The relationship between alcohol consumption and risk of HIV in married men in Sub-Saharan Africa

König, Lukas, Petersen Williams, Petal, Shuper, Paul A. and Probst, Charlotte (2024) The relationship between alcohol consumption and risk of HIV in married men in Sub-Saharan Africa. AIDS, 38 (5). pp. 723-730. ISSN 0269-9370

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Abstract

Objective:A key factor for incidence of HIV is alcohol consumption. It impacts judgment and the probability to overlook risk-relevant information, which creates a pathway to reduced adherence to biomedical prevention and engagement in condomless sex. We strengthen the understanding of the link between alcohol consumption and risk of HIV among married men in sub-Saharan Africa (SSA), as we use comprehensive population-level data to provide robust evidence with high external validity.Design:Cross-sectional data analysis.Methods:Based on data from Demographic and Health Surveys (DHS) from 20 countries and over 30000 observations, a minimally and a fully adjusted model with country fixed effects examined the relationship between the men's alcohol consumption (observed by wife) and HIV status (blood test) while accounting for survey weights and controlling for potential confounders.Results:The data comprised a total of 35108 men. Minimally adjusted [risk ratio (RR) 1.25; 95% confidence interval (CI) 1.14-1.37; P<0.001] and fully adjusted (RR 1.26; 95% CI 1.15-1.38; P<0.001) models showed a positive association between the men's alcohol consumption and HIV status. Two sensitivity analyses confirmed the association.Conclusion:In line with previous experimental studies and theoretical framework, this study confirms a risk relationship between alcohol consumption and HIV. Thus, modern HIV/AIDS programs must continue to address the relationship in implementation of prevention and treatment programs.

Item Type:	Article
Additional Information:	Publisher Copyright: © 2024 Lippincott Williams and Wilkins. All rights reserved.
Uncontrolled Keywords:	alcohol consumption,hiv,men,prevention and control,risk factors,sub-saharan africa,unsafe sex,immunology and allergy,immunology,infectious diseases ,/dk/atira/pure/subjectarea/asjc/2700/2723
Faculty \ School:	Faculty of Medicine and Health Sciences > School of Health Sciences
Related URLs:	http://www.scopus.com/inward/record.url?...
Depositing User:	LivePure Connector
Date Deposited:	05 Mar 2026 17:30
Last Modified:	05 Mar 2026 17:30
URI:	https://ueaeprints.uea.ac.uk/id/eprint/102229
DOI:	10.1097/QAD.0000000000003815

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