Prevalence of hazardous alcohol consumption and associated factors among HIV-positive pregnant women attending public hospitals in Northwest Ethiopia: a multicentred cross-sectional study.

Legas, G; Beyene, GM; Asnakew, S; Mengist, B; Tedla, A; Shiferaw, K; Mekonen, AB; Abate, MW; Nigat, AB; Aytenew, TM; Tibebu, NS; Emiru, TD; Tiruneh, CM; Libanos, M

Prevalence of hazardous alcohol consumption and associated factors among HIV-positive pregnant women attending public hospitals in Northwest Ethiopia: a multicentred cross-sectional study.

Legas, G Beyene, GM Asnakew, S Mengist, B Tedla, A Shiferaw, K Mekonen, AB Abate, MW Nigat, AB Aytenew, TM Tibebu, NS Emiru, TD Tiruneh, CM Libanos, M

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Publisher:: BMJ
Publication Type:: Journal Article
Citation:: BMJ Open, 2024, 14, (10), pp. e084089
Issue Date:: 2024-10-23

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Field	Value	Language
dc.contributor.author	Legas, G
dc.contributor.author	Beyene, GM
dc.contributor.author	Asnakew, S
dc.contributor.author	Mengist, B
dc.contributor.author	Tedla, A
dc.contributor.author	Shiferaw, K
dc.contributor.author	Mekonen, AB
dc.contributor.author	Abate, MW
dc.contributor.author	Nigat, AB
dc.contributor.author	Aytenew, TM
dc.contributor.author	Tibebu, NS
dc.contributor.author	Emiru, TD
dc.contributor.author	Tiruneh, CM
dc.contributor.author	Libanos, M
dc.date.accessioned	2024-11-18T03:27:39Z
dc.date.available	2024-09-25
dc.date.available	2024-11-18T03:27:39Z
dc.date.issued	2024-10-23
dc.identifier.citation	BMJ Open, 2024, 14, (10), pp. e084089
dc.identifier.issn	2044-6055
dc.identifier.issn	2044-6055
dc.identifier.uri	http://hdl.handle.net/10453/181947
dc.description.abstract	BACKGROUND: Alcohol is a major public health problem in pregnant women due to its harmful effects on pregnancy and adverse birth outcomes. Therefore, assessing the prevalence and the factors associated with hazardous alcohol consumption among HIV-positive women is important for early identification and intervention and implementation of rehabilitation centres in healthcare settings in order to prevent maternal adverse birth outcomes. OBJECTIVE: The aim of this study was to assess the prevalence of hazardous alcohol consumption and the associated factors among HIV-positive pregnant women attending public hospitals in Northwest Ethiopia. DESIGN AND STUDY SETTING: A facility-based, cross-sectional study was conducted among 401 HIV-positive pregnant women attending public hospitals in Northwest Ethiopia from 7 February to 7 April 2021. PARTICIPANTS: From a total calculated sample size of 423, 401 HIV-positive pregnant women who had a follow-up with selected hospitals' prevention of mother-to-child transmission (PMTCT) clinics completed the interview (17 participants refused to provide information and 5 terminated the interview in the middle of it due to serious illness). MAIN OUTCOME MEASURES: The main outcome measure of this study was hazardous alcohol consumption assessed using the Fast Alcohol Screening Test. Bivariate and multivariable binary logistic regressions were used to identify factors associated with hazardous alcohol consumption. Statistically significant associations were set at p<0.05. RESULTS: The overall prevalence of hazardous alcohol consumption among HIV-positive pregnant was found to be 7.7% (95% CI 5.2, 10.5). After adjusting for possible confounders, history of mental illness (adjusted OR (AOR)=3.10; 95% CI 1.19, 8.05), having comorbid psychological distress (AOR=4.39; 95% CI 1.57, 12.30), non-disclosure of HIV status to partner (AOR=3.28; 95% CI 1.21, 8.84) and poor medication adherence (AOR=2.82; 95% CI 1.20, 6.62) were significantly associated with hazardous alcohol use. CONCLUSIONS AND RECOMMENDATIONS: The overall prevalence of hazardous alcohol consumption among HIV-positive pregnant women was high, especially among pregnant women who had a history of mental illness. Poor medication adherence, non-disclosure of HIV status to partner and having comorbid psychological distress are the main factors associated with hazardous alcohol consumption. Early detection and appropriate interventions to prevent hazardous alcohol consumption should be promoted at PMTCT clinics.
dc.format	Electronic
dc.language	eng
dc.publisher	BMJ
dc.relation.ispartof	BMJ Open
dc.relation.isbasedon	10.1136/bmjopen-2024-084089
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services, 1199 Other Medical and Health Sciences
dc.subject.classification	32 Biomedical and clinical sciences
dc.subject.classification	42 Health sciences
dc.subject.classification	52 Psychology
dc.subject.mesh	Humans
dc.subject.mesh	Female
dc.subject.mesh	Pregnancy
dc.subject.mesh	Ethiopia
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Adult
dc.subject.mesh	Hospitals, Public
dc.subject.mesh	Prevalence
dc.subject.mesh	Young Adult
dc.subject.mesh	HIV Infections
dc.subject.mesh	Pregnancy Complications, Infectious
dc.subject.mesh	Alcohol Drinking
dc.subject.mesh	Risk Factors
dc.subject.mesh	Adolescent
dc.subject.mesh	Humans
dc.subject.mesh	Pregnancy Complications, Infectious
dc.subject.mesh	HIV Infections
dc.subject.mesh	Prevalence
dc.subject.mesh	Risk Factors
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Alcohol Drinking
dc.subject.mesh	Pregnancy
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Hospitals, Public
dc.subject.mesh	Ethiopia
dc.subject.mesh	Female
dc.subject.mesh	Young Adult
dc.subject.mesh	Humans
dc.subject.mesh	Female
dc.subject.mesh	Pregnancy
dc.subject.mesh	Ethiopia
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Adult
dc.subject.mesh	Hospitals, Public
dc.subject.mesh	Prevalence
dc.subject.mesh	Young Adult
dc.subject.mesh	HIV Infections
dc.subject.mesh	Pregnancy Complications, Infectious
dc.subject.mesh	Alcohol Drinking
dc.subject.mesh	Risk Factors
dc.subject.mesh	Adolescent
dc.title	Prevalence of hazardous alcohol consumption and associated factors among HIV-positive pregnant women attending public hospitals in Northwest Ethiopia: a multicentred cross-sectional study.
dc.type	Journal Article
utslib.citation.volume	14
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
utslib.for	1199 Other Medical and Health Sciences
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/School of Nursing and Midwifery
utslib.copyright.status	in_progress	*
dc.date.updated	2024-11-18T03:27:36Z
pubs.issue	10
pubs.publication-status	Published online
pubs.volume	14
utslib.citation.issue	10

