Bar Attendance and Alcohol Use Before and After COVID-19 Related Restrictions Among HIV-infected Adults in South-Western Uganda.

Bar Attendance and Alcohol Use Before and After COVID-19 Related Restrictions Among HIV-infected Adults in South-Western Uganda.
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DOI:
10.1007/s10461-022-03934-9
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发表时间:
2023-06
期刊:
影响因子:
4.4
通讯作者:
Hahn, Judith A.
Hahn, Judith A.
中科院分区:
医学2区
文献类型:
--
作者:
Asiimwe, Caroline;Fatch, Robin;Cheng, Debbie M.;Emenyonu, Nneka, I;Ngabirano, Christine;Muyindike, Winnie R.;Hahn, Judith A.

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饮酒对于艾滋病毒感染者 (PLWH) 来说尤其成问题,并且很可能受到冠状病毒病 (COVID-19) 大流行及其限制的影响。在一项针对潜伏性结核感染的 PLWH 的研究中,我们通过酒精使用障碍识别测试 (AUDIT-C)、磷脂酰乙醇 (PEth) 和酒吧出勤率来测量不健康的饮酒情况。我们分析了 COVID-19 限制前后收集的数据,并使用广义估计方程 (GEE) 逻辑回归模型来评估不健康饮酒的变化。虽然酒吧的出勤率从限制开始前的 57.0% 下降到限制开始后的 38.3%,但控制酒吧使用的多变量分析显示,不健康的饮酒量显着增加;限制开始前与限制后不健康饮酒的调整后比值比为 1.37 (95% CI: 0.89–2.12),当模型中加入酒吧出勤率时,该比值比增加到 1.64 (95% CI: 1.08–2.50)。酒吧出席率的下降并没有减少不健康的饮酒行为。
Alcohol use is especially problematic for people living with HIV (PLWH) and was likely to be impacted by the coronavirus disease (COVID-19) pandemic and its restrictions. In a study of PLWH with latent tuberculosis infection, we measured unhealthy alcohol use with the Alcohol Use Disorders Identification Test (AUDIT-C), phosphatidylethanol (PEth) and bar attendance. We analyzed data collected before and after COVID-19 restrictions, and used Generalized Estimating Equations (GEE) logistic regression models to evaluate changes in unhealthy alcohol use. While bar attendance declined from 57.0% before to 38.3% after the restrictions started, multivariable analysis controlling for bar use showed a significant increase in unhealthy alcohol use; the adjusted odds ratio for unhealthy drinking before versus after the restrictions started was 1.37 (95% CI: 0.89–2.12) which increased to 1.64 (95% CI: 1.08–2.50) when bar attendance was added to the model. Decline in bar attendance did not decrease unhealthy alcohol use.
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