Qualitative Study of Changes in Alcohol Use Among HIV-Infected Adults Entering Care and Treatment for HIV/AIDS in Rural Southwest Uganda

Radhika Sundararajan, Monique A. Wyatt, Sarah Woolf-King, Emily E. Pisarski, Nneka Emenyonu, Winnie R. Muyindike, Judith A. Hahn, Norma C. Ware

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Alcohol has a substantial negative impact on the HIV epidemic in sub-Saharan Africa, particularly in Uganda, where heavy alcohol consumption is common. Using a content analytic approach, this qualitative study characterizes changes in alcohol use among 59 HIV-infected Ugandan adults (>18 years old), who reported any alcohol use in the previous year as they entered HIV care. Most participants reported attempting to cease or reduce alcohol intake over the study period. Reasons for decreased use included advice from clinicians, interference with social obligations, threats to financial security, and negative impact on social standing. Participants reported difficulty abstaining from alcohol, with incentives to continue drinking including desire for social inclusion, stress relief, and enjoyment of alcohol. These contrasting incentives created a moral quandary for some participants, who felt ‘pulled’ between ‘good’ and ‘bad’ influences. Results suggest brief interventions addressing self-identified obstacles to change may facilitate long-term reductions in drinking in this population.

Original languageEnglish (US)
Pages (from-to)732-741
Number of pages10
JournalAIDS and Behavior
Volume19
Issue number4
DOIs
StatePublished - Apr 10 2015

Keywords

  • Alcohol use
  • Behavior change
  • HIV/AIDS
  • Uganda

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Fingerprint Dive into the research topics of 'Qualitative Study of Changes in Alcohol Use Among HIV-Infected Adults Entering Care and Treatment for HIV/AIDS in Rural Southwest Uganda'. Together they form a unique fingerprint.

  • Cite this