Madhombiro Munyaradzi, Marimbe-Dube Bazondlile, Dube Michelle, Kaiyo-Utete Malinda, Paradzai Angeline, Chibanda Dixon, Rusakaniko Simbarashe, van der Watt Asj, Seedat Soraya
Department of Psychiatry, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Department of Linguistics, University of Zimbabwe, Harare, Zimbabwe.
HIV AIDS (Auckl). 2018 Apr 9;10:47-55. doi: 10.2147/HIV.S150095. eCollection 2018.
Alcohol use is associated with poor HIV treatment outcomes. This study aimed to understand patients' perceptions of the impact of alcohol use in the context of HIV care.
The study design was a descriptive qualitative study of HIV positive individuals receiving antiretroviral treatment. The study involved four focus group discussions with male and female participants at a tertiary center, city clinic, and rural church. We employed convenience sampling and invited patients coming for their routine visits and medication refills to participate.
Participants had an awareness of both the direct and indirect effects of alcohol use. The direct effects related to the incompatibility of HIV medication and alcohol. The indirect effects related to the negative impact of alcohol on treatment adherence. Participants proffered reasons why HIV infected individuals on HIV treatment drink and felt that patients had to make a deliberate choice to stop drinking. Participants displayed some knowledge of interventions for drinking cessation and highlighted the use of pharmacological interventions to stop drinking. Participants indicated that they preferred HIV counselors to provide counseling services in view of the existing relationships that patients had with counselors.
People living with HIV have adequate knowledge of the effects of alcohol use in the context of HIV treatment. Stigma and the time taken to engage in an alcohol use intervention appeared to be the main impediments to uptake. The current model of HIV treatment, based on trust with the HIV care team, and maintenance of this trust, could bolster the uptake of an intervention. Involvement of HIV patients in their treatment is necessary to improve treatment outcomes in the context of alcohol use.
饮酒与艾滋病病毒治疗效果不佳有关。本研究旨在了解患者对艾滋病病毒护理背景下饮酒影响的看法。
该研究设计为对接受抗逆转录病毒治疗的艾滋病病毒阳性个体进行描述性定性研究。研究包括在一家三级中心、城市诊所和农村教堂与男性和女性参与者进行的四次焦点小组讨论。我们采用便利抽样，邀请前来进行常规就诊和药物 refill 的患者参与。
参与者了解饮酒的直接和间接影响。直接影响与艾滋病病毒药物和酒精的不相容性有关。间接影响与酒精对治疗依从性的负面影响有关。参与者提出了接受艾滋病病毒治疗的感染者饮酒的原因，并认为患者必须做出有意识的选择来戒酒。参与者展示了一些戒酒干预措施的知识，并强调了使用药物干预措施来戒酒。参与者表示，鉴于患者与咨询师之间现有的关系，他们更希望艾滋病病毒咨询师提供咨询服务。
艾滋病病毒感染者对艾滋病病毒治疗背景下饮酒的影响有足够的了解。耻辱感和参与饮酒干预所需的时间似乎是接受干预的主要障碍。基于与艾滋病病毒护理团队的信任以及维持这种信任的当前艾滋病病毒治疗模式，可以促进干预措施的接受。让艾滋病病毒患者参与他们的治疗对于在饮酒情况下改善治疗效果是必要的。