Abstract:

BACKGROUND: Alcohol is a major public health problem in pregnant women due to its harmful effects on pregnancy and adverse birth outcomes. Therefore, assessing the prevalence and the factors associated with hazardous alcohol consumption among HIV-positive women is important for early identification and intervention and implementation of rehabilitation centres in healthcare settings in order to prevent maternal adverse birth outcomes. OBJECTIVE: The aim of this study was to assess the prevalence of hazardous alcohol consumption and the associated factors among HIV-positive pregnant women attending public hospitals in Northwest Ethiopia. DESIGN AND STUDY SETTING: A facility-based, cross-sectional study was conducted among 401 HIV-positive pregnant women attending public hospitals in Northwest Ethiopia from 7 February to 7 April 2021. PARTICIPANTS: From a total calculated sample size of 423, 401 HIV-positive pregnant women who had a follow-up with selected hospitals' prevention of mother-to-child transmission (PMTCT) clinics completed the interview (17 participants refused to provide information and 5 terminated the interview in the middle of it due to serious illness). MAIN OUTCOME MEASURES: The main outcome measure of this study was hazardous alcohol consumption assessed using the Fast Alcohol Screening Test. Bivariate and multivariable binary logistic regressions were used to identify factors associated with hazardous alcohol consumption. Statistically significant associations were set at p<0.05. RESULTS: The overall prevalence of hazardous alcohol consumption among HIV-positive pregnant was found to be 7.7% (95% CI 5.2, 10.5). After adjusting for possible confounders, history of mental illness (adjusted OR (AOR)=3.10; 95% CI 1.19, 8.05), having comorbid psychological distress (AOR=4.39; 95% CI 1.57, 12.30), non-disclosure of HIV status to partner (AOR=3.28; 95% CI 1.21, 8.84) and poor medication adherence (AOR=2.82; 95% CI 1.20, 6.62) were significantly associated with hazardous alcohol use. CONCLUSIONS AND RECOMMENDATIONS: The overall prevalence of hazardous alcohol consumption among HIV-positive pregnant women was high, especially among pregnant women who had a history of mental illness. Poor medication adherence, non-disclosure of HIV status to partner and having comorbid psychological distress are the main factors associated with hazardous alcohol consumption. Early detection and appropriate interventions to prevent hazardous alcohol consumption should be promoted at PMTCT clinics.

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http://hdl.handle.net/10453/181947