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" The Relationship Between Spirituality/Religiousness and Unhealthy Alcohol Use Among HIV-Infected Adults in Southwestern Uganda. "
Adong, Julian; Lindan, Christina; Fatch, Robin; Emenyonu, Nneka I; Muyindike, Winnie R; Ngabirano, Christine; Winter, Michael R; Lloyd-Travaglini, Christine; Samet, Jeffrey H; Cheng, Debbie M; Hahn, Judith A
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AL
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| Record Number
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906550
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LA02s3h4t9
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| Title & Author
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The Relationship Between Spirituality/Religiousness and Unhealthy Alcohol Use Among HIV-Infected Adults in Southwestern Uganda. [Article]\ Adong, Julian; Lindan, Christina; Fatch, Robin; Emenyonu, Nneka I; Muyindike, Winnie R; Ngabirano, Christine; Winter, Michael R; Lloyd-Travaglini, Christine; Samet, Jeffrey H; Cheng, Debbie M; Hahn, Judith A
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2018
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| Title of Periodical
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UCSF
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| Abstract
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HIV and alcohol use are two serious and co-existing problems in sub-Saharan Africa. We examined the relationship between spirituality and/or religiousness (SR) and unhealthy alcohol use among treatment-naïve HIV-infected adults attending the HIV clinic in Mbarara, Uganda. Unhealthy alcohol was defined as having either an alcohol use disorders identification test-consumption score of ≥4 for men or ≥3 for women, or having a phosphatidylethanol level of ≥50 ng/ml based on analysis of dried bloodspot specimens. Of the 447 participants, 67.8% were female; the median age was 32 years (interquartile range [IQR] 27-40). About half reported being Protestant (49.2%), 35.1% Catholic, and 9.2% Muslim. The median SR score was high (103 [IQR 89-107]); 43.3% drank at unhealthy levels. Higher SR scores were associated with lower odds of unhealthy drinking (adjusted odds ratio [aOR]: 0.83 per standard deviation [SD] increase; 95% confidence interval [CI] 0.66-1.03). The "religious behavior" SR subscale was significantly associated with unhealthy alcohol use (aOR: 0.72 per SD increase; 95% CI 0.58-0.88). Religious institutions, which facilitate expression of religious behavior, may be helpful in promoting and maintaining lower levels of alcohol use.
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