Aim To investigate the association between alcohol use and adherence to highly active antiretroviral treatment (HAART) among human immunodeficiency virus (HIV)-infected patients in subSaharan Africa.Design and setting Cross-sectional survey conducted in eight adult HIV treatment centres from Benin, Côte d’Ivoire and Mali.Participants and measurements During a 4-week period, health workers administered the Alcohol Use Disorders Identification Test to HAART-treated patients and assessed treatment adherence using the AIDS Clinical Trials Group follow-up questionnaire.Findings A total of 2920 patients were enrolled with a median age of 38 years [interquartile range (IQR) 32[ndash]45 years] and a median duration on HAART of 3 years (IQR 1[ndash]4 years). Overall, 91.8% of patients were identified as adherent to HAART.
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