The role of alcohol in the spread of the Human Immunodeficiency Virus (HIV) in Côte d'Ivoire: Case Abidjan
Abstract
This study aimed to assess a proportion of Abidjan population that had unprotected sex while under the influence of alcohol. A survey of alcohol consumption in relation to the unprotected sex had been conducted on 6235 subjects with 3429 men and 2806 women in the ten municipalities of the city of Abidjan. The results indicated that among the non-drinkers, men have more possibilities for unprotected sex than women; it is the same in mild alchol consumers and among moderate alchol consumers. But in heavy consumers, women and men were exposed to the same risk of contamination. The most affected age group through unprotected sexual intercourse in connection with alcohol is between 19-25 years and 36-45 years. Excessive alcohol consumption increases the risk of sexually transmitted diseases, including HIV in the analysed subjects. For these reasons, awareness campaigns on HIV must consider the limits of alcohol that impose alertness in the body. Strong instruction should be framed so that people should not drink beyond the recommended levels.
References
Braithwaite RS and Bryant KJ. (2010). Influence of alcohol consumption on adherence to and toxicity of antiretroviral therapy and survival. Alcohol Research and Health, 33(3): 280-287.
Bryant KJ, Nelson S, Braithwaite RS and Roach D. (2010). Integrating HIV/AIDS and alcohol research. Alcohol Research and Health, 33(3):167-78
Cahalan D and Cisin IH. (1968). American drinking practices: summary of findings from a national probability sample. I. extent of drinking by population subgroups. Quarterly Journal of Studies on Alcohol, 29: 130-51.
[CDC] Centers for Disease Control and Prevention. (2008). HIV/AIDS among women. CDC HIV/AIDS Fact Sheet. August 2008. Available at http://www.cdc.gov/hiv/topics/women/resources/factsheets/women.htm. Accessed June 13, 2015.
Chersich MF and Rees HV. (2010). Causal links between binge drinking patterns, unsafe sex and HIV in South Africa: It’s time to intervene. International Journal of STD and AIDS, 21(1): 2–7.
Coleman JS, Hitti J, Bukusi EA, Mwachari C and Muliro A. (2007). Infectious correlates of HIV-1 shedding in the female upper and lower genital tracts. AIDS, 21(6): 755–759.
Gray RH, Kigozi G, Serwadda D, Makumbi F, Watya S, Nalugoda F, Kiwanuka N, Moulton LH, Chaudhary MA, Chen MZ, Sewankambo NK, Wabwire-Mangen F, Bacon MC, Williams CFM, Opendi P, Reynolds SJ, Laeyendecker O, Quinn TC and Wawer MJ. (2007). Male circumcision for HIV prevention in men in Rakai, Uganda: A randomised trial. Lancet, 369: 657–666.
Hays WL. (1988). Statistics. 4th ed., New York: CBS College Publishing, 11-13 p.
Kalichman SC, Simbayi LC, Kaufman M, Cain D, and Jooste S. (2007). Alcohol use and sexual risks for HIV/AIDS in sub-Saharan Africa: Systematic review of empirical findings. Prevention Science, 8(2): 141–151.
Londish GC and Murray JM. (2008). Significant reduction in HIV prevalence according to male circumcision intervention in sub-Saharan Africa. International Journal of Epidemiology, 37(6): 1246–1253.
Mackenzie C and Kiragu K. (2007). Integrating alcohol risk reduction counseling into VCT services in kenya: preliminary evaluation results. Presented at the Horizons/Population Council Kenya National Dissemination Workshop, Nairobi, Kenya, August 29.
[ONUSIDA] Organisation des Nations Unies pour le Sida. (2007). Epidemic update. Geneva: UNAIDS and the World Health Organization.
[ONUSIDA] Organisation des Nations Unies pour le Sida. (2013). Estimations VIH et SIDA (2013). Accessible à l’url: http://www.unaids.org/fr/regionscountries/countries/ctedivoire. Consultée le 10 juin 2015.
Parker AJ, Marshall EJ and Ball DM. (2008). Diagnosis and management of alcohol use disorders. BMJ, 336: 496-501.
Rebbapragada A, Howe K, Wachihi C, Pettengell C, Sunderji S, Huibner S, Ball TB, Plummer FA, Jaoko W and Kaul R. (2008). Bacterial vaginosis in HIV-infected women induces reversible alterations in the cervical immune environment. Journal of Acquired Immune Deficiency Syndromes, 49(5): 520–522.
Royce RA, Sena A, Cates WJ and Cohen MS. (1997). Sexual transmission of HIV. New England Journal of Medicine, 336: 1072–1078.
Schwartz G. (1978). Estimating the dimension of a model. Annals of Statistics, 6(2): 461 - 464.
Shattock RJ and Moore JP. (2003). Inhibiting sexual transmission of HIV-1 infection. Nature Reviews: Microbiology, 1: 25–34.
Statistique Canada (2003). Plans d’échantillonnage. In : Méthodes et pratiques d’enquête. N° 12-587-X au catalogue, Ottawa, 97-131.
Theall KP, Clark RA, Amedee A, Dumestre J and Kissinger P. (2008). Alcohol consumption and HIV-1 vaginal RNA shedding among women. Journal of Studies on Alcohol and Drugs, 69(3): 454–8.
Widmark EMP. (1932). Die theorischen Grundladen und die praktische Verwendarbeit der gerichtlichmedizinischen Alkohol Bestimmung. Fortsch Naturw Forshung, 11: 140.
Yao KM, Camara PA and Adou KFJ-B. (2012). Types de boissons alcooliques consommées en Côte d’Ivoire: Préférence et consommation effective. Alcoologie et Addictologie, 34(3): 185-93.
Yao KM, Assi BD, Bâ A, Adou KFJ-B and Tako NA. (2014). Epidémiologie de la consommation d’alcool par les femmes enceintes en Côte d’Ivoire : enquête sur 834 cas à Abidjan. Journal of Applied Biosciences, 80: 7024 – 7030
Yao KM, Badjo PC, Assi BD, Adou KFJ-B, Bâ A, Glin L, Camara PA, Tako NA and Séri B. (2015). Evaluation des consommations excessives d’alcool (binge drinking) en Côte d’Ivoire : cas de la ville d’Abidjan. International Journal of Biological and Chemical Sciences, 9(3): 1209-19.