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Title Effects of a COVID-19 Public Health Lockdown on Drinking and Health Behavior Among Persons with HIV and with Unhealthy Alcohol use in Uganda.
Full text https://escholarship.org/uc/item/6rt7v39s
Date 2023
Author(s) Beesiga, Brian; Marson, Kara; Fatch, Robin; Emenyonu, Nneka I; Adong, Julian; Kekibiina, Allen; Puryear, Sarah; Lodi, Sara; McDonell, Michael G; Muyindike, Winnie R; Kamya, Moses R; Hahn, Judith A; Chamie, Gabriel
Abstract To better understand the impact of Uganda's initial COVID-19 lockdown on alcohol use, we conducted a cross-sectional survey (August 2020-September 2021) among persons with HIV (PWH) with unhealthy alcohol use (but not receiving an alcohol intervention), enrolled in a trial of incentives to reduce alcohol use and improve isoniazid preventive therapy. We examined associations between bar-based drinking and decreased alcohol use, and decreased alcohol use and health outcomes (antiretroviral therapy [ART] access, ART adherence, missed clinic visits, psychological stress and intimate partner violence), during lockdown. Of 178 adults surveyed whose data was analyzed, (67% male, median age: 40), 82% reported bar-based drinking at trial enrollment; 76% reported decreased alcohol use during lockdown. In a multivariate analysis, bar-based drinking was not associated with greater decreases in alcohol use during lockdown compared to non-bar-based drinking (OR = 0.81, 95% CI: 0.31-2.11), adjusting for age and sex. There was a significant association between decreased alcohol use and increased stress during lockdown (adjusted β = 2.09, 95% CI: 1.07-3.11, P < 0.010), but not other health outcomes.
Subject(s) Coronavirus disease-19; HIV; Lockdown; TB; Unhealthy alcohol use; Alcoholism; Alcohol Use and Health; Infectious Diseases; Substance Misuse; Clinical Research; Prevention; Mental Health; Clinical Trials and Supportive Activities; Behavioral and Social Science; 6.1 Pharmaceuticals; Evaluation of treatments and therapeutic interventions; Oral and gastrointestinal; Cardiovascular; Good Health and Well Being; Public Health and Health Services; Social Work; Public Health
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Rights public
Identifier qt6rt7v39s
Repository Berkeley - University of California
Added to C-A: 2023-09-20;11:37:55