Prevalence and Factors Associated with Hazardous Alcohol Use Among Persons Living with HIV Across the US in the Current Era of Antiretroviral Treatment

Heidi M. Crane; Mary E. McCaul; Geetanjali Chander; Heidi Hutton; Robin M. Nance; Joseph A.C. Delaney; Joseph O. Merrill; Bryan Lau; Kenneth H. Mayer; Michael J. Mugavero; Matthew Mimiaga; James H. Willig; Greer A. Burkholder; Daniel R. Drozd; Rob J. Fredericksen; Karen Cropsey; Richard D. Moore; Jane M. Simoni; W. Christopher Mathews; Joseph J. Eron; Sonia Napravnik; Katerina Christopoulos; Elvin Geng; Michael S. Saag; Mari M. Kitahata

doi:10