Factors associated with alcohol use prior to and during pregnancy among HIV-infected pregnant women in Cape Town, South Africa

Brittain, Kirsty; Remien, Robert H.; Phillips, Tamsin K; Zerbe, Allison; Abrams, Elaine J.; Myer, Landon; Mellins, Claude A.

doi:10.1016/j.drugalcdep.2016.12.017

Cited by 19 publications

(12 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Literature investigating the relationship between HIV-related stigma and alcohol use among PLWH remains limited. A study of PLWH in Russia found a positive relationship between stigma and alcohol dependence (31) while, in contrast, a study of PLWH in South Africa did not find a significant relationship between HIV-related stigma and alcohol use (16). The relationship between problem drinking and internalized HIV-related stigma identified in the current study remains unclear.…”

Section: Discussioncontrasting

confidence: 92%

“…Despite the consistent relationship between alcohol abuse and poor HIV treatment outcomes, psychosocial factors associated with alcohol abuse among PLWH remain poorly understood, including in sub-Saharan Africa, where the majority of PLWH reside. Among extant research with PLWH in South Africa, high risk drinking has been associated with depressive symptoms (16). Little is known about the extent to which psychosocial factors associated with problem drinking differ by gender among PLWH.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Gender Differences and Psychosocial Factors Associated with Problem Drinking Among Adults Enrolling in HIV Care in Tanzania

et al. 2018

View full text Add to dashboard Cite

Problem drinking is commonly reported among people living with HIV (PLWH), associated with suboptimal HIV care outcomes and differs by gender. Psychosocial factors associated with problem drinking among PLWH remain poorly understood, including whether they differ by gender. This analysis examines the relationship between psychosocial factors and problem drinking separately by gender among PLWH in Tanzania. Cross-sectional data were collected from 812 men and non-pregnant women living with HIV aged 18 or older enrolling in HIV care at four health facilities in Tanzania. Problem drinking was assessed with the CAGE Questionnaire and defined as responding yes to two or more items. Sex-stratified multivariable logistic regression modeled the association of social support, HIV-related stigma, and physical or sexual violence on problem drinking, controlling for age, marital status, employment, having been away from home for more than one month, and timing of first HIV-positive diagnosis. Thirteen percent of the sample reported problem drinking, with problem drinking significantly more commonly reported among men than non-pregnant women (17.6% vs 9.5%). Among men and non-pregnant women, in multivariable analyses, enacted and internalized HIV-related stigma were significantly positively associated with problem drinking. Screening and treatment of problem drinking should be integrated into HIV care. Evidence-based substance abuse interventions should be adapted to address HIV-related stigma. Future research should longitudinally investigate the interrelationships between stigma, violence, and problem drinking among PLWH.

show abstract

Section: Discussioncontrasting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Gender Differences and Psychosocial Factors Associated with Problem Drinking Among Adults Enrolling in HIV Care in Tanzania

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Unplanned/unwanted pregnancy Urban et al, 2016;Fletcher et al, 2018 3 Violence Louw et al, 2011;O'Connor et al, 2011;Eaton et al, 2012;Culley et al, 2013;Choi et al, 2014;Cloete and Ramugondo, 2015;Onah et al, 2016;Brittain et al, 2017;Davis et al, 2017;Wong et al, 2017;Fletcher et al, 2018;Petersen et al, 2018 12 Trauma Cloete and Ramugondo, 2015;Urban et al, 2016;Fletcher et al, 2018;Myers et al, 2018 4 Mental health Morojele et al, 2010;Louw et al, 2011;O'Connor et al, 2011;Desmond et al, 2012;Cloete and Ramugondo, 2015;Onah et al, 2016;Davis et al, 2017;Wong et al, 2017;Fletcher et al, 2018;Myers et al, 2018;Peltzer and Pengpid, 2019 12 Drinking culture May et al, 2005;May et al, 2008;Morojele et al, 2010;Louw et al, 2011;Watt et al, , 2016Cloete and Ramugondo, 2015;Petersen-Williams et al, 2018 7 Alcohol availability Morojele et al, 2010 1 Previous alcohol exposure Morojele et al, 2010;Choi et al, 2014 2 Opportunities for leisure Cloete and Ramugondo, 2015;…”

