Evidence map›Paper›PMID 36737735›Full record

ArticleSubstance abuse treatment, prevention, and policy2023

Patient perceptions of facilitators and barriers to reducing hazardous alcohol use among people living with HIV in East Africa.

Jayne Lewis-Kulzer, Margaret Mburu, Sarah Obatsa, Julius Cheruiyot, Lorna Kiprono, Steve Brown, Cosmas Apaka, Hillary Koros, Winnie Muyindike, Edith Kamaru Kwobah and 4 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Substance abuse treatment, prevention, and policy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 32% of its field
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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

14 authors at 6 institutions in 3 countries.

Jayne Lewis-KulzerDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California San Francisco, 550 16TH Street, 3rd Floor, San Francisco, CA, USA. Jayne.kulzer@ucsf.edu.
Margaret MburuCentre for Microbiology Research, Kenya Medical Research Institute, P.O. Box 1578-40100, Kisumu, Kenya.
Sarah ObatsaCentre for Microbiology Research, Kenya Medical Research Institute, P.O. Box 1578-40100, Kisumu, Kenya.
Julius CheruiyotAcademic Model Providing Access to Health Care (AMPATH), P.O. Box 4606-30100, Eldoret, Kenya.
Lorna KipronoAcademic Model Providing Access to Health Care (AMPATH), P.O. Box 4606-30100, Eldoret, Kenya.
Steve BrownDepartment of Biostatistics and Health Data Science, School of Medicine, Indiana University, 410 W. 10th Street, HITS 3000, Indianapolis, IN, USA.
Cosmas ApakaAcademic Model Providing Access to Health Care (AMPATH), P.O. Box 4606-30100, Eldoret, Kenya.
Hillary KorosAcademic Model Providing Access to Health Care (AMPATH), P.O. Box 4606-30100, Eldoret, Kenya.
Winnie MuyindikeThe Immune Suppression Syndrome Clinic, Mbarara University of Science and Technology, P.O. Box 40, Mbarara, Uganda.
Edith Kamaru KwobahDepartment of Mental Health, Moi Teaching and Referral Hospital, P.O. Box 3-30100, Eldoret, Kenya.
Lameck DieroDepartment of Medicine, Moi University School of Medicine, P.O. Box 4606-30100, Eldoret, Kenya.
Maurice AludaCentre for Microbiology Research, Kenya Medical Research Institute, P.O. Box 1578-40100, Kisumu, Kenya.
Kara Wools-KaloustianDivision of Infectious Diseases, Department of Medicine, School of Medicine, Indiana University, 545 Barnhill Drive, Indianapolis, IN, USA.
Suzanne GoodrichDivision of Infectious Diseases, Department of Medicine, School of Medicine, Indiana University, 545 Barnhill Drive, Indianapolis, IN, USA.
AMPATH · KEIndiana University – Purdue University Indianapolis · USKenya Medical Research Institute · KEMoi University · KEMbarara University of Science and Technology · UGUniversity of California, San Francisco · US

Funding

East Africa International Epidemiology Database to evaluate AIDS (IeDEA) Regional ConsortiumU01AI069911 · NIAID · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI Leslie Anne Enane, AGGREY SEMWENDERO SEMEERE · 2006 to 2026
$57.7M
NIAID NIH HHS U01 AI069911
6 · The paper itself

Abstract

backgroundHazardous alcohol use among people living with HIV is associated with poor outcomes and increased morbidity and mortality. Understanding the hazardous drinking experiences of people living with HIV is needed to reduce their alcohol use.

methodsWe conducted 60 interviews among people living with HIV in East Africa with hazardous drinking histories. Interviews and Alcohol Use Disorder Identification Test (AUDIT) scores were conducted 41 - 60 months after their baseline assessment of alcohol use to identify facilitators and barriers to reduced alcohol use over time.

resultsPeople living with HIV who stopped or reduced hazardous drinking were primarily motivated by their HIV condition and desire for longevity. Facilitators of reduced drinking included health care workers' recommendations to reduce drinking (despite little counseling and no referrals) and social support. In those continuing to drink at hazardous levels, barriers to reduced drinking were stress, social environment, alcohol accessibility and alcohol dependency.

conclusionsInterventions that capacity-build professional and lay health care workers with the skills and resources to decrease problematic alcohol use, along with alcohol cessation in peer support structures, should be explored.

Indexed as

AlcoholismHIV InfectionsAfrica, EasternAlcohol DrinkingCounselingHealth PersonnelHumansAdherenceAlcoholAntiretroviral therapyEast AfricaHIV

Identifiers

PMID36737735
PMCPMC9896687
OpenAlexW4319158828

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.