Prevalence of substance use amongst people living with human immunodeficiency virus who attend primary healthcare services in Mthatha, South Africa

dc.contributor.authorKaswa, Ramprakashen_ZA
dc.contributor.authorDe Villiers, Marietjieen_ZA
dc.date.accessioned2021-01-18T06:45:42Z
dc.date.available2021-01-18T06:45:42Z
dc.date.issued2020
dc.descriptionCITATION: Kaswa, R. & De Villiers, M. 2020. Prevalence of substance use amongst people living with human immunodeficiency virus who attend primary healthcare services in Mthatha, South Africa. South African Family Practice, 62(1):a5042, doi:10.4102/safp.v62i1.5042.
dc.descriptionThe original publication is available at http://www.safpj.co.za
dc.descriptionPublication of this article was funded by the Stellenbosch University Open Access Fund.
dc.description.abstractBackground: About 13.3% of the South African population use some kind of substance during their lifetime. The incidence of substance use disorders is twice the global average. The use of various substances amongst people living with human immunodeficiency virus (PLWH) has increased tremendously in recent years. The growing culture of substance use amongst PLWH is a serious threat adding to the human immunodeficiency virus (HIV) epidemic and is likely to compromise the continuity of HIV care. Methods: A cross-sectional descriptive survey recruited adult PLWH who attended primary healthcare (PHC) services in Mthatha between 15 March and 15 April 2018. The Alcohol, Smoking and Substance Involvement Screening Test questionnaire (ASSIST), a tool validated by the World Health Organization, was used for data collection. Results: Out of a total 347 participants, 53% reported lifetime substance use and 32% admitted current use of a substance. Alcohol was the most common substance reported, followed by tobacco and cannabis. The majority of participants were female (75.2%), unemployed (70.8%), had secondary school-level education (85.2%) and a per capita household income below the national food poverty line (75%). The mean age of the participants was 37.9 years (standard deviation [SD] ± 10.33); this was marginally higher for male (39.9 years; SD ± 10.92) than female (37.2 years; SD ± 10.06) participants. Conclusion: This study has shown that there is a high prevalence of lifetime and current alcohol abuse amongst PLWH who make use of PHC services in the Mthatha area of South Africa. Of particular concern are the strong pointers towards younger people and males.en_ZA
dc.description.urihttps://safpj.co.za/index.php/safpj/article/view/5042
dc.format.extent7 pages ; illustrations
dc.identifier.citationKaswa, R. & De Villiers, M. 2020. Prevalence of substance use amongst people living with human immunodeficiency virus who attend primary healthcare services in Mthatha, South Africa. South African Family Practice, 62(1):a5042, doi:10.4102/safp.v62i1.5042
dc.identifier.issn078-6204 (online)
dc.identifier.issn2078-6190 (print)
dc.identifier.otherdoi:10.4102/safp.v62i1.5042
dc.identifier.urihttp://hdl.handle.net/10019.1/108992
dc.language.isoen_ZAen_ZA
dc.publisherAOSIS
dc.publisherPublisher's version
dc.rights.holderAuthors retain copyright
dc.subjectHIV-positive persons -- Alcohol use -- Mthatha (South Africa)en_ZA
dc.subjectHIV-positive persons -- Substance use -- Mthatha (South Africa)en_ZA
dc.subjectHIV-positive persons -- Tobacco use -- Mthatha (South Africa)en_ZA
dc.titlePrevalence of substance use amongst people living with human immunodeficiency virus who attend primary healthcare services in Mthatha, South Africaen_ZA
dc.typeArticleen_ZA
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