Evidence map›Paper›PMID 37318665›Full record

ArticleAIDS and behavior2023

Alcohol use among people who inject drugs living with HIV in Kenya is associated with needle sharing, more new sex partners, and lower engagement in HIV care.

N DesLauriers, B Sambai, L Mbogo, N Ludwig-Barron, H Kingston, B Chohan, E Gitau, W Sinkele, S Masyuko, J Herbeck and 4 more

Abstract read
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In one paragraph

Article in AIDS and behavior, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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.

N DesLauriersDepartment of Medicine, University of Washington, Seattle, USA. ndesla@uw.edu.
B SambaiHIV Testing and Counseling and HIV Prevention, Kenyatta National Hospital, Nairobi, Kenya.
L MbogoHIV Testing and Counseling and HIV Prevention, Kenyatta National Hospital, Nairobi, Kenya.
N Ludwig-BarronDepartment of Global Health, University of Washington, Seattle, USA.
H KingstonInstitute for Public Health Genetics, University of Washington, Seattle, USA.
B ChohanDepartment of Global Health, University of Washington, Seattle, USA.
E GitauSupport for Addiction Prevention and Treatment in Africa, Nairobi, Kenya.
W SinkeleSupport for Addiction Prevention and Treatment in Africa, Nairobi, Kenya.
S MasyukoDepartment of Global Health, University of Washington, Seattle, USA.
J HerbeckDepartment of Global Health, University of Washington, Seattle, USA.
D BukusiHIV Testing and Counseling and HIV Prevention, Kenyatta National Hospital, Nairobi, Kenya.
B L GuthrieDepartment of Global Health, University of Washington, Seattle, USA.
C FarquharDepartment of Medicine, University of Washington, Seattle, USA.
A Monroe-WiseDepartment of Global Health, University of Washington, Seattle, USA.

Funding

Integrating Assisted Partner Services and Phylogenetics for HIV and HCV PreventionR01DA043409 · NIDA · UNIVERSITY OF WASHINGTON · PI FARQUHAR, CAREY, HERBECK, JOSHUA T · 2017 to 2021
$3.6M
NIDA NIH HHS R01 DA043409
6 · The paper itself

Abstract

We assessed the prevalence and correlates of alcohol use among 870 people who inject drugs living with HIV in Kenya, with attention toward (1) sexual and injecting risk behaviors for HIV transmission and (2) HIV care engagement. We defined heavy alcohol use as > 14 drinks/week for men and > 7 drinks/week for women, moderate alcohol use as any lesser but non-zero amount, and any alcohol use as either moderate or heavy use. Approximately 39% of participants reported any alcohol use and 15% heavy use. In multivariate analysis, any alcohol use compared to no use was associated with needle sharing, > 3 new sex partners in the past 3 months, being unaware of HIV status, never enrolling in HIV care, and not being on ART (all p < 0.05). Heavy alcohol use as compared to no use was associated with needle sharing (aOR = 2.72; 95% CI 1.43, 5.13), injection equipment sharing (aOR = 1.80; 95% CI 1.00, 3.16), > 3 new sex partners in the past 3 months (aOR = 1.99; 95% CI 1.12, 3.49), and being unaware of HIV status (aOR = 2.77; 95% CI 1.46, 5.19). There was no association between any measure of alcohol use and unsuppressed viral load. Alcohol use among people who inject drugs living with HIV may carry elevated risk of HIV transmission mediated by sexual and injecting practices and is associated with lower engagement in multiple stages of the HIV care cascade.

Indexed as

Alcohol DrinkingHIV InfectionsNeedle SharingPatient Acceptance of Health CareSexual BehaviorSexual PartnersSubstance Abuse, IntravenousAdultCross-Sectional StudiesFemaleHumansKenyaMaleMiddle AgedPrevalenceRisk FactorsAlcoholCare engagementHIVHIV risk behaviorsInjection drug useKenya

Identifiers

PMID37318665

What OpenQuestion holds

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Registered trials

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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.