AIDS and Behavior

, Volume 17, Issue 5, pp 1705–1712

Alcohol Consumption Trajectory Patterns in Adult Women with HIV Infection

Authors

    • Departments of Epidemiology and MedicineUniversity of Florida
  • Fang Zhu
    • Biostatistics FacilitiesFox Chase Cancer Center
  • Bea Herbeck Belnap
    • School of MedicineUniversity of Pittsburgh
  • Kathleen M. Weber
    • The CORE Center, Cook County Bureau of Health Services
  • Stephen R. Cole
    • University of North Carolina
  • David Vlahov
    • New York Academy of Medicine
  • Judith A. Cook
    • Department of PsychiatryUniversity of Illinois
  • Nancy A. Hessol
    • Departments of Clinical Pharmacy and MedicineUniversity of California
  • Tracey E. Wilson
    • Department of Preventive Medicine and Community HealthSUNY Downstate Medical Center
  • Michael Plankey
    • Department of MedicineGeorgetown University Medical Center
  • Andrea A. Howard
    • Department of EpidemiologyMailman School of Public Health, Columbia University
  • Gerald B. Sharp
    • Division of AIDSNational Institute of Allergy and Infectious Diseases
  • Jean L. Richardson
    • Department of Preventive MedicineUniversity of Southern California
  • Mardge H. Cohen
    • Department of MedicineCook County Health and Hospitals System and Rush University
Original Paper

DOI: 10.1007/s10461-012-0270-6

Cite this article as:
Cook, R.L., Zhu, F., Belnap, B.H. et al. AIDS Behav (2013) 17: 1705. doi:10.1007/s10461-012-0270-6

Abstract

HIV-infected women with excessive alcohol consumption are at risk for adverse health outcomes, but little is known about their long-term drinking trajectories. This analysis included longitudinal data, obtained from 1996 to 2006, from 2,791 women with HIV from the Women’s Interagency HIV Study. Among these women, the proportion in each of five distinct drinking trajectories was: continued heavy drinking (3 %), reduction from heavy to non-heavy drinking (4 %), increase from non-heavy to heavy drinking (8 %), continued non-heavy drinking (36 %), and continued non-drinking (49 %). Depressive symptoms, other substance use (crack/cocaine, marijuana, and tobacco), co-infection with hepatitis C virus (HCV), and heavy drinking prior to enrollment were associated with trajectories involving future heavy drinking. In conclusion, many women with HIV change their drinking patterns over time. Clinicians and those providing alcohol-related interventions might target those with depression, current use of tobacco or illicit drugs, HCV infection, or a previous history of drinking problems.

Keywords

Alcohol consumptionWomenHIV-infectionTrajectories

Resumen

Las mujeres infectadas con VIH que consumen alcohol excesivamente están a riesgo de resultados de salud adversos, pero muy poco se conoce acerca de sus trayectorias de consumo de alcohol a largo plazo. Este análisis incluye data longitudinal obtenida desde 1996 al 2006, de 2791 mujeres con VIH del Estudio Interinstitucional de Mujeres con VIH. Entre estas mujeres, la proporción en cada una de las distintas trayectorias de consumo de alcohol fueron: continuación de consumo excesivo (3 %), reducción de consumo excesivo a consumo no excesivo (4 %), aumento de consumo no excesivo a consumo excesivo (8 %), continuación de consumo no excesivo (36 %), y continuación de ningún consumo (49 %). Síntomas depresivos, uso de otras substancias (crack/cocaína, mariguana, y tabaco), co-infección con VHC, y consumo excesivo antes de inscripción fueron asociados con trayectorias que involucran consumo excesivo en el futuro. En conclusión, muchas mujeres con VIH cambian su patrón de consumo de alcohol con el tiempo. Clínicos y otras personas que proveen intervenciones relacionadas al consumo de alcohol podrían enfocarse en personas con depresión, uso actual de tabaco o drogas ilícitas, infección de VHC, o un historial previo de problemas de consumo de alcohol.

Copyright information

© Springer Science+Business Media, LLC 2012