 90-90-90 targets, women who engaged in HAU were more likely to be unaware of their HIV-positive status (aPR = 1.22, 95% CI: 1.01-1.47) and not on antiretroviral therapy (ART) (aPR = 1.73, 95% CI: 1.26-2.37). Men who engaged in HAU were more likely to be unaware of their HIV-positive status (aPR = 1.56, 95% CI 1.39-1.76) and not on ART (aPR = 1.72, 95% CI: 1.30-2.29). No difference in viral load suppression, defined as <1000 copies/ml of HIV RNA, was seen by sex. Conclusions: PLHIV who engage in HAU were more likely to have suboptimal outcomes along the HIV care continuum when compared to those who did not engage in HAU. Targeted interventions, such as alcohol screening for HAU in HIV testing and treatment settings and HIV prevention efforts in alcohol-based venues, may help countries reach HIV epidemic control by 2030.

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Associations with Unprotected Sexual Behavior Among HIV-Infected Drinkers in Western Kenya

Cited by 4 publications

References 50 publications

Inconsistent condom use between serodifferent sexual partnerships to the human immunodeficiency virus

Inconsistent condom use between serodifferent sexual partnerships to the human immunodeficiency virus

Alcohol, Condom Use and Sexually Transmitted Infections: A Letter from Russia

Hazardous alcohol use and HIV indicators in six African countries: results from the Population‐based HIV Impact Assessments, 2015–2017

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