Mwiru Ramadhani Stephano, Nagu Tumaini Joseph, Kaduri Pamela, Fawzi Wafaie, Mugusi Ferdinand
a Triangle Solutions , Dar es Salaam , Tanzania.
b Department of Internal Medicine , Muhimbili University of Health and Allied Sciences , Dar es Salaam , Tanzania.
AIDS Care. 2018 Feb;30(2):173-177. doi: 10.1080/09540121.2017.1344183. Epub 2017 Jul 3.
There is scarcity of information on the burden of alcohol use among people living with HIV in Tanzania despite the high burden of HIV. We examined the prevalence and factors associated with alcohol use among HIV and tuberculosis (TB) co-infected patients in fourteen clinics with highest notification of TB in Dar es Salaam, Tanzania, between October 2010 and December 2011. Proportions were used to describe the prevalence and pattern of alcohol use. Logistic regression was used to assess the association of various participant characteristics with alcohol use. Out of the 515 participants, 38 (7.4%) were current alcohol drinkers, 183 (35.5%) were ex-drinkers and the rest, 294 (57.1%) denied ever drinking alcohol. Approximately, 15% of past and current drinkers were classified as heavy drinkers. Patients with normal BMI, cigarette smokers, and those with higher income were more likely to be drinkers. Similarly, compared to civil servants, those in petty trade and other occupations were more likely to be drinkers. We concluded that, the level of current alcohol use among HIV positive people receiving pulmonary TB treatment in this population was low. Nevertheless, alcohol use screening and assessment should be added as an integral part of service provision in HIV clinics given the effect of alcohol on health outcomes among HIV positive patients.
尽管坦桑尼亚的艾滋病毒负担沉重，但关于该国艾滋病毒感染者中酒精使用负担的信息却很匮乏。我们在2010年10月至2011年12月期间，对坦桑尼亚达累斯萨拉姆结核病通报率最高的14家诊所中同时感染艾滋病毒和结核病（TB）的患者进行了调查，以了解酒精使用的患病率及相关因素。采用比例来描述酒精使用的患病率和模式。使用逻辑回归来评估各种参与者特征与酒精使用之间的关联。在515名参与者中，38人（7.4%）为当前饮酒者，183人（35.5%）为既往饮酒者，其余294人（57.1%）否认曾饮酒。大约15%的既往和当前饮酒者被归类为重度饮酒者。体重指数正常的患者、吸烟者以及收入较高的患者更有可能饮酒。同样，与公务员相比，从事小买卖和其他职业的人更有可能饮酒。我们得出结论，在这一人群中，接受肺结核治疗的艾滋病毒阳性者当前的酒精使用水平较低。然而，鉴于酒精对艾滋病毒阳性患者健康结果的影响，酒精使用筛查和评估应作为艾滋病毒诊所服务提供的一个组成部分加以补充。
