Longitudinal analysis of alcohol use and intimate partner violence perpetration among men with HIV in northern Vietnam

Rebecca B. Hershow, H. Luz Mc Naughton Reyes, Tran Viet Ha, Geetanjali Chander, Nguyen Vu Tuyet Mai, Teerada Sripaipan, Constantine Frangakis, David W. Dowdy, Carl Latkin, Heidi E. Hutton, Audrey Pettifor, Suzanne Maman, Vivian F. Go

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Alcohol use is a known risk factor for male-perpetrated intimate partner violence (IPV), although few studies have been conducted globally and among men with HIV (MWH). We estimated the longitudinal effects of alcohol use on IPV perpetration among MWH. Methods: This study is a secondary analysis of randomized controlled trial data among male and female antiretroviral treatment patients with hazardous alcohol use in Thai Nguyen, Vietnam. Analyses were restricted to male participants who were married/cohabitating (N = 313). Alcohol use was assessed as proportion days alcohol abstinent, heavy drinking, and alcohol use disorder (AUD) using the Timeline Followback and Mini International Neuropsychiatric Interview questionnaire. Multilevel modeling was used to estimate the effects of higher versus lower average alcohol use on IPV perpetration (between-person effects) and the effects of time-specific deviations in alcohol use on IPV perpetration (within-person effects). Results: Participants with higher average proportion days alcohol abstinent had decreased odds of IPV perpetration (adjusted Odds Ratio [aOR] = 0.43, p = 0.03) and those with higher average heavy drinking and AUD had increased odds of IPV perpetration (Heavy drinking: aOR = 1.05, p = 0.002; AUD: aOR = 4.74, p < 0.0001). Time-specific increases in proportion days alcohol abstinent were associated with decreased odds of IPV perpetration (aOR = 0.39, p = 0.02) and time-specific increases in AUD were associated with increased odds of IPV perpetration (aOR = 2.95, p = 0.001). Within-person effects for heavy drinking were non-significant. Conclusions: Alcohol use is associated with IPV perpetration among Vietnamese men with HIV. In this context, AUD and frequent drinking are stronger correlates of IPV perpetration as compared to heavy drinking.

Original languageEnglish (US)
Article number108098
JournalDrug and alcohol dependence
Volume213
DOIs
StatePublished - Aug 1 2020

Keywords

  • Alcohol
  • Global health
  • HIV/AIDS
  • Intimate partner violence
  • Longitudinal analysis
  • Vietnam

ASJC Scopus subject areas

  • Toxicology
  • Pharmacology
  • Psychiatry and Mental health
  • Pharmacology (medical)

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