Evidence map›Paper›PMID 29670405›Full record

ArticleHIV/AIDS (Auckland, N.Z.)2018

Perceptions of alcohol use in the context of HIV treatment: a qualitative study.

Munyaradzi Madhombiro, Bazondlile Marimbe-Dube, Michelle Dube, Malinda Kaiyo-Utete, Angeline Paradzai, Dixon Chibanda, Simbarashe Rusakaniko, Asj van der Watt, Soraya Seedat

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Article in HIV/AIDS (Auckland, N.Z.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Munyaradzi MadhombiroDepartment of Psychiatry, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Bazondlile Marimbe-DubeDepartment of Psychiatry, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Michelle DubeDepartment of Psychiatry, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Malinda Kaiyo-UteteDepartment of Psychiatry, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Angeline ParadzaiDepartment of Linguistics, University of Zimbabwe, Harare, Zimbabwe.
Dixon ChibandaDepartment of Psychiatry, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Simbarashe RusakanikoDepartment of Community Medicine, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Asj van der WattDepartment of Psychiatry, Stellenbosch University, Cape Town, South Africa.
Soraya SeedatDepartment of Psychiatry, Stellenbosch University, Cape Town, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlcohol use is associated with poor HIV treatment outcomes. This study aimed to understand patients' perceptions of the impact of alcohol use in the context of HIV care.

methodsThe study design was a descriptive qualitative study of HIV positive individuals receiving antiretroviral treatment. The study involved four focus group discussions with male and female participants at a tertiary center, city clinic, and rural church. We employed convenience sampling and invited patients coming for their routine visits and medication refills to participate.

resultsParticipants had an awareness of both the direct and indirect effects of alcohol use. The direct effects related to the incompatibility of HIV medication and alcohol. The indirect effects related to the negative impact of alcohol on treatment adherence. Participants proffered reasons why HIV infected individuals on HIV treatment drink and felt that patients had to make a deliberate choice to stop drinking. Participants displayed some knowledge of interventions for drinking cessation and highlighted the use of pharmacological interventions to stop drinking. Participants indicated that they preferred HIV counselors to provide counseling services in view of the existing relationships that patients had with counselors.

conclusionPeople living with HIV have adequate knowledge of the effects of alcohol use in the context of HIV treatment. Stigma and the time taken to engage in an alcohol use intervention appeared to be the main impediments to uptake. The current model of HIV treatment, based on trust with the HIV care team, and maintenance of this trust, could bolster the uptake of an intervention. Involvement of HIV patients in their treatment is necessary to improve treatment outcomes in the context of alcohol use.

Indexed as

alcohol useHIVimpactperceptionsZimbabwe

Identifiers

PMID29670405
PMCPMC5898586

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.