Sero-positive African Americans’ Beliefs about Alcohol and Their Impact on Anti-retroviral Adherence
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
Alcohol consumption has been associated with HIV disease progression; yet, the nature of this association is poorly understood. This study sought to determine the influence of patient beliefs about alcohol on ART adherence, and elucidate clinician beliefs about drinking and taking ART. Most patients (85%) believed alcohol and ART do not mix. The three alcohol consumption groups, light, moderate, and heavy, differed in their beliefs about drinking and ART with 64% of light and 55% of moderate drinkers skipping ART when drinking compared to 29% of heavy drinkers. Beliefs were derived from folk models of alcohol–ART interaction. Patients 50 and older were less likely to skip ART when drinking. Alcohol appears to affect adherence through decisions to forgo ART when drinking not through drunken forgetfulness. Furthermore, over one-half of clinicians believed alcohol and ART should not be taken together. These findings have implications for patient care and physician training.
- Altice, F., Mostashari, F., & Friedland, G. (2001). Trust and the acceptance of and adherence to antiretroviral therapy. JAIDS Journal of Acquired Immune Deficiency Syndromes, 28, 47–58.
- Arnsten, J. H., Demas, P. A., Grant, R. W., Fourevitch, M. N., Farzadegan, H., & Howard, A. A., et al. (2002). Impact of active drug use on antiretroviral therapy adherence and viral suppression in HIV-infected drug users. Journal of General Internal Medicine, 17, 377–381.
- Bangsberg, D. R., Charlebois, E. D., & Grant, R. (2003). High levels of adherence do not prevent the accumulation of drug resistance mutations to HIV antiretroviral therapy. AIDS, 17, 1925–1932. CrossRef
- Brown, D. (2005). U.S. survey indicates Blacks hardest hit by HIV Infection. Washington Post, February, 26, 3.
- Conigliaro, J., Gordon, A. J., McGinnis, K. A., & Rabeneck, L. (2003). How harmful is hazardous alcohol use and abuse in HIV infection: Do health care providers know who is at risk? JAIDS Journal of Acquired Immune Deficiency Syndromes, 33, 521–525.
- Cook, R. L., Sereika, S. M., Hunt, S. C., Woodward, W. C., Erlen, J. A., & Conigliaro, J. (2001). Problem drinking and medication adherence among person with HIV infection. Journal of General Internal Medicine, 16, 83–88. CrossRef
- Dennis, M. (1999). Global appraisal of individual needs (GAIN): Administration guide for the GAIN and related measures. [On Line]. Bloomington, IL: Chestnut Health Systems.
- Dennis, M. L., Scott, C. K., Godley, M. D., & Funk, R. (2000). Predicting outcomes in adult and adolescent treatment with case mix vs. level of care: Findings from the drug outcome monitoring study. Drug and Alcohol Dependence, 60, s51. CrossRef
- Ferrando, S. J., Wall, T. L., Batki, S. L., & Sorensen, J. L. (1996). Psychiatric morbidity, illicit drug use and adherence to Zidovudine (AZT) among injection drug users with HIV disease. American Journal of Drug and Alcohol Abuse, 22(4), 475–87. CrossRef
- Fong, O. W., Ho, C. F., Fung, L. Y., Lee, F. K., Tse, W. H., & Yuen, C. Y., et al. (2003). Determinants of adherence to highly active antiretroviral therapy (HAART) in Chinese HIV/AIDS patients. HIV Medicine, 4, 133–138. CrossRef
- Halkitis, P. N., Parsons, T. I., Wolitski, R. J., & Remien, R. H. (2003). Characteristics of HIV antiretroviral treatments, access and adherence in an ethnically diverse sample of men who have sex with men. AIDS Care, 15, 89–102. CrossRef
- Herd, D. (1985). Ambiguity in Black drinking norms: An ethnohistorical interpretation. In L. A. Bennet & G. M. Ames, (Eds.), The American experience with alcohol, (pp. 149–170). New York: Plenum Press.
- Hinkin, C. H., Hardy, D. J., & Hardy, K. I. (2004). Medication adherence in HIV-infected adults: Effect of patient age, cognitive status, and substance abuse. AIDS, 18, S19–S25. CrossRef
- Hunt, L. M., Arar, N. H., & Larme, A. C. (1998). Contrasting patient and practitioner perspectives in Type 2 diabetes management. Western Journal of Nursing Research, 20, 656–682. CrossRef
- Luborsky, M. (1994). Identifying themes and patterns. In A. Sankar & J. Gubrium, (Eds.), Qualitative methods in aging research, (pp. 189–210). New York: Sage.
- Malcolm, S., Ng, J., Rosen, R., & Stone, V. (2003). An examination of HIV/AIDS patients who have excellent adherence to HAART. AIDS Care, 15, 251–261. CrossRef
- Martini, M., Nasta, P., Ricci, E., Parazzini, F., & Agnoletto, V. (2000). Perceptions of disease and therapy are factors influencing adherence to antiretroviral therapy. Sexually Transmitted Infections, 76, 496–497. CrossRef
- McGinnis, K. A., Sharma, M. J., & Skanderson, R. (2003). Understanding racial disparities in HIV using data from the veterans aging Cohort 3-Site Study and VA administrative data. American Journal of Public Health, 93, 1728–1733. CrossRef
- Murphy, D. A., Marelich, W. D., Hoffman, D., & Steers, W. N. (2004). Predictors of antiretroviral adherence. AIDS Care, 16, 471–484. CrossRef
- Paterson, D. L., Swindells, S., & Mohr, J. (2000). Adherence to protease inhibitor therapy outcomes in patients with HIV infection. Annals of Internal Medicine, 133, 21–30.
- Petry, N. (1999). Alcohol use in HIV patients: What we don’t know may hurt us. International Journal of STD & AIDS, 10, 561–570. CrossRef
- Reynolds, N. R. (2004). Adherence to antiretroviral therapies: State of the science. Current HIV Research, 2, 207–214. CrossRef
- Samet, J. H., Horton, N. J., Traphagen, E. T., Lyon, S. M., & Freedberg, K. A. (2003). Alcohol consumption and HIV disease progression: Are they related? Alcoholism: Clinical and Experimental Research, 27, 862–867. CrossRef
- Smith, M. Y., Rapkin, B. D., Morrison, A., & Kammerman, S. (1997). Zidovudine adherence in persons with AIDS: The relation of patient beliefs about medication to self-termination of therapy. Journal of General Internal Medicine, 12, 216–223.
- Spire, B., Duran, S., & Souville, M. (2002). Adherence to highly active antiretroviral therapies (HAART) in HIV-infected patients: From a predictive to a dynamic approach. Social Science & Medicine, 54, 1481–1496. CrossRef
- Weidle, P. J., Ganea, C. E., & Irwin, K. L. (1999). Adherence to antiretroviral medications in an inner-city population. JAIDS Journal of Acquired Immune Deficiency Syndromes, 22, 498–502.
- Sero-positive African Americans’ Beliefs about Alcohol and Their Impact on Anti-retroviral Adherence
AIDS and Behavior
Volume 11, Issue 2 , pp 195-203
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- African American
- Patient beliefs
- Qualitative research
- Industry Sectors