"Now We Are Told That We Can Mix": Messages and Beliefs Around Simultaneous Use of Alcohol and ART
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"Now We Are Told That We Can Mix" : Messages and Beliefs Around Simultaneous Use of Alcohol and ART. / Satinsky, Emily N; Myers, Bronwyn; Andersen, Lena S; Kagee, Ashraf; Joska, John; Magidson, Jessica F.
I: AIDS & Behavior, Bind 24, Nr. 9, 09.2020, s. 2680-2690.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - "Now We Are Told That We Can Mix"
T2 - Messages and Beliefs Around Simultaneous Use of Alcohol and ART
AU - Satinsky, Emily N
AU - Myers, Bronwyn
AU - Andersen, Lena S
AU - Kagee, Ashraf
AU - Joska, John
AU - Magidson, Jessica F
PY - 2020/9
Y1 - 2020/9
N2 - South Africa (SA) has the most people living with HIV/AIDS (PLWH) globally and prevalent alcohol use. Beliefs that mixing alcohol and antiretroviral therapy (ART) can lead to adverse reactions may promote ART nonadherence. Healthcare providers (n = 11) and patients (n = 19) recruited from primary HIV and substance use care in SA described their messages, beliefs, and behaviors around simultaneous use of alcohol and ART. Transcripts were analyzed using thematic analysis: (1) most providers indicated a message shift to reflect harm reduction principles: PLWH should manage alcohol use but not let it interfere with taking ART; however, (2) patients recalled conflicting messages from their providers and some displayed interactive toxicity beliefs and behaviors. Despite progress demonstrated by 2016 national adherence guidelines and shifted provider messaging, interactive toxicity beliefs remain a barrier to ART adherence. Results have implications for the adaptation of adherence counseling to minimize the impact of alcohol use on HIV treatment.
AB - South Africa (SA) has the most people living with HIV/AIDS (PLWH) globally and prevalent alcohol use. Beliefs that mixing alcohol and antiretroviral therapy (ART) can lead to adverse reactions may promote ART nonadherence. Healthcare providers (n = 11) and patients (n = 19) recruited from primary HIV and substance use care in SA described their messages, beliefs, and behaviors around simultaneous use of alcohol and ART. Transcripts were analyzed using thematic analysis: (1) most providers indicated a message shift to reflect harm reduction principles: PLWH should manage alcohol use but not let it interfere with taking ART; however, (2) patients recalled conflicting messages from their providers and some displayed interactive toxicity beliefs and behaviors. Despite progress demonstrated by 2016 national adherence guidelines and shifted provider messaging, interactive toxicity beliefs remain a barrier to ART adherence. Results have implications for the adaptation of adherence counseling to minimize the impact of alcohol use on HIV treatment.
KW - Adult
KW - Alcohol Drinking/psychology
KW - Anti-HIV Agents/therapeutic use
KW - Drug Interactions
KW - Female
KW - Guideline Adherence
KW - HIV Infections/drug therapy
KW - Harm Reduction
KW - Health Personnel/psychology
KW - Humans
KW - Male
KW - Medication Adherence/psychology
KW - Middle Aged
KW - Qualitative Research
KW - South Africa
KW - Surveys and Questionnaires
U2 - 10.1007/s10461-020-02825-1
DO - 10.1007/s10461-020-02825-1
M3 - Journal article
C2 - 32162093
VL - 24
SP - 2680
EP - 2690
JO - AIDS & Behavior
JF - AIDS & Behavior
SN - 1090-7165
IS - 9
ER -
ID: 257650803