Section: Studies Which Mention Theme Number Of Studiesmentioning

confidence: 99%

A scoping review of the determinants of foetal alcohol spectrum disorder in South Africa: an intersectional perspective

Jong

George

Jacobs

2021

Health Policy and Planning

View full text Add to dashboard Cite

Foetal alcohol spectrum disorder (FASD) affects babies born to mothers who consume alcohol while pregnant. South Africa has the highest prevalence of FASD in the world. We review the social determinants underpinning FASD in South Africa and add critical insight from an intersectional feminist perspective. We undertook a scoping review, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews guidelines. Drawing from EBSCOhost and PubMed, 95 articles were screened, with 21 selected for analysis. We used the intersectionality wheel to conceptualize how the social and structural determinants of FASD identified by the literature are interconnected and indicative of broader inequalities shaping the women and children affected. Key intersecting social determinants that facilitate drinking during pregnancy among marginalized populations in South Africa documented in the existing literature include social norms and knowledge around drinking and drinking during pregnancy, alcohol addiction and biological dependence, gender-based violence, inadequate access to contraception and abortion services, trauma and mental health, and moralization and stigma. Most of the studies found were quantitative. From an intersectional perspective, there was limited analysis of how the determinants identified intersect with one another in ways that exacerbate inequalities and how they relate to the broader structural and systemic factors undermining healthy pregnancies. There was also little representation of pregnant women’s own perspectives or discussion about the power dynamics involved. While social determinants are noted in the literature on FASD in South Africa, much more is needed from an intersectionality lens to understand the perspectives of affected women, their social contexts and the nature of the power relations involved. A critical stance towards the victim/active agent dichotomy that often frames women who drink during pregnancy opens up space to understand the nuances needed to support the women involved while also illustrating the contextual barriers to drinking cessation that need to be addressed through holistic approaches.

show abstract

“…A recent report by World Health Organization (WHO) found that roughly one-third (34%) of women reported having engaged in this behavior in the month preceding the survey (3) while another study found that a similar proportion of women (32%) reportedly engage in binge drinking on a weekly basis (4). Alcohol use is also common among pregnant women in Cape Town (5)(6)(7)(8). Prior work among pregnant women in this setting found that 29% reported alcohol use during pregnancy (9), an estimate that is likely biased due to underreporting/social desirability bias (10).…”

Section: Introductionmentioning

confidence: 99%

Sexual risk among pregnant women at risk of HIV infection in Cape Town, South Africa: What does alcohol have to do with it?

Miller

Shoptaw

Mvududu

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

This study examines associations between alcohol use and HIV sexual risk among a cohort of HIV-uninfected pregnant women (n=1201) residing in a high HIV burden community in South Africa. Alcohol use was measured using a modified version of the Alcohol Use Disorder Identification Test (AUDIT). HIV sexual risk was measured through a composite variable of four risk factors: diagnosis with a STI, self-report of >1 recent sex partners, partner HIV serostatus (unknown or HIV+) and condomless sex at last sex. Any past year alcohol use prior to pregnancy was reported by half of participants (50%); 6.0% reported alcohol use during pregnancy. Alcohol use prior to pregnancy was associated with increased odds of being at high risk of HIV (aOR=1.33 for 2 risks and aOR=1.47 for 3 risks). In addition to reducing alcohol use, several other strategies to address HIV sexual risk in this population were identified.

show abstract

Factors associated with alcohol use prior to and during pregnancy among HIV-infected pregnant women in Cape Town, South Africa

Cited by 19 publications

References 39 publications

Gender Differences and Psychosocial Factors Associated with Problem Drinking Among Adults Enrolling in HIV Care in Tanzania

Gender Differences and Psychosocial Factors Associated with Problem Drinking Among Adults Enrolling in HIV Care in Tanzania

A scoping review of the determinants of foetal alcohol spectrum disorder in South Africa: an intersectional perspective

Sexual risk among pregnant women at risk of HIV infection in Cape Town, South Africa: What does alcohol have to do with it?

Contact Info

Product

Resources

About