A5021542309- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Homelessness and Social Issues
- Vaccine Coverage and Hesitancy
- Tuberculosis Research and Epidemiology
- Intimate Partner and Family Violence
- COVID-19 epidemiological studies
- SARS-CoV-2 and COVID-19 Research
- Sex work and related issues
- Gambling Behavior and Treatments
- Influenza Virus Research Studies
- Adolescent Sexual and Reproductive Health
- COVID-19 and healthcare impacts
- COVID-19 and Mental Health
- Hepatitis C virus research
- Food Security and Health in Diverse Populations
- Migration, Health and Trauma
- Microfinance and Financial Inclusion
- Pneumocystis jirovecii pneumonia detection and treatment
- Viral Infections and Outbreaks Research
- COVID-19 Impact on Reproduction
- HIV Research and Treatment
- HIV/AIDS Impact and Responses
- Posttraumatic Stress Disorder Research
- Cannabis and Cannabinoid Research
Infectious Diseases Research Collaboration
2020-2025
People with chronic illnesses such as Human Immunodeficiency Virus (HIV), hypertension, and Diabetes Mellitus (DM) are a priority for Coronavirus disease (COVID-19) vaccination due to elevated risk of severe disease. We explored the perspectives experiences COVID-19 among these populations in Southwestern Southcentral Uganda. Between January April 2023, we conducted in-depth interviews adult (≥18 years) persons living HIV (PLWH), hypertension and/or DM (n = 30) key informant healthcare...
We aimed to describe the prevalence of PTSD symptoms and its associated factors in persons living with HIV (PLWH) Uganda who engage heavy alcohol use.We analyzed baseline data from Drinkers Intervention Prevent Tuberculosis study which enrolls PLWH latent tuberculosis consumption. Using primary care Post Traumatic Stress Disorder (PTSD) screening scale DSM-5 (PC-PTSD-5), probable was defined as reporting ≥3 5 assessed symptoms. conducted Alcohol Use Disorders Identification Test-Consumption...
Background Smoking and alcohol use frequently co-occur are the leading causes of preventable death in sub-Saharan Africa (SSA) common among people living with HIV (PLWH). While has been shown to be associated reduced adherence antiretroviral treatment (ART), which may affect viral suppression, independent effect smoking on outcomes SSA is unknown. We aimed 1) describe prevalence current correlates smoking; 2) assess association adjusting for level use; 3) explore relationship between CD4...
Economic incentives to promote health behavior change are highly efficacious for substance use disorders as well increased medication adherence. Knowledge about participants’ experiences with and perceptions of is needed understand their mechanisms action optimize future incentive-based interventions. The Drinkers’ Intervention Prevent Tuberculosis (DIPT) trial enrolled people HIV (PWH) in Uganda latent tuberculosis unhealthy alcohol a 2x2 factorial that incentivized recent abstinence...
Alcohol use is common among people with HIV and a risk factor for tuberculosis disease non-adherence to isoniazid preventive therapy (IPT). Few interventions exist reduce alcohol increase IPT adherence in sub-Saharan Africa. The aim of this study was test the hypothesis that financial incentives conditional on point-of-care negative urine biomarker testing positive would adherence, respectively, who have latent infection hazardous use. We conducted an open-label, 2×2 factorial randomised...
We assessed associations between hazardous alcohol use and latent tuberculosis infection (LTBI) among adults living with human immunodeficiency virus (HIV) in Uganda. compared tuberculin skin test positivity across medium, high, very-high levels, classified by AUDIT-C scores. In multivariable analysis, very high was associated LTBI (adjusted odds ratio 1.61, 95% confidence interval: 1.03-2.50).
Chronic diseases such as HIV, hypertension, and diabetes increase the risk of severe coronavirus disease 2019 (COVID-19) death. Thus, COVID-19 vaccine uptake data among these priority populations are needed to inform immunization programs. We assessed people living with HIV (PLWH) those hypertension/diabetes without (PWoH) in Southwestern Southcentral Uganda determined factors influencing vaccination. conducted a cross-sectional study from January April 2023. enrolled random sample...
Abstract Background Intimate partner violence (IPV) and alcohol use are interrelated public health issues. Heavy frequent increase the risk of IPV, but relationship between IPV (including recent lifetime victimization perpetration) has not been well described among persons living with HIV (PWH) in sub-Saharan Africa. Methods We used baseline data from Drinker’s Intervention to Prevent Tuberculosis study. All participants were PWH co-infected tuberculosis had an Alcohol Use Disorders...
Abstract To better understand the impact of Uganda’s initial COVID-19 lockdown on alcohol use, we conducted a cross-sectional survey (August 2020-September 2021) among persons with HIV (PWH) unhealthy use (but not receiving an intervention), enrolled in trial incentives to reduce and improve isoniazid preventive therapy. We examined associations between bar-based drinking decreased health outcomes (antiretroviral therapy [ART] access, ART adherence, missed clinic visits, psychological stress...
Introduction In Uganda, COVID-19 lockdown policies curbed the spread of SARS-CoV-2, but their effect on HIV care is poorly understood. Objectives We examined effects ART initiation, missed visits, and viral suppression in Uganda. Methods conducted a time series analysis using data from dynamic cohort persons with enrolled between March 2017 September 2021 at clinics Masaka Mbarara Regional Referral Hospitals Southwestern Poisson fractional probit regression were used to predict expected...
In Uganda, four in ten women report experiencing intimate partner violence (IPV) the past year. Salient drivers of IPV sub-Saharan Africa include stress related to household finances, alcohol use, and infidelity. We conducted 42 interviews with participants ( n = 32) Drinkers' Intervention Prevent Tuberculosis (DIPT) study which included economic incentives, their partners 10) understand how participating DIPT during COVID-19 lockdown restrictions impacted relationship dynamics partnerships....
Abstract Introduction The COVID-19 pandemic had far-reaching consequences on global health systems, disrupting the delivery of routine healthcare services, and posing new challenges to ongoing disease control efforts. In Uganda, where HIV is endemic, threatened reverse gains in country’s response over past decade. this study, we explored effects cascade, focusing impact pandemic-related disruptions retention care among Persons with (PWH). We further highlighted key opportunities for...
Abstract Background Social desirability can negatively affect the validity of self-reported measures, including underreporting stigmatized behaviors like alcohol consumption. The Marlowe-Crowne Desirability Scale (SDS) is widely implemented and comprised Denial Attribution Domains (i.e., tendencies to deny undesirable traits or attribute socially desirable oneself, respectively). Yet, limited psychometric research has been conducted in sub-Saharan Africa, where prevalence unhealthy...