Hazardous and Harmful use of Alcohol and / or Other Drugs and Health Status Among South African Patients Attending HIV Clinics

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dc.contributor.authorKader, R
dc.contributor.authorSeedat, S
dc.contributor.authorGovender, R
dc.contributor.authorKoch, J R
dc.contributor.authorParry, C D
dc.date.accessioned2016-05-06T08:05:43Z
dc.date.available2016-05-06T08:05:43Z
dc.date.issued2013
dc.date.updated2016-05-06T08:01:32Z
dc.description.abstractThere is growing recognition of the influence of substance use, particularly alcohol use, on HIV disease progression. This study investigated how hazardous/harmful use of alcohol and drugs impacts the health status of 1503 patients attending HIV clinics. Of the sample, 37 % indicated hazardous/harmful drinking and 13 % indicated a drug problem. Hazardous/harmful use of alcohol and drugs was significantly related to health status, with participants using substances more likely to have TB-positive status (χ2 = 4.30, p < 0.05), less likely to be on ARVs (χ2 = 9.87, p < 0.05) and having lower CD4 counts (t = 4.01, p < 0.05). Structural equation modelling confirmed the centrality of hazardous/harmful use of alcohol as a direct and indirect determinant of disease progression. Based on these findings it is recommended that patients attending HIV clinics be routinely screened for problematic alcohol and/or drug use, with strong emphasis on ensuring ARV adherence in those with problematic alcohol use.en_ZA
dc.identifierhttp://dx.doi.org/10.1007/s10461-013-0587-9.
dc.identifier.apacitationKader, R., Seedat, S., Govender, R., Koch, J. R., & Parry, C. D. (2013). Hazardous and Harmful use of Alcohol and / or Other Drugs and Health Status Among South African Patients Attending HIV Clinics. <i>AIDS and Behaviour</i>, http://hdl.handle.net/11427/19468en_ZA
dc.identifier.chicagocitationKader, R, S Seedat, R Govender, J R Koch, and C D Parry "Hazardous and Harmful use of Alcohol and / or Other Drugs and Health Status Among South African Patients Attending HIV Clinics." <i>AIDS and Behaviour</i> (2013) http://hdl.handle.net/11427/19468en_ZA
dc.identifier.citationKader, R., Seedat, S., Govender, R., Koch, J. R., & Parry, C. D. (2014). Hazardous and harmful use of alcohol and/or other drugs and health status among South African patients attending HIV clinics. AIDS and Behavior, 18(3), 525-534.en_ZA
dc.identifier.issn1090-7165en_ZA
dc.identifier.ris TY - Journal Article AU - Kader, R AU - Seedat, S AU - Govender, R AU - Koch, J R AU - Parry, C D AB - There is growing recognition of the influence of substance use, particularly alcohol use, on HIV disease progression. This study investigated how hazardous/harmful use of alcohol and drugs impacts the health status of 1503 patients attending HIV clinics. Of the sample, 37 % indicated hazardous/harmful drinking and 13 % indicated a drug problem. Hazardous/harmful use of alcohol and drugs was significantly related to health status, with participants using substances more likely to have TB-positive status (χ2 = 4.30, p < 0.05), less likely to be on ARVs (χ2 = 9.87, p < 0.05) and having lower CD4 counts (t = 4.01, p < 0.05). Structural equation modelling confirmed the centrality of hazardous/harmful use of alcohol as a direct and indirect determinant of disease progression. Based on these findings it is recommended that patients attending HIV clinics be routinely screened for problematic alcohol and/or drug use, with strong emphasis on ensuring ARV adherence in those with problematic alcohol use. DA - 2013 DB - OpenUCT DP - University of Cape Town J1 - AIDS and Behaviour LK - https://open.uct.ac.za PB - University of Cape Town PY - 2013 SM - 1090-7165 T1 - Hazardous and Harmful use of Alcohol and / or Other Drugs and Health Status Among South African Patients Attending HIV Clinics TI - Hazardous and Harmful use of Alcohol and / or Other Drugs and Health Status Among South African Patients Attending HIV Clinics UR - http://hdl.handle.net/11427/19468 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/19468
dc.identifier.vancouvercitationKader R, Seedat S, Govender R, Koch JR, Parry CD. Hazardous and Harmful use of Alcohol and / or Other Drugs and Health Status Among South African Patients Attending HIV Clinics. AIDS and Behaviour. 2013; http://hdl.handle.net/11427/19468.en_ZA
dc.languageengen_ZA
dc.publisherSpringeren_ZA
dc.publisher.departmentCentre for Social Science Research(CSSR)en_ZA
dc.publisher.facultyFaculty of Humanitiesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceAIDS and Behaviouren_ZA
dc.source.urihttp://link.springer.com/journal/10461
dc.subject.otherAlcohol
dc.subject.otherDrugs
dc.subject.otherHIV
dc.subject.otherARV
dc.subject.otherCD4 count
dc.titleHazardous and Harmful use of Alcohol and / or Other Drugs and Health Status Among South African Patients Attending HIV Clinicsen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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