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Substance use among HIV-infected adolescents in Uganda: rates and association with potential risks and outcome factors.

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Title: Substance use among HIV-infected adolescents in Uganda: rates and association with potential risks and outcome factors.
Authors: Birungi, C., Ssembajjwe, W., Salisbury, T. T., Levin, J., Nakasujja, N., Mpango, R. S., Abbo, C., Seedat, S., Araya, R., Musisi, S., Gadow, K. D., Patel, V., Kinyanda, E.
Source: AIDS Care. Feb2021, Vol. 33 Issue 2, p137-147. 11p. 1 Diagram, 7 Charts.
Subjects: Substance abuse risk factors, HIV-positive persons, Health outcome assessment, Psychological tests, Logistic regression analysis, Cross-sectional method
Geographic Terms: Uganda
Abstract: This article sets out to investigate alcohol and substance use (ASU) among adolescents living with HIV (ALWH) in the sub-Saharan African setting of Uganda. A cross-sectional analysis of the records of 479 adolescents (aged between 12and 17 years) attending the study, "Mental health among HIV infected CHildren and Adolescents in KAmpala and Masaka, Uganda (the CHAKA study)" was undertaken. ASU was assessed through both youth self-report and caregiver report using the Diagnostic and Statistical Manual of Mental Disorders-5 referenced instruments, the Youth Inventory-4R and the Child and Adolescent Symptom Inventory-5 (CASI-5). Rates and association with potential risk and outcome factors were investigated using logistic regression models. The rate of ASU was 29/484 (5.9%) with the most frequently reported ASU being alcohol 22/484 (4.3%) and marijuana 10/484 (2.1%). Functional impairment secondary to ASU was reported by 10/484 (2.1%) of the youth. ASU was significantly associated with urban residence, caregiver psychological distress and the psychiatric diagnosis of post-traumatic stress disorder. On associations with negative outcomes, ASU was significantly associated with only "ever had sex". Health care for ALWH in sub-Saharan Africa should include ASU prevention and management strategies. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Substance use among HIV-infected adolescents in Uganda: rates and association with potential risks and outcome factors.
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  Data: <searchLink fieldCode="AR" term="%22Birungi%2C+C%2E%22">Birungi, C.</searchLink><br /><searchLink fieldCode="AR" term="%22Ssembajjwe%2C+W%2E%22">Ssembajjwe, W.</searchLink><br /><searchLink fieldCode="AR" term="%22Salisbury%2C+T%2E+T%2E%22">Salisbury, T. T.</searchLink><br /><searchLink fieldCode="AR" term="%22Levin%2C+J%2E%22">Levin, J.</searchLink><br /><searchLink fieldCode="AR" term="%22Nakasujja%2C+N%2E%22">Nakasujja, N.</searchLink><br /><searchLink fieldCode="AR" term="%22Mpango%2C+R%2E+S%2E%22">Mpango, R. S.</searchLink><br /><searchLink fieldCode="AR" term="%22Abbo%2C+C%2E%22">Abbo, C.</searchLink><br /><searchLink fieldCode="AR" term="%22Seedat%2C+S%2E%22">Seedat, S.</searchLink><br /><searchLink fieldCode="AR" term="%22Araya%2C+R%2E%22">Araya, R.</searchLink><br /><searchLink fieldCode="AR" term="%22Musisi%2C+S%2E%22">Musisi, S.</searchLink><br /><searchLink fieldCode="AR" term="%22Gadow%2C+K%2E+D%2E%22">Gadow, K. D.</searchLink><br /><searchLink fieldCode="AR" term="%22Patel%2C+V%2E%22">Patel, V.</searchLink><br /><searchLink fieldCode="AR" term="%22Kinyanda%2C+E%2E%22">Kinyanda, E.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Feb2021, Vol. 33 Issue 2, p137-147. 11p. 1 Diagram, 7 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Substance+abuse+risk+factors%22">Substance abuse risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22HIV-positive+persons%22">HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+tests%22">Psychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink>
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  Data: This article sets out to investigate alcohol and substance use (ASU) among adolescents living with HIV (ALWH) in the sub-Saharan African setting of Uganda. A cross-sectional analysis of the records of 479 adolescents (aged between 12and 17 years) attending the study, "Mental health among HIV infected CHildren and Adolescents in KAmpala and Masaka, Uganda (the CHAKA study)" was undertaken. ASU was assessed through both youth self-report and caregiver report using the Diagnostic and Statistical Manual of Mental Disorders-5 referenced instruments, the Youth Inventory-4R and the Child and Adolescent Symptom Inventory-5 (CASI-5). Rates and association with potential risk and outcome factors were investigated using logistic regression models. The rate of ASU was 29/484 (5.9%) with the most frequently reported ASU being alcohol 22/484 (4.3%) and marijuana 10/484 (2.1%). Functional impairment secondary to ASU was reported by 10/484 (2.1%) of the youth. ASU was significantly associated with urban residence, caregiver psychological distress and the psychiatric diagnosis of post-traumatic stress disorder. On associations with negative outcomes, ASU was significantly associated with only "ever had sex". Health care for ALWH in sub-Saharan Africa should include ASU prevention and management strategies. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/09540121.2020.1717419
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 137
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      – SubjectFull: Substance abuse risk factors
        Type: general
      – SubjectFull: HIV-positive persons
        Type: general
      – SubjectFull: Health outcome assessment
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      – SubjectFull: Psychological tests
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      – SubjectFull: Logistic regression analysis
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      – SubjectFull: Uganda
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              Text: Feb2021
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