Population-based study of alcohol, HIV, & TB in Uganda

Similar to other countries in Sub-Saharan Africa, the HIV epidemic in Uganda has led to a rise in tuberculosis (TB) infection, and there is substantial overlap in these epidemics. Despite links between the two epidemics in Uganda, the public health responses to HTV and TB have largely been separate and have focused on the diseases themselves rather than shared risk factors. Alcohol use and dependence is one such modifiable risk factor that links the two epidemics. We are conducting studies to achieve the following aims: 1) To adapt and extend available questionnaires for alcohol consumption to residents in Kampala, Uganda; 2) To validate the culturally appropriate instrument of alcohol consumption developed in Specific Aim 1; and 3) To study the frequency and patterns of alcohol consumption and their relationship to HTV and TB prevalence in a population-based sample of adults in Kampala. After completing this study, we will have a reliable and validated instrument to assess alcohol consumption in Uganda. This new tool will allow us to obtain population-based estimates of alcohol use and alcohol-related practices and to determine its association with the risk of HTV and TB. Information obtained during this pilot study will be used to develop future interventions that aim to moderate alcohol consumption in Uganda