title: Alcohol Consumption in Ugandan HIV-Infected Household-Brewers Versus Non-Brewers.
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.
authors.affiliation: Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, ME, USA. kthakarar@mmc.org.
authors.forename: Kinna
authors.initials: K
authors.lastname: Thakarar
authors.affiliation: Department of Medicine, Mbarara Regional Referral Hospital, Mbarara, Uganda.|Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
authors.forename: Stephen B
authors.initials: SB
authors.lastname: Asiimwe
authors.affiliation: 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.|Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA.
authors.forename: Debbie M
authors.initials: DM
authors.lastname: Cheng
authors.affiliation: Data Coordinating Center, Boston University School of Public Health, Boston, MA, USA.
authors.forename: Leah
authors.initials: L
authors.lastname: Forman
authors.affiliation: Mbarara University of Science and Technology Grants Office, Mbarara, Uganda.
authors.forename: Christine
authors.initials: C
authors.lastname: Ngabirano
authors.affiliation: Department of Medicine, Mbarara Regional Referral Hospital, Mbarara, Uganda.|School of Medicine, Mbarara University of Science and Technology (MUST), Mbarara, Uganda.
authors.forename: Winnie R
authors.initials: WR
authors.lastname: Muyindike
authors.affiliation: Department of Medicine, University of California, San Francisco, USA.
authors.forename: Nneka I
authors.initials: NI
authors.lastname: Emenyonu
authors.affiliation: 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.
authors.forename: Jeffrey H
authors.initials: JH
authors.lastname: Samet
authors.affiliation: Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.|Department of Medicine, University of California, San Francisco, USA.
authors.forename: Judith A
authors.initials: JA
authors.lastname: Hahn
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology*; D044383:Black People / Q000523:psychology / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D020404:Glycerophospholipids / Q000378:metabolism; D015658:HIV Infections / Q000453:epidemiology* / Q000523:psychology; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012111:Residence Characteristics; D014454:Uganda / Q000453:epidemiology; D055815:Young Adult
chemical_list: D020404:Glycerophospholipids; C051521:phosphatidylethanol
keywords: Africa; Alcohol; HIV; Household brewing; Unhealthy alcohol use