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Alcohol Consumption in Ugandan HIV-Infected Household-Brewers Versus Non-Brewers

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Abstract

The brewing of alcohol in Ugandan households is common, yet little is known about its relationship with alcohol consumption in HIV-infected individuals. We performed a cross-sectional analysis to assess the association between household brewing and unhealthy alcohol consumption among 387 HIV-infected adults in a prospective study examining the association between alcohol consumption and HIV-disease progression. Household brewing was defined as participants reporting that they or a household member home-brewed alcohol. Logistic regression was used to assess the association between household brewing and unhealthy alcohol consumption, defined as phosphatidylethanol (PEth) level ≥50 ng/ml or AUDIT-C (modified to measure the prior 3 months) positive. Sixty-six (17.0 %) participants reported household brewing. Household brewers had higher odds of unhealthy alcohol consumption (AOR 2.27, 95 % CI 1.26–4.12). Among HIV-infected individuals, household brewing was associated with unhealthy alcohol consumption. Interventions to reduce alcohol consumption in this population could target household brewers.

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Acknowledgments

The authors would like to acknowledge Robin Fatch and Carly Bridden for their contributions to this manuscript and the study participants for providing their time.

Author Contributions

Conceived and designed the study: KT, DC, SA, JH. Analyzed the data: LF, DC. Wrote the paper: KT, LF, SA, DC, JS, WM, NE, CC, JH.

Funding

This study was funded by the National Institute on Alcohol Abuse and Alcoholism U01AA020776, U24 AA020778, and U24020779. Additional funding included NIH T32 A1052074-10, R01AA018641, and K24AA022586. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

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Authors and Affiliations

  1. Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, ME, USA

    Kinna Thakarar

  2. Department of Medicine, Mbarara Regional Referral Hospital, Mbarara, Uganda

    Stephen B. Asiimwe & Winnie R. Muyindike

  3. Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA

    Stephen B. Asiimwe & Judith A. Hahn

  4. Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA

    Debbie M. Cheng & Jeffrey H. Samet

  5. Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA

    Debbie M. Cheng

  6. Data Coordinating Center, Boston University School of Public Health, Boston, MA, USA

    Leah Forman

  7. Mbarara University of Science and Technology Grants Office, Mbarara, Uganda

    Christine Ngabirano

  8. School of Medicine, Mbarara University of Science and Technology (MUST), Mbarara, Uganda

    Winnie R. Muyindike

  9. Department of Medicine, University of California, San Francisco, USA

    Nneka I. Emenyonu & Judith A. Hahn

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  1. Kinna Thakarar
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Correspondence to Kinna Thakarar.

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Thakarar, K., Asiimwe, S.B., Cheng, D.M. et al. Alcohol Consumption in Ugandan HIV-Infected Household-Brewers Versus Non-Brewers. AIDS Behav 20, 2408–2417 (2016). https://doi.org/10.1007/s10461-016-1421-y

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  • DOI: https://doi.org/10.1007/s10461-016-1421-y

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