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Title Social Determinants of Alcohol and Other Drug Misuse Among Women Living with HIV in Economically Underserved Communities in Cape Town, South Africa: A Cross-Sectional Study
Full text https://escholarship.org/uc/item/7kz7p5ft
Date 2023
Author(s) Browne, Felicia A; Gichane, Margaret W; Shangase, Nosipho; Ndirangu, Jacqueline; Bonner, Courtney Peasant; Wechsberg, Wendee M
Abstract This study aimed to understand how social determinants-the economic and social factors that affect health and well-being-are associated with self-reported and biological alcohol and other drug misuse in South Africa among women living with HIV. Logistic regression analyses were performed using baseline data from an implementation science trial conducted from 2015 to 2018 with 480 Black and Coloured women who were living with HIV and reported recent alcohol or other drug misuse. Educational attainment, type of housing, access to running water, food insecurity, and housing instability were examined. Women with higher education had reduced odds of any drug misuse-both biological (aOR: 0.53; 95% CI: 0.33-0.84) and self-reported (aOR: 0.37; 95% CI: 0.22-0.64). Women living in formal housing had increased odds of a positive alcohol screening test (aOR: 1.92; 95% CI: 1.16-3.18) and women with housing instability had increased odds of self-reported alcohol misuse-daily (aOR: 1.99; 95% CI: 1.18-3.35) and weekly (aOR:1.91; 95% CI: 1.19-3.07). Food insecurity was associated with reduced odds of self-reported alcohol misuse (aOR: 0.40; 95% CI: 0.25-0.64) and increased odds of self-reported drug misuse (aOR: 2.05; 95% CI: 1.16-3.61). These findings indicate the complexity of the relationship between social determinants and alcohol and other drug misuse, and may have implications for addressing social and structural determinants as part of multilevel interventions focused on reducing alcohol and other drug misuse among key populations of women in South Africa.
Subject(s) Public Health; Health Sciences; Women's Health; Clinical Trials and Supportive Activities; Substance Misuse; Clinical Research; Prevention; HIV/AIDS; Sexually Transmitted Infections; Infectious Diseases; Alcoholism; Alcohol Use and Health; Behavioral and Social Science; Social Determinants of Health; Infection; Good Health and Well Being; Zero Hunger; Humans; Female; Cross-Sectional Studies; HIV Infections; South Africa; Alcoholism; Drug Misuse; Substance use; socioeconomic status; educational attainment; food insecurity; housing instability; health disparities; people living with HIV; Public Health and Health Services; Social Work; Public health
Coverage 1329 - 1338
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Source AIDS and Behavior, vol 27, iss 4
Rights CC-BY
Identifier qt7kz7p5ft
Repository Berkeley - University of California
Added to C-A: 2024-06-12;10:11:59