TỶ LỆ LẠM DỤNG RƯỢU BIA TRÊN BỆNH NHÂN ĐIỀU TRỊ ARV TẠI KHOA THAM VẤN HỖ TRỢ CỘNG ĐỒNG QUẬN 6, THÀNH PHỐ HỒ CHÍ MINH, NĂM 2023

Abstract

Introduction: Studies show that alcohol abuse reduces adherence to treatment, contributes to the spread of HIV/AIDS, and causes disorders that impact HIV progression. This study was conducted with the g of determining the alcohol abuse rate among patients on ART at the Department of Community Counseling and Support in District 6, Ho Chi Minh City. Objectives: 1) To estimate prevalence of alcohol abuse in patients on ART; 2) The relationship between alcohol abuse and demographic, economic, social and pathological characteristics. Methods: 383 patients aged 18 years or older on ART for more than one month at the Department of Community Counseling and Support in District 6, Ho Chi Minh City. Study design: descriptive cross-section, systematic random sampling. Results: The percentage of patients who abused alcohol was 31.9% (n = 122). In which, the probability of alcohol abuse in men is higher than in women (OR = 4.63, 95% CI 2.48 – 8.64, p < 0,001). Patients who smoke cigarettes have a higher rate of alcohol abuse than non-smokers (OR = 2.77, 95% CI 1.65 – 4.62, p < 0.001); People who revealed HIV infection had a higher rate of alcohol abuse than those who did not disclose HIV infection (OR = 11.8, 95% CI 1.53 – 91.23, p = 0,018). Conclusions: The rate of alcohol abuse in patients over 18 years old on ART is 31.9%, and men have a higher rate of alcohol abuse than women. The prevalence of alcohol abuse was higher in the group with smokers, which revealed HIV infection. Recommendations include: 1) Conduct prospective studies to determine the impact of alcohol abuse on cancer risk in patients on ART. 2) Promote propaganda and education to eliminate alcohol in order to raise awareness of its harmful effects and create motivation for alcohol withdrawal.