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Prevalence and correlates of alcohol and tobacco use among key populations in Togo in 2017: a cross-sectional study.
BMJ Open. 2019 11 03; 9(11):e028934.BO

Abstract

OBJECTIVES

The aim of this study was to estimate alcohol and tobacco use prevalence and their correlates among female sex workers (FSW), men who have sex with men (MSM) and drug users (DU) in Togo.

DESIGN, SETTING AND PARTICIPANTS

A cross-sectional bio-behavioural study was conducted among 2115 MSM, FSW and DU in 2017 using a respondent-driven sampling method, in the eight biggest towns of Togo. Selection criteria for the MSM were being male and having had oral or anal intercourse with a man in the previous 12 months; for FSW, being a female and having exchanged sex for money in the previous 12 months; and for DU, consuming heroin, cocaine or hashish for MSM, FSW and DU, respectively. All participants had to be at least 18 years old and residing in the territory for the past 3 months.

RESULTS

The prevalence of alcohol consumption, hazardous/harmful consumption and binge drinking was 64.8%, 38.4% and 45.5%, respectively. Current tobacco use was reported by 30.6% of participants and HIV prevalence was estimated at 12.5%. DU were more likely to engage in binge drinking compared with other key populations (adjusted odds ratio (aOR)=2.0; 95% CI 1.4 to 2.8; p=0.001). Participants who were identified as having hazardous/harmful alcohol consumption had almost three times the odds of tobacco consumption than those with no risky consumption (aOR=2.6; 95% CI 2.0 to 3.4; p=0.001). Hazardous/harmful alcohol consumption was three times more likely among participants with severe psychological distress compared with those with no psychological distress (aOR=3.3, 95% CI 2.2 to 5.1; p=0.001).

CONCLUSION

Findings from this study demonstrate the need for the integration of mental health and substance abuse reduction interventions into HIV prevention programme, particularly those geared towards key populations.

Authors+Show Affiliations

PACCI Research Center-Site ANRS Côte d'Ivoire, Abidjan, Côte d'Ivoire.Department of Public Health, Faculty of Health Sciences, University of Lomé, Lomé, Togo. Centre Africain de Recherches en Epidemiologie et en Santé Publique (CARESP), Lomé, Togo.Centre Africain de Recherches en Epidemiologie et en Santé Publique (CARESP), Lomé, Togo.Centre Africain de Recherches en Epidemiologie et en Santé Publique (CARESP), Lomé, Togo.Faculty of Health Sciences, Molecular Biology Laboratory, University of Lomé, Lomé, Togo.Faculty of Health Sciences, Molecular Biology Laboratory, University of Lomé, Lomé, Togo.Centre Africain de Recherches en Epidemiologie et en Santé Publique (CARESP), Lomé, Togo.Department of Public Health, INSERM U1219, Bordeaux Population Health Research, University of Bordeaux, Bordeaux, France. Department of Public Health, Institut de Santé Publique Epidémiologie et Développement, University of Bordeaux, Bordeaux, France.PACCI Research Center-Site ANRS Côte d'Ivoire, Abidjan, Côte d'Ivoire. Department of Public Health, Institut de Santé Publique Epidémiologie et Développement, University of Bordeaux, Bordeaux, France. Dermatologie et Infectiologie, Unite de Formation et de Recherche des Sciences Medicales, Universite Felix Houphouet-Boigny, Abidjan, Côte d'Ivoire.PACCI Research Center-Site ANRS Côte d'Ivoire, Abidjan, Côte d'Ivoire didier.ekouevi@gmail.com. Department of Public Health, Faculty of Health Sciences, University of Lomé, Lomé, Togo. Centre Africain de Recherches en Epidemiologie et en Santé Publique (CARESP), Lomé, Togo. Department of Public Health, INSERM U1219, Bordeaux Population Health Research, University of Bordeaux, Bordeaux, France.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31685493

