Screening for hazardous alcohol use and depressive symptomatology among HIV-infected patients in Nigeria: prevalence, predictors, and association with adherence
- PMID: 20798401
- PMCID: PMC2951272
- DOI: 10.1177/1545109710371133
Screening for hazardous alcohol use and depressive symptomatology among HIV-infected patients in Nigeria: prevalence, predictors, and association with adherence
Abstract
Scores from the Alcohol Use Disorders Identification Test (AUDIT) and the Center for Epidemiological Studies Depression Scale (CES-D) administered to both antiretroviral therapy (ART)-experienced and -naive adults in HIV care in Nigeria were evaluated for association with participant characteristics and ART adherence measured by pharmacy records. Participants included 222 ART-experienced and 177 ART-naive adults, of whom 47 (12%) had AUDIT >/=8, 29 (7%) an AUDIT >/=10, 52 (13%) a CES-D >/=16, and 25 (6%) a CES-D >/=21. An elevated AUDIT score was more frequent among ART-naive and men, while disclosure of HIV status to others was associated with lower scores. An elevated CES-D score was more frequent among ART-naive and those with lower educational level, while disclosure of HIV status and choosing to be interviewed in English rather than Hausa was associated with lower scores. An elevated CES-D score was associated with poor adherence.
References
-
- World Health Organization HIV/AIDS epidemiological surveillance report for the WHO African region: 2007 update. http://www.afro.who.int/aids/publications/OMS%20HIVAIDS%20in%20Africa%20.... Accessed August 11, 2009.
-
- World Health Organization Towards universal access: scaling up priority HIV/AIDS interventions in the health sector, progress report June 2008. http://www.who.int/hiv/pub/2008progressreport/en/index.html. Accessed August 11, 2009.
-
- Joint United Nations Programme on HIV/AIDS Country responses: Nigeria. http://www.unaids.org/en/CountryResponses/Countries/nigeria.asp. Accessed January 8, 2010.
-
- Nigerian National Agency for the Control of AIDS Nigeria UNGASS Report, 2007. http://www.data.unaids.org/pub/Report/2008/nigeria_2008_country_progress.... Accessed January 8, 2010.
-
- Mill EJ, Nachega JB, Buchan I, et al. Adherence to antiretroviral therapy in sub-Saharan Africa and North America: a meta-analysis. JAMA. 2006;296(6):679–690. - PubMed
Publication types
MeSH terms
Substances
Grants and funding
LinkOut - more resources
Full Text Sources
Medical