The Association between Substance Abuse and HIV Infection among People Visiting HIV Testing and Counseling Centers in Addis Ababa, Ethiopia

Seme, Assefa (2002) The Association between Substance Abuse and HIV Infection among People Visiting HIV Testing and Counseling Centers in Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

The magnitude of HIV/AIDS in Ethiopia is ever increasing. It is also believed that the use of substances is increasing in some major towns including Addis Ababa. However, data regarding the relation of substance abuse and HIV infection is lacking. A case-control study was carried out in Addis Ababa from December 2001 to February 2002 to explore the association between substance abuse and HIV infection and to determine the prevalence and the factors related to substance abuse among people visiting HIV testing and counseling centers. Among all visitors for HIV testing and counseling, 227 cases and 726 controls were identified. Cases and controls were compared by socio demographic, socio economic, exposure to substances and risky behaviors that predispose them to HIV infection. The prevalence of “hard’ drug use was found to be 1.2% with the rate being 3.2% in the cases and 0.54% in the controls. Alcohol drinking was found to be associated with serum HIV positivity after controlling for other confounding variables. While young age of 15 to 24 and being single were found to be associated with serum HIV positivity, having monthly family income was found to be protective against HIV infection. Being male and having sex with commercial sex workers were related to both alcohol drinking and khat chewing. From the study, we concluded high prevalence of alcohol and khat abuse among people visiting HIV counseling and testing centers. Alcohol was found to be a significant risk factor for HIV infection among people visiting HIV testing and counseling centers. The need of health education to bring behavioral changes and further study to identify the prevalence and role of substance in exposure to HIV infection in the community is recommended.

Item Type: Thesis (Masters)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RA Public aspects of medicine > RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine
Divisions: Africana
Depositing User: Vincent Mpoza
Date Deposited: 02 Jul 2018 13:29
Last Modified: 02 Jul 2018 13:29
URI: http://thesisbank.jhia.ac.ke/id/eprint/6438

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