A qualitative study on alcohol consumption and HIV treatment adherence among men living with HIV in Ugandan fishing communities

Sileo, Katelyn M.; Kizito, Williams; Wanyenze, Rhoda K.; Chemusto, Harriet; Musoke, William; Mukasa, Barbara; Kiene, Susan M.

doi:10.1080/09540121.2018.1524564

Cited by 18 publications

(27 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While this study was only conducted in three fishing communities in Uganda, the patterns of drinking observed in this study have been seen in other fishing communities throughout East Africa. It is likely the findings and recommendations presented here are generalizable to similar communities (Kiwanuka et al, 2017;Sileo et al, 2016Sileo et al, , 2019Smolak, 2014). Utilizing the SEM and TPT models together has allowed us to contextualize problematic drinking behaviors through both time (TPT) and space (SEM).…”

Section: Discussionmentioning

confidence: 82%

“The Bottle Is My Wife”: Exploring Reasons Why Men Drink Alcohol in Ugandan Fishing Communities

Breuer¹,

Bloom

Miller

et al. 2019

Social Work in Public Health

View full text Add to dashboard Cite

Fishing communities in Uganda have high rates of excessive alcohol consumption and negative health outcomes related to alcohol consumption, such as HIV acquisition and transmission and intimate partner violence victimization and perpetration. Research lacks understanding of alcohol use in Ugandan fishing communities, underlying reasons for excessive drinking among fishermen or how their community perceives negative health outcomes linked to excessive alcohol consumption. This qualitative study was conducted among Ugandan fisherfolk to determine why excessive alcohol consumption has overtaken their communities. Through analyzing in-depth interviews and focus group discussions, reasons for drinking and community perceptions of drinking were explored using the Socio Ecological Model and the Time Perspective Theory. Interviews were coded into two content themes: social influences on drinking and using alcohol to cope with stress. Participants acknowledged links between excessive alcohol consumption and negative health outcomes within their families and communities. These findings highlight the need for alcohol-related reduction interventions that are sensitive to contextual factors and self-identified contributors to problematic alcohol use within individuals and their communities. Such interventions must consider the social, ecological and economic conditions within fishing sites, focusing not only on individual-level behavioral change but also challenging the underlying structures that foster excessive alcohol consumption.

show abstract

Section: Discussionmentioning

confidence: 82%

“The Bottle Is My Wife”: Exploring Reasons Why Men Drink Alcohol in Ugandan Fishing Communities

Breuer¹,

Bloom

Miller

et al. 2019

Social Work in Public Health

View full text Add to dashboard Cite

show abstract

“…In addition, while several studies have suggested marijuana and khat may be prevalent in these communities [9, 18], very few men reported drug use. While this in part could be explained by underreporting, a qualitative exploration of changes in men’s drinking since diagnosis (reported elsewhere) revealed men in our sample had made significant efforts to reduce their consumption since diagnosis [45]. Yet hazardous drinking was prevalent among those who do drink; one-third of the overall sample, and two-third of those who drink, were classified as hazardous drinkers on the AUDIT.…”

Section: Discussionmentioning

confidence: 83%

Substance use and its effect on antiretroviral treatment adherence among male fisherfolk living with HIV/AIDS in Uganda

et al. 2019

Self Cite

View full text Add to dashboard Cite

Background Fisherfolk are a most-at-risk population for HIV being prioritized for the scale up of HIV treatment in Uganda. Heavy alcohol use and potential drug use may be a major barrier to treatment adherence for men in this setting. Objective This study examines the prevalence of substance use, and its influence on antiretroviral treatment (ART) adherence, among male fisherfolk on ART in Wakiso District, Uganda. Methods This cross-sectional study included structured questionnaires (N = 300) with men attending HIV clinics near Lake Victoria. Using generalized logistic modeling analyses with a binomial distribution and logit link, we conducted multivariate models to test the association between each alcohol variable (quantity and frequency index, hazardous drinking) and missed pills, adjusting for covariates, and tested for interactions between number of pills prescribed and alcohol variables. Results Thirty-one percent of men reported sub-optimal adherence. Half (46.7%) reported drinking, of which 64.8% met criteria for hazardous drinking. Illicit drug use was low (6%). In the multivariate model, men with greater scores on the alcohol frequency and quantity index were more likely to report missed pills compared to those reporting no drinking (AOR: 1.60, 95% CI: 1.29–1.97). Hazardous drinking had a greater effect on missed ARV doses among men taking twice daily regimens compared to once daily (AOR: 4.91, 95% CI: 1.68–14.37). Conclusions Our findings highlight the need for targeted alcohol-reduction interventions for male fisherfolk on ART who drink at high quantities to improve ART adherence and to prevent the known negative health effects of alcohol for HIV-infected individuals.

