Perceptions of alcohol use in the context of HIV treatment: a qualitative study

Munyaradzi Madhombiro,1 Bazondlile Marimbe-Dube,1 Michelle Dube,1 Malinda Kaiyo-Utete,1 Angeline Paradzai,2 Dixon Chibanda,1 Simbarashe Rusakaniko,3 ASJ van der Watt,4 Soraya Seedat4 1Department of Psychiatry, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe; 2Department of Lingu...

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Autores principales:	Madhombiro M, Marimbe-Dube B, Dube M, Kaiyo-Utete M, Paradzai A, Chibanda D, Rusakaniko S, van der Watt ASJ, Seedat S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	alcohol use HIV impact perceptions Zimbabwe Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/8a700e2a5a294025b2ade3e8e7196a36
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spelling	oai:doaj.org-article:8a700e2a5a294025b2ade3e8e7196a362021-12-02T07:12:16ZPerceptions of alcohol use in the context of HIV treatment: a qualitative study1179-1373https://doaj.org/article/8a700e2a5a294025b2ade3e8e7196a362018-04-01T00:00:00Zhttps://www.dovepress.com/perceptions-of-alcohol-use-in-the-context-of-hiv-treatment-a-qualitati-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Munyaradzi Madhombiro,1 Bazondlile Marimbe-Dube,1 Michelle Dube,1 Malinda Kaiyo-Utete,1 Angeline Paradzai,2 Dixon Chibanda,1 Simbarashe Rusakaniko,3 ASJ van der Watt,4 Soraya Seedat4 1Department of Psychiatry, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe; 2Department of Linguistics, University of Zimbabwe, Harare, Zimbabwe; 3Department of Community Medicine, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe; 4Department of Psychiatry, Stellenbosch University, Cape Town, South Africa Background: 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. Methods: 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. Results: 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. Conclusion: 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. Keywords: alcohol use, HIV, impact, perceptions, ZimbabweMadhombiro MMarimbe-Dube BDube MKaiyo-Utete MParadzai AChibanda DRusakaniko Svan der Watt ASJSeedat SDove Medical Pressarticlealcohol useHIVimpactperceptionsZimbabweImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 10, Pp 47-55 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	alcohol use HIV impact perceptions Zimbabwe Immunologic diseases. Allergy RC581-607
spellingShingle	alcohol use HIV impact perceptions Zimbabwe Immunologic diseases. Allergy RC581-607 Madhombiro M Marimbe-Dube B Dube M Kaiyo-Utete M Paradzai A Chibanda D Rusakaniko S van der Watt ASJ Seedat S Perceptions of alcohol use in the context of HIV treatment: a qualitative study
description	Munyaradzi Madhombiro,1 Bazondlile Marimbe-Dube,1 Michelle Dube,1 Malinda Kaiyo-Utete,1 Angeline Paradzai,2 Dixon Chibanda,1 Simbarashe Rusakaniko,3 ASJ van der Watt,4 Soraya Seedat4 1Department of Psychiatry, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe; 2Department of Linguistics, University of Zimbabwe, Harare, Zimbabwe; 3Department of Community Medicine, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe; 4Department of Psychiatry, Stellenbosch University, Cape Town, South Africa Background: 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. Methods: 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. Results: 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. Conclusion: 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. Keywords: alcohol use, HIV, impact, perceptions, Zimbabwe
format	article
author	Madhombiro M Marimbe-Dube B Dube M Kaiyo-Utete M Paradzai A Chibanda D Rusakaniko S van der Watt ASJ Seedat S
author_facet	Madhombiro M Marimbe-Dube B Dube M Kaiyo-Utete M Paradzai A Chibanda D Rusakaniko S van der Watt ASJ Seedat S
author_sort	Madhombiro M
title	Perceptions of alcohol use in the context of HIV treatment: a qualitative study
title_short	Perceptions of alcohol use in the context of HIV treatment: a qualitative study
title_full	Perceptions of alcohol use in the context of HIV treatment: a qualitative study
title_fullStr	Perceptions of alcohol use in the context of HIV treatment: a qualitative study
title_full_unstemmed	Perceptions of alcohol use in the context of HIV treatment: a qualitative study
title_sort	perceptions of alcohol use in the context of hiv treatment: a qualitative study
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/8a700e2a5a294025b2ade3e8e7196a36
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Perceptions of alcohol use in the context of HIV treatment: a qualitative study

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