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Alcohol Consumption Trajectory Patterns in Adult Women with HIV Infection

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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.

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.

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Acknowledgments

Data in this manuscript were collected by the Women’s Interagency HIV Study (WIHS) Collaborative Study Group with centers (Principal Investigators) at New York City/Bronx Consortium (Kathryn Anastos); Brooklyn, NY (Howard Minkoff); Washington, DC, Metropolitan Consortium (Mary Young); The Connie Wofsy Study Consortium of Northern California (Ruth Greenblatt); Los Angeles County/Southern California Consortium (Alexandra Levine); Chicago Consortium (Mardge Cohen); Data Coordinating Center (Stephen Gange). The WIHS is funded by the National Institute of Allergy and Infectious Diseases (UO1-AI-35004, UO1-AI-31834, UO1-AI-34994, UO1-AI-34989, UO1-AI-34993, and UO1-AI-42590) and by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (UO1-HD-32632). The study is co-funded by the National Cancer Institute, the National Institute on Drug Abuse, and the National Institute on Deafness and Other Communication Disorders. Funding is also provided by the National Center for Research Resources (UCSF-CTSI Grant Number UL1-RR-024131). The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the National Institutes of Health. R Cook was supported in part by NIH Grants R01-AA018934 and U01-AA-020797; S Cole was supported in part through NIH Grant R01-AA-01759; and K Weber was supported in part by NIH Grant P30 AI082151.

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Authors and Affiliations

  1. Departments of Epidemiology and Medicine, University of Florida, PO Box 100231, Gainesville, FL, 32610, USA

    Robert L. Cook

  2. Biostatistics Facilities, Fox Chase Cancer Center, Philadelphia, PA, USA

    Fang Zhu

  3. School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA

    Bea Herbeck Belnap

  4. The CORE Center, Cook County Bureau of Health Services, Chicago, IL, USA

    Kathleen M. Weber

  5. University of North Carolina, Chapel Hill, NC, USA

    Stephen R. Cole

  6. New York Academy of Medicine, New York, NY, USA

    David Vlahov

  7. Department of Psychiatry, University of Illinois, Chicago, IL, USA

    Judith A. Cook

  8. Departments of Clinical Pharmacy and Medicine, University of California, San Francisco, CA, USA

    Nancy A. Hessol

  9. Department of Preventive Medicine and Community Health, SUNY Downstate Medical Center, Brooklyn, NY, USA

    Tracey E. Wilson

  10. Department of Medicine, Georgetown University Medical Center, Washington, DC, USA

    Michael Plankey

  11. Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, 10032, USA

    Andrea A. Howard

  12. Division of AIDS, National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA

    Gerald B. Sharp

  13. Department of Preventive Medicine, University of Southern California, Los Angeles, CA, USA

    Jean L. Richardson

  14. Department of Medicine, Cook County Health and Hospitals System and Rush University, Chicago, IL, USA

    Mardge H. Cohen

Authors
  1. Robert L. Cook
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  2. Fang Zhu
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  3. Bea Herbeck Belnap
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  4. Kathleen M. Weber
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  5. Stephen R. Cole
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  6. David Vlahov
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  7. Judith A. Cook
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  8. Nancy A. Hessol
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  9. Tracey E. Wilson
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  10. Michael Plankey
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  11. Andrea A. Howard
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  12. Gerald B. Sharp
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  13. Jean L. Richardson
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  14. Mardge H. Cohen
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Corresponding author

Correspondence to Robert L. Cook.

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Cook, R.L., Zhu, F., Belnap, B.H. et al. Alcohol Consumption Trajectory Patterns in Adult Women with HIV Infection. AIDS Behav 17, 1705–1712 (2013). https://doi.org/10.1007/s10461-012-0270-6

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  • DOI: https://doi.org/10.1007/s10461-012-0270-6

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