Screening for hazardous alcohol use and depressive symptomatology among HIV-infected patients in Nigeria: prevalence, predictors, and association with adherence.
Screening for hazardous alcohol use and depressive symptomatology among HIV-infected patients in Nigeria: prevalence, predictors, and association with adherence.
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DOI：
10.1177/1545109710371133
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发表时间：
2010-07-01
期刊：
影响因子：
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通讯作者：
Blattner, William
中科院分区：
文献类型：
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作者：
Farley, John;Miller, Erin;Blattner, William
在尼日利亚，对接受过抗逆转录病毒治疗（ART）和未接受过抗逆转录病毒治疗的艾滋病患者进行了酒精使用障碍识别测试（AUDIT）和流行病学研究中心抑郁量表（CES-D）评分，并评估了其与受试者特征和通过药房记录测量的ART依从性的相关性。参与者包括222名ART经验丰富的成人和177名ART初治成人，其中47名（12%）AUDIT >/=8，29名（7%）AUDIT >/=10，52名（13%）CES-D >/=16，25名（6%）CES-D >/=21。AUDIT评分升高在ART初治者和男性中更常见，而向他人披露艾滋病毒状态与较低的评分相关。升高的CES-D评分在ART初治者和教育水平较低者中更常见，而披露艾滋病毒状况和选择用英语而不是豪萨语接受采访与较低的评分相关。CES-D评分升高与依从性差相关。
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.