Alcohol use and HIV disease management

The impact of individual and partner-level alcohol use among HIV-positive men who have sex with men

Bibliographic Data

ID19443110
AuthorsSarah E Woolf-King (0000-0002-5612-1114, Department of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco (UCSF), San Francisco, CA, USA, corresponding author), Torsten B Neilands (0000-0001-7936-9123, Department of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco (UCSF), San Francisco, CA, USA), Samantha E Dilworth (0000-0002-5451-5486, Department of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco (UCSF), San Francisco, CA, USA), Adam W Carrico (0000-0002-8146-5701, Department of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco (UCSF), San Francisco, CA, USA), Mallory O Johnson (0000-0003-0480-2804, Department of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco (UCSF), San Francisco, CA, USA)
Year2014
Volume26
Issue6
Pages702-708
Publication date2014-06-03
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2013.855302
PMID24215238
PMCIDPMC4001861
OpenAlexW1980023587
LanguageEN
Citations received6
References cited31

Alcohol use among HIV-positive (HIV+) individuals is associated with decreased adherence to antiretroviral therapy (ART) and consequently poorer HIV treatment outcomes. This study examined the independent association of individual and partner-level alcohol use with HIV disease management among men who have sex with men (MSM) in primary partnerships. In total, 356 HIV+ MSM and their male primary partners completed a baseline visit for a longitudinal study examining the role of couple-level factors in HIV treatment. The Alcohol Use Disorders Identification Test (AUDIT) was administered to assess the individual and the partner-level alcohol use. Primary outcome variables included self-reported ART adherence, ART adherence self-efficacy, and HIV viral load. Results demonstrated that abstainers, compared to hazardous drinkers, had higher self-efficacy to integrate and persevere in HIV treatment and a lower odds of having a detectable viral load. Participants with a partner-abstainer, versus a partner-hazardous drinker, had less self-efficacy to persevere in HIV treatment, a lower odds of 100% three-day adherence and a higher viral load. Together, these findings suggest that assessment and treatment of both the patient's and the patient's primary partner's pattern of alcohol consumption is warranted when attempting to optimize HIV care among MSM

Alcohol · Alcohol Use Disorders Identification Test · Environmental health · Injury prevention · Logistic regression · Men who have sex with men · Odds · Odds ratio · Poison control · Viral load · Young adult · Adolescent Sexual and Reproductive Health · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Immunology · Internal Medicine

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