Factors Associated With Changes in Alcohol Use During Pregnancy and the Postpartum Transition Among People With HIV in South Africa and Uganda.

Factors Associated With Changes in Alcohol Use During Pregnancy and the Postpartum Transition Among People With HIV in South Africa and Uganda.
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南非和乌干达艾滋病毒感染者怀孕期间饮酒变化和产后转变的相关因素。

DOI:
10.1177/23259582231161029
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发表时间:
2023-01
影响因子:
--
通讯作者:
Matthews, Lynn
Matthews, Lynn
中科院分区:
其他
文献类型:
--
作者:
Stanton, Amelia D.;Hornstein, Benjamin;Musinguzi, Nicholas;Dolotina, Brett;Orrell, Catherine;Amanyire, Gideon;Asiimwe, Stephen;Cross, Anna;Psaros, Christina;Bangsberg, David A.;Hahn, Judith E.;Haberer, Jessica T.;Matthews, Lynn

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确定与怀孕期间饮酒变化相关的因素对于制定针对艾滋病毒感染者(PWH)的干预措施非常重要。乌干达和南非开始抗逆转录病毒治疗的怀孕 PWH (n = 202) 完成了两次评估,相隔 6 个月 (T1、T2)。根据 AUDIT-C 分数得出类别:“无使用”(T1 和 T2 时 AUDIT-C = 0)、“新使用”(T1 时 AUDIT-C = 0,T2 时 >0)、“退出”(T1 时 AUDIT-C > 0,T2 时 =0)和“继续使用”(AUDIT-C > 0, T1 和 T2)。评估了与这些类别相关的因素。大多数参与者表示“没有用”(68%),其次是“继续使用”(12%)、“戒掉”(11%)和“新使用”(9%)。与伴侣同居与“继续使用”的相对风险较低相关。粮食不安全与“新用途”的较高风险之间以及耻辱感与“戒烟”可能性降低之间也出现了显着的边缘关联。解决伙伴关系、粮食安全和耻辱问题的饮酒干预措施可能有益于孕妇和产后感染者。
Identifying factors associated with alcohol use changes during pregnancy is important for developing interventions for people with HIV (PWH). Pregnant PWH (n = 202) initiating antiretroviral therapy in Uganda and South Africa completed two assessments, 6 months apart (T1, T2). Categories were derived based on AUDIT-C scores: “no use” (AUDIT-C = 0 at T1 and T2), “new use” (AUDIT-C = 0 at T1, >0 at T2), “quit” (AUDIT-C > 0 at T1, =0 at T2), and “continued use” (AUDIT-C > 0, T1 and T2). Factors associated with these categories were assessed. Most participants had “no use” (68%), followed by “continued use” (12%), “quit” (11%), and “new use” (9%). Cohabitating with a partner was associated with lower relative risk of “continued use.” Borderline significant associations between food insecurity and higher risk of “new use” and between stigma and reduced likelihood of “quitting” also emerged. Alcohol use interventions that address partnership, food security, and stigma could benefit pregnant and postpartum PWH.
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