show abstract

“…), social status (purchase of alcohol evokes economic capability), and peer pressure; at the community level, the widespread availability of alcohol and the importance of the alcohol business for the local economy, culture of heavy drinking, and lack of accountability by local leaders have been documented. At the policy and societal level, lack of enforcement of national laws to restrict alcohol use emerged as an important factor [ 58 , 60 – 63 , 69 ]. The authors also documented the widespread belief that “everybody drinks” and a “life is short mentality” (due to the danger of fishing activities) as key contributors to alcohol use in fishing communities [ 61 ].…”

Section: Resultsmentioning

confidence: 99%

“…Sileo et al (2019) identified alcohol consumption as one of the main barriers to ART adherence. Alcohol affected adherence through multiple pathways, including cognitive impairment (forgetting to take medication), staying out too late drinking while their ARV medication was at home, and intentionally skipping doses when drinking [ 69 ]. Barriers to accessing HIV treatment and care services included poor transport system [ 76 ], competing needs for work during clinic hours, stigma, low quality of care, and low social support [ 77 ].…”

Section: Resultsmentioning

confidence: 99%

HIV epidemic in fishing communities in Uganda: A scoping review

et al. 2021

Self Cite

View full text Add to dashboard Cite

Background Fishing communities in many Sub-Saharan African countries are a high-risk population group disproportionately affected by the HIV epidemic. In Uganda, literature on HIV in fishing communities has grown extensively since the first country’s documented case of HIV in a fishing community in 1985. The current study describes the status of the HIV burden, prevention, and treatment in Ugandan fishing communities. Method This scoping review was conducted based on the York Framework outlined by Arksey and O’Malley. We searched the PubMed, Embase, and Web of Science databases to identify relevant quantitative and qualitative studies on HIV incidence, HIV prevalence, HIV-related risk factors, HIV testing, antiretroviral therapy coverage and adherence, and interventions to improve treatment outcomes and reduce HIV risk factors. Results & conclusion We identified 52 papers and 2 reports. Thirty-four were quantitative, 17 qualitative, and 3 had a mixed-methods design. Eleven studies reported on the prevalence of HIV and 8 on HIV incidence; 9 studies documented factors associated with HIV incidence or HIV positive status; 10 studies reported on HIV testing coverage and/or associated factors; 7 reported on antiretroviral therapy coverage/adherence/outcomes; and 1 study reported on the impact of combination HIV interventions in fishing communities. This scoping review revealed a significant lack of evidence in terms of what works in HIV prevention and for improving adherence to ART, in contrast to the relatively large amount of evidence from observational quantitative and qualitative studies on HIV prevalence, incidence and related risk factors in Ugandan fishing communities. Intervention studies are urgently needed to fill the current evidence gaps in HIV prevention and ART adherence.

show abstract

A qualitative study on alcohol consumption and HIV treatment adherence among men living with HIV in Ugandan fishing communities

Cited by 18 publications

References 21 publications

“The Bottle Is My Wife”: Exploring Reasons Why Men Drink Alcohol in Ugandan Fishing Communities

“The Bottle Is My Wife”: Exploring Reasons Why Men Drink Alcohol in Ugandan Fishing Communities

Substance use and its effect on antiretroviral treatment adherence among male fisherfolk living with HIV/AIDS in Uganda

HIV epidemic in fishing communities in Uganda: A scoping review

Contact Info

Product

Resources

About