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Alcohol Use and Risky Sexual Behaviors Among HIV Infected Subjects in Kampala Uganda (ASK)

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ClinicalTrials.gov Identifier: NCT01802736
Recruitment Status : Unknown
Verified February 2013 by Makerere University.
Recruitment status was:  Active, not recruiting
First Posted : March 1, 2013
Last Update Posted : March 1, 2013
Information provided by (Responsible Party):

February 25, 2013
March 1, 2013
March 1, 2013
February 2013
September 2013   (Final data collection date for primary outcome measure)
Change in alcohol consumption Score as assessed by the AUDIT-C tool . [ Time Frame: 6 months ]
Same as current
No Changes Posted
Change in Risky sexual behavior composite in the last 3 months assessed at baseline, 3 and 6 month visit. [ Time Frame: 3 and 6 months ]
Same as current
CD4 Cell count in the last 6 months preceding the study visit [ Time Frame: 6 months ]
Same as current
Alcohol Use and Risky Sexual Behaviors Among HIV Infected Subjects in Kampala Uganda
Alcohol Consumption and Alcohol Reduction Intervention Among HIV Infected Persons in a Large Urban HIV Clinic in Uganda

Background: Approximately 6.4% of Ugandans are living with HIV, that is acquired and transmitted mainly through sexual intercourse between an HIV infected and uninfected person. Uganda is ranked among 28 top per capita alcohol consumers in the world and second in Africa. in the general population, Alcohol consumption is associated with increased sexual transmission risks for HIV. Data on alcohol consumption and its impact on sexual behaviors and HIV disease progression among HIV infected persons, the persons able to transmit HIV are lacking in this setting.

Objectives: To estimate the prevalence of alcohol consumption among HIV infected persons, assess associations between alcohol and CD4 cell count as well as evaluate the effect of alcohol motivational intervention counseling on alcohol consumption and the subsequent practice of risky sexual behaviors, among HIV infected persons.

Methodology: Using both cross-sectional and longitudinal methods,persons living with HIV/AIDS (PLWHA) attending the Infectious Diseases Institute Clinic (IDI clinic) will be recruited, baseline alcohol consumption evaluated, and eligible subjects reporting alcohol consumption will be randomized to receive either Standard positive prevention counseling alone or in addition to alcohol motivation intervention counseling. Sexual risk behaviors and alcohol consumption will be evaluated at 3 and 6 months and compared between randomization arms.

Uganda is among countries with the highest per capita consumption rates of alcohol as well as a high prevalence of HIV. Uganda is ranked the 28th in the world in alcohol consumption per capita and is 2nd top consumer of alcohol in Africa.

Little is known about alcohol use and its impact on sexual risk behaviors and HIV disease progression from this setting Understanding alcohol consumption burden and testing an intervention measure directed against alcohol consumption will result in reduced alcohol consumption and potentially reduced sexual risk behaviors hence boost the success of ART and subsequently reduce potential further HIV transmission from Persons Living With HIV/AIDS.

To increase the understanding of alcohol consumption among persons living with HIV in through a series of epidemiological studies by estimating the burden of alcohol consumption, its association with HIV disease progression and assess the effect of an alcohol motivational intervention plus standard positive prevention versus standard positive prevention counseling alone on alcohol and sexual risk behaviors among PLWHA at the IDI clinic.

Specific Objectives

  1. To identify and determine the prevalence of clinical factors associated with any alcohol consumption among PLWHA attending the IDI clinic in Kampala Uganda
  2. To describe the association between moderate alcohol consumption and CD4 cell count at base-line among patients attending the IDI clinic.
  3. To determine the efficacy of standard positive prevention counseling plus Motivational intervention (SPP+MI) for alcohol consumption versus standard positive prevention counseling (SPP) only in reducing alcohol consumption among HIV infected moderate alcohol drinkers attending the IDI clinic in Kampala Uganda.
  4. To determine whether reduction in alcohol consumption is associated with reductions in risky sexual behaviors among HIV infected moderate alcohol drinkers attending the AIDC in Kampala Uganda.

Risky Sexual Behavior for HIV transmission assessed as a summation of yes or no(Binary) if reporting ANY ONE or ALL of the following behaviors (non spousal sexual inter-course, unprotected sex with any partner who is HIV negative/unknown HIV status or reporting multiple Non spousal sex partners within the study period under inquiry.

Not Provided
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
  • Alcohol Use
  • HIV
Behavioral: Motivational intervention counselling plus SPP
Other Name: Alcohol Motivational Intervention counseling plus Standard Positive Prevention Counselling
  • Active Comparator: Standard Positive Prevention Counselling

    Standard positive prevention counseling which includes alcohol reduction and sexual risk behavior counseling provided in the clinic by the clinic medical counselors on the day of enrollment and at month 3 visit.

    Although there is awareness of the need to engage and include PLWHA in HIV prevention, there are little practical efforts devoted towards this engagement even in developed countries. One of the major reasons is the lack of a well-defined standard positive prevention package that needs to be delivered to PLWHA. The approach proposed by Kennedy et al modified to suit the local setting and involves a simpler understandable classification of the goals, interventions and expected outcomes of the treatment.

    Intervention: Behavioral: Motivational intervention counselling plus SPP
  • Experimental: Alcohol Motivational intervention counselling plus SPP
    Intervention: Behavioral: Motivational intervention counselling plus SPP
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
Unknown status
March 2014
September 2013   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Both males and females aged at least 18 years.
  • Willing to continue receiving care /be followed up at the IDI for the next 6 months.
  • Willing to provide written informed consent.

Exclusion Criteria:

  • Very sick with Karnofsky clinical performance score < 50.
  • Pregnant women
Sexes Eligible for Study: All
18 Years and older   (Adult, Senior)
Contact information is only displayed when the study is recruiting subjects
Not Provided
Not Provided
Makerere University
Makerere University
  • Training Health research into Vocational excellence in East Africa (THRiVE)
  • Wellcome Trust
  • Infectious Diseases Institute
Not Provided
Makerere University
February 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP