Correlates and Effects of Alcohol Use Expectancies Among Persons Living with HIV in Uganda

Massy Mutumba, Sarah Woolf-King, Adam W. Carrico, Nneka I. Emenyonu, Robin Fatch, Allen Kekibiina, Winnie Muyindike, Judith A. Hahn

Research output: Contribution to journalArticlepeer-review

Abstract

Unhealthy alcohol use fuels difficulties with HIV disease management and potentiates secondary transmission of HIV but less is known about how these alcohol use expectancies may shape alcohol use behaviors, particularly in the presence of depressive symptomatology. In this paper, we utilize data from a prospective study of 208 people living with HIV in Southwest Uganda, to examine the correlates of alcohol use expectancies and their association with unhealthy alcohol use. Affective depressive symptoms were positively associated with alcohol use expectancies. Gender moderation was observed such that depression was more strongly associated with alcohol use expectancies among women. In unadjusted analyses, alcohol use expectancies were marginally associated with unhealthy alcohol use and this association was not significant in adjusted analyses. Findings underscore the need to strengthen screening for depression and alcohol use within HIV care services, particularly among women.

Original languageEnglish (US)
JournalAIDS and Behavior
DOIs
StateAccepted/In press - 2021

Keywords

  • Africa
  • Alcohol
  • Alcohol use expectancies
  • Hazardous drinking
  • HIV

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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