Citation

Bitty-Anderson, Alexandra Marie, et al. "Prevalence and Correlates of Alcohol and Tobacco Use Among Key Populations in Togo in 2017: a Cross-sectional Study." BMJ Open, vol. 9, no. 11, 2019, pp. e028934.
Bitty-Anderson AM, Gbeasor-Komlanvi FA, Johnson P, et al. Prevalence and correlates of alcohol and tobacco use among key populations in Togo in 2017: a cross-sectional study. BMJ Open. 2019;9(11):e028934.
Bitty-Anderson, A. M., Gbeasor-Komlanvi, F. A., Johnson, P., Sewu, E. K., Dagnra, C. A., Salou, M., Blatome, T. J., Jaquet, A., Coffie, P. A., & Ekouevi, D. K. (2019). Prevalence and correlates of alcohol and tobacco use among key populations in Togo in 2017: a cross-sectional study. BMJ Open, 9(11), e028934. https://doi.org/10.1136/bmjopen-2019-028934
Bitty-Anderson AM, et al. Prevalence and Correlates of Alcohol and Tobacco Use Among Key Populations in Togo in 2017: a Cross-sectional Study. BMJ Open. 2019 11 3;9(11):e028934. PubMed PMID: 31685493.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and correlates of alcohol and tobacco use among key populations in Togo in 2017: a cross-sectional study. AU - Bitty-Anderson,Alexandra Marie, AU - Gbeasor-Komlanvi,Fifonsi Adjidossi, AU - Johnson,Pascal, AU - Sewu,Essèboè K, AU - Dagnra,Claver A, AU - Salou,Mounerou, AU - Blatome,Tetouyaba J, AU - Jaquet,Antoine, AU - Coffie,Patrick Ahuatchi, AU - Ekouevi,Didier Koumavi, Y1 - 2019/11/03/ PY - 2019/11/6/entrez PY - 2019/11/7/pubmed PY - 2020/11/3/medline KW - HIV KW - Sub-Saharan Africa KW - alcohol KW - key populations KW - tobacco SP - e028934 EP - e028934 JF - BMJ open JO - BMJ Open VL - 9 IS - 11 N2 - OBJECTIVES: The aim of this study was to estimate alcohol and tobacco use prevalence and their correlates among female sex workers (FSW), men who have sex with men (MSM) and drug users (DU) in Togo. DESIGN, SETTING AND PARTICIPANTS: A cross-sectional bio-behavioural study was conducted among 2115 MSM, FSW and DU in 2017 using a respondent-driven sampling method, in the eight biggest towns of Togo. Selection criteria for the MSM were being male and having had oral or anal intercourse with a man in the previous 12 months; for FSW, being a female and having exchanged sex for money in the previous 12 months; and for DU, consuming heroin, cocaine or hashish for MSM, FSW and DU, respectively. All participants had to be at least 18 years old and residing in the territory for the past 3 months. RESULTS: The prevalence of alcohol consumption, hazardous/harmful consumption and binge drinking was 64.8%, 38.4% and 45.5%, respectively. Current tobacco use was reported by 30.6% of participants and HIV prevalence was estimated at 12.5%. DU were more likely to engage in binge drinking compared with other key populations (adjusted odds ratio (aOR)=2.0; 95% CI 1.4 to 2.8; p=0.001). Participants who were identified as having hazardous/harmful alcohol consumption had almost three times the odds of tobacco consumption than those with no risky consumption (aOR=2.6; 95% CI 2.0 to 3.4; p=0.001). Hazardous/harmful alcohol consumption was three times more likely among participants with severe psychological distress compared with those with no psychological distress (aOR=3.3, 95% CI 2.2 to 5.1; p=0.001). CONCLUSION: Findings from this study demonstrate the need for the integration of mental health and substance abuse reduction interventions into HIV prevention programme, particularly those geared towards key populations. SN - 2044-6055 UR - https://www.unboundmedicine.com/medline/citation/31685493/Prevalence_and_correlates_of_alcohol_and_tobacco_use_among_key_populations_in_Togo_in_2017:_a_cross_sectional_study_ L2 - https://bmjopen.bmj.com/lookup/pmidlookup?view=long&pmid=31685493 DB - PRIME DP - Unbound Medicine ER -