The Impact of Screening, Diagnosis and Management of Alcohol Use Disorders in HIV Care in Low and Middle Income Countries
نویسندگان
چکیده
Alcohol consumption is common globally, with an important impact on public health through the development of alcohol use disorders (AUDs). AUDs span a spectrum from mild to severe, (harmful use to alcohol dependence) all of which contribute significantly to poor health. Screening individuals for AUDs, followed by management of these disorders, are core interventions in HIV care and treatment in developed countries. For people living with HIV (PLHIV) in developed countries, these interventions improve the HIV –related outcomes of quality of life (QoL), retention in care, and anti-retroviral treatment (ART) adherence. This review examines the interventions: screening for and management of AUDs in HIV care and treatment in low and middle-income countries (LMIC), to determine the impact of the interventions on HIV-related outcomes in the areas of morbidity and mortality, retention in care and adherence to ART, QoL, and prevention of ongoing HIV transmission. The body of evidence regarding screening, diagnosis and management of AUDs in HIV care in LMIC indicates that screening for AUDs in HIV primary care or ART clinics identifies patients at-risk for poor clinical outcomes. The management of AUDs in a clinical setting in LMIC has significant impact in promoting ART treatment adherence and retention in care, QoL, as well as, reducing morbidity and mortality and prevention of ongoing HIV transmission in PLHIV.
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