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Self‐reported alcohol use versus phosphatidylethanol in behavioral trials: A study of people living with HIV in Tshwane, South Africa

Self‐reported alcohol use versus phosphatidylethanol in behavioral trials: A study of people... INTRODUCTIONPer capita consumption of alcohol in South Africa is 9.3 L of pure alcohol (the equivalent of 186 L of 5% alcohol), and 59% of adults who drink alcohol report engaging in heavy episodic drinking (HED) at least once in the past 30 days (World Health Organization, 2018). South Africa is also challenged by HIV, with an estimated 8.2 million persons living with HIV (PWH) of whom about three‐quarters receive antiretroviral therapy (ART; Statistics South Africa, 2021). There is a strong nexus between alcohol consumption and HIV, with studies showing that hazardous drinking (including HED) directly contributes to ART nonadherence (Velloza et al., 2019), declines in CD4 counts, nonsuppression of HIV viral load (Myers et al., 2021), and HIV disease severity (Marshall et al., 2017). As a result, interventions to reduce the quantity of alcohol consumed among PWH are crucial to optimizing ART adherence and HIV treatment outcomes (Shuper, 2021). An important step in facilitating this involves accurately detecting hazardous or harmful drinking among PWH as a prelude to offering alcohol reduction interventions.Self‐report measures are commonly used to assess for hazardous and harmful alcohol use. The Alcohol Use Disorders Identification Test (AUDIT) is one of the most widely used, reliable, and valid self‐report alcohol screeners (Babor et al., 2001). http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Alcoholism Wiley

Self‐reported alcohol use versus phosphatidylethanol in behavioral trials: A study of people living with HIV in Tshwane, South Africa

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Publisher
Wiley
Copyright
© 2023 by the Research Society on Alcoholism
ISSN
0145-6008
eISSN
1530-0277
DOI
10.1111/acer.15062
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Abstract

INTRODUCTIONPer capita consumption of alcohol in South Africa is 9.3 L of pure alcohol (the equivalent of 186 L of 5% alcohol), and 59% of adults who drink alcohol report engaging in heavy episodic drinking (HED) at least once in the past 30 days (World Health Organization, 2018). South Africa is also challenged by HIV, with an estimated 8.2 million persons living with HIV (PWH) of whom about three‐quarters receive antiretroviral therapy (ART; Statistics South Africa, 2021). There is a strong nexus between alcohol consumption and HIV, with studies showing that hazardous drinking (including HED) directly contributes to ART nonadherence (Velloza et al., 2019), declines in CD4 counts, nonsuppression of HIV viral load (Myers et al., 2021), and HIV disease severity (Marshall et al., 2017). As a result, interventions to reduce the quantity of alcohol consumed among PWH are crucial to optimizing ART adherence and HIV treatment outcomes (Shuper, 2021). An important step in facilitating this involves accurately detecting hazardous or harmful drinking among PWH as a prelude to offering alcohol reduction interventions.Self‐report measures are commonly used to assess for hazardous and harmful alcohol use. The Alcohol Use Disorders Identification Test (AUDIT) is one of the most widely used, reliable, and valid self‐report alcohol screeners (Babor et al., 2001).

Journal

Alcoholism – Wiley

Published: Mar 20, 2023

Keywords: alcohol consumption; HIV; intervention; phosphatidylethanol; self‐report

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