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Brief Report

Antiretroviral Therapy (ART) Adherence and Prenatal Alcohol Use among Women Who Are Pregnant with HIV in South Africa

1
Substance Use, Gender and Applied Research, RTI International, Research Triangle Park, NC 27709, USA
2
Department of Obstetrics, Gynecology and Reproductive Sciences, Temple University Lewis Katz School of Medicine, Philadelphia, PA 19122, USA
3
Gillings School of Global Public Health, University of North Carolina (UNC), Chapel Hill, NC 27599, USA
4
Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC 27708, USA
5
Psychology, North Carolina State University, Raleigh, NC 27606, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Jessica B. Lewis
Int. J. Environ. Res. Public Health 2021, 18(14), 7446; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18147446
Received: 25 May 2021 / Revised: 7 July 2021 / Accepted: 8 July 2021 / Published: 13 July 2021
This brief report emphasizes the need to focus on women with HIV who are pregnant who use alcohol or other drugs. A recently completed implementation science study tested a gender-focused behavioral intervention, the Women’s Health CoOp (WHC), to improve antiretroviral therapy (ART) adherence and reduce alcohol use among women with HIV. The study identified 33 participants who had a positive pregnancy test result at the baseline assessment, of whom five participants remained pregnant during the 6-month duration of the study. Of the 33 pregnant participants at the baseline assessment, 55% reported past-month alcohol use, with 27% reporting a history of physical abuse and 12% reporting a history of sexual abuse. The five women who remained pregnant at 6 months showed improved ART adherence and reduced prenatal alcohol use. The gender-focused WHC intervention shows promise as a cost-effective, sustainable, behavioral intervention to address these intersecting syndemic issues. Future research should focus on identifying the needs of women with HIV who are pregnant who use alcohol or other drugs and developing tailored evidence-based behavioral interventions such as the WHC for preventing FASD in addition to improving ART adherence in this key population of women and reducing the economic burden on society. View Full-Text
Keywords: ART adherence; prenatal alcohol use; fetal alcohol spectrum disorders; brief behavioral intervention; South Africa ART adherence; prenatal alcohol use; fetal alcohol spectrum disorders; brief behavioral intervention; South Africa
MDPI and ACS Style

Washio, Y.; Browne, F.A.; Ndirangu, J.; Kline, T.L.; Wechsberg, W.M. Antiretroviral Therapy (ART) Adherence and Prenatal Alcohol Use among Women Who Are Pregnant with HIV in South Africa. Int. J. Environ. Res. Public Health 2021, 18, 7446. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18147446

AMA Style

Washio Y, Browne FA, Ndirangu J, Kline TL, Wechsberg WM. Antiretroviral Therapy (ART) Adherence and Prenatal Alcohol Use among Women Who Are Pregnant with HIV in South Africa. International Journal of Environmental Research and Public Health. 2021; 18(14):7446. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18147446

Chicago/Turabian Style

Washio, Yukiko, Felicia A. Browne, Jacqueline Ndirangu, Tracy L. Kline, and Wendee M. Wechsberg. 2021. "Antiretroviral Therapy (ART) Adherence and Prenatal Alcohol Use among Women Who Are Pregnant with HIV in South Africa" International Journal of Environmental Research and Public Health 18, no. 14: 7446. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18147446

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