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Pregnant PWH (n\u2009=\u2009202) initiating antiretroviral therapy in Uganda and South Africa completed two assessments, 6 months apart (T1, T2). Categories were derived based on AUDIT-C scores: \u201cno use\u201d (AUDIT-C\u2009=\u20090 at T1 and T2), \u201cnew use\u201d (AUDIT-C\u2009=\u20090 at T1, &gt;0 at T2), \u201cquit\u201d (AUDIT-C\u2009&gt;\u20090 at T1, =0 at T2), and \u201ccontinued use\u201d (AUDIT-C\u2009&gt;\u20090, T1 and T2). Factors associated with these categories were assessed. Most participants had \u201cno use\u201d (68%), followed by \u201ccontinued use\u201d (12%), \u201cquit\u201d (11%), and \u201cnew use\u201d (9%). Cohabitating with a partner was associated with lower relative risk of \u201ccontinued use.\u201d Borderline significant associations between food insecurity and higher risk of \u201cnew use\u201d and between stigma and reduced likelihood of \u201cquitting\u201d also emerged. Alcohol use interventions that address partnership, food security, and stigma could benefit pregnant and postpartum PWH.<\/jats:p>","DOI":"10.1177\/23259582231161029","type":"journal-article","created":{"date-parts":[[2023,3,22]],"date-time":"2023-03-22T03:16:01Z","timestamp":1679454961000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Factors Associated With Changes in Alcohol Use During Pregnancy and the Postpartum Transition Among People With HIV in South Africa and Uganda"],"prefix":"10.1177","volume":"22","author":[{"given":"Amelia M.","family":"Stanton","sequence":"first","affiliation":[{"name":"Department of Psychological and Brain Sciences, Boston University, Boston, USA"},{"name":"The Fenway Institute, Boston, USA"},{"name":"Department of Psychiatry, Massachusetts General Hospital, Boston, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin 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