南非 Sedibeng 地区 HIV 阳性患者吸烟、饮酒和抑郁的共同情况。

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL

South African Family Practice Pub Date : 2023-05-24 DOI:10.4102/safp.v65i1.5687

Kenneth E Akahilem, Olufemi B Omole

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引用次数: 0

摘要

背景：人类免疫缺陷病毒（HIV）阳性患者面临的社会心理挑战可能会导致药物使用障碍。本研究探讨了南非Sedibeng区HIV阳性患者同时使用烟草和酒精与抑郁症状之间的关系：在对 404 名参与者进行的横断面研究中，问卷收集了有关社会人口学、烟酒使用和抑郁症状的信息。结果测量包括联合吸烟和饮酒的流行率及其与抑郁症阳性筛查的关系：参与者的平均年龄为 43.2 岁。大多数人完成了中学学业（62.9%），黑人（99.0%），女性（65.8%），失业（53.6%），接受抗逆转录病毒疗法（ART）1 年（97.8%）。据报告，23.3%（n=94）的受试者目前吸烟，其中大多数人吸食香烟（73.7%），尼古丁依赖程度较低（75.5%）。43.6%（n = 176）的受访者表示目前饮酒，36.9%被归类为有害饮酒者。只有 7.7% 的参与者（n = 31）在抑郁症筛查中呈阳性；同时吸烟和饮酒的比例为 19.6%（n = 79），这与抑郁症无关（p = 0.438）。酗酒者报告联合吸烟和酗酒的可能性是吸烟者的五倍多（p = 0.000），但女性报告联合吸烟和酗酒的可能性较低（p = 0.000）：结论：联合吸烟和饮酒在艾滋病感染者中很常见。尽管与抑郁症筛查结果呈阳性无关，但其与有害饮酒之间的关系重申了在初级医疗机构的艾滋病治疗项目中采取综合烟酒使用筛查和治疗策略的必要性：据作者所知，本研究是第一项在南非初级医疗机构中探讨艾滋病病毒感染者吸烟和饮酒与抑郁之间关系的公开研究。

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Conjoint tobacco and alcohol use and depression among HIV-positive patients in Sedibeng, South Africa.

Background: Psychosocial challenges among human immunodeficiency virus (HIV)-positive patients may promote substance use disorders. This study explored the relationship between conjoint tobacco and alcohol use and depression symptoms among HIV positive patients in Sedibeng District, South Africa.

Methods: In a cross-sectional study of 404 participants, a questionnaire collected information on sociodemography, tobacco and alcohol use and depression symptoms. Outcome measures included the prevalence of conjoint tobacco and alcohol use and its association with positive screen for depression.

Results: The mean participant age was 43.2 years. Most completed secondary school (62.9%), were black (99.0%), female (65.8%), unemployed (53.6%) and on antiretroviral therapy (ART) for 1 year (97.8%). Current tobacco use was reported by 23.3% (n = 94) participants with most smoking cigarette (73.7%) and having low nicotine dependence (75.5%). Current alcohol use was reported by 43.6% (n = 176) participants, and 36.9% were categorised as harmful users. Only 7.7% (n = 31) participants screened positive for depression; the prevalence of conjoint tobacco and alcohol use was 19.6% (n = 79) and this was not associated with depression (p = 0.438). Harmful alcohol users were more than five times likely to report conjoint tobacco and alcohol use (p = 0.000), but women were less likely to report it (p = 0.000).

Conclusion: Conjoint tobacco and alcohol use is common among patients with HIV infection. Although not associated with positive screen for depression, its relationship with harmful alcohol use reiterates the need for an integrated tobacco and alcohol use screening and treatment strategy in the HIV treatment programme in primary care.Contribution: To the authors best knowledge, this study is the first published study that explored the relationship between conjoint tobacco and alcohol use, and depression among HIV-positive patients in the South African primary care settings.

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来源期刊

South African Family Practice MEDICINE, GENERAL & INTERNAL-

CiteScore

1.50

自引率

20.00%

发文量

审稿时长

25 weeks

期刊介绍： South African Family Practice (SAFP) is a peer-reviewed scientific journal, which strives to provide primary care physicians and researchers with a broad range of scholarly work in the disciplines of Family Medicine, Primary Health Care, Rural Medicine, District Health and other related fields. SAFP publishes original research, clinical reviews, and pertinent commentary that advance the knowledge base of these disciplines. The content of SAFP is designed to reflect and support further development of the broad basis of these disciplines through original research and critical review of evidence in important clinical areas; as well as to provide practitioners with continuing professional development material.