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Drinking Motives Among HIV Primary Care Patients

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Abstract

Heavy drinking among individuals with HIV is associated with poor medication adherence and other health problems. Understanding reasons for drinking (drinking motives) in this population is therefore important and could inform intervention. Using concepts of drinking motives from previous alcohol research, we assessed these motives and drinking in 254 HIV-positive primary care patients (78.0 % male; 94.5 % African American or Hispanic) prior to their participation in an alcohol intervention trial. Three motives had good factor structure and internal consistency: “drinking to cope with negative affect”, “drinking for social facilitation” (both associated with heavier drinking), and “drinking due to social pressure” (associated with less drinking). Drinking motives may provide important content for alcohol intervention; clinical trials could indicate whether inclusion of such content improves intervention efficacy. Discussing motives in session could help providers assist clients in better managing psychological and social aspects of their lives without reliance on alcohol.

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Acknowledgments

This study was funded by Grants R01AA014323, K05AA014223, T32DA031099, R01DA024606, and the New York State Psychiatric Institute. The findings and conclusions of this manuscript are those of the authors and do not necessarily reflect official views of the Centers for Disease Control and Prevention.

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Authors and Affiliations

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

    Jennifer C. Elliott & Deborah S. Hasin

  2. Department of Psychiatry, College of Physicians and Surgeons, Columbia University, 1051 Riverside Drive #123, New York, NY, 10032, USA

    Efrat Aharonovich, Milton Wainberg & Deborah S. Hasin

  3. New York State Psychiatric Institute, New York, NY, USA

    Efrat Aharonovich, Milton Wainberg & Deborah S. Hasin

  4. Centers for Disease Control and Prevention, Atlanta, GA, USA

    Ann O’Leary

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  1. Jennifer C. Elliott
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Correspondence to Deborah S. Hasin.

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Elliott, J.C., Aharonovich, E., O’Leary, A. et al. Drinking Motives Among HIV Primary Care Patients. AIDS Behav 18, 1315–1323 (2014). https://doi.org/10.1007/s10461-013-0644-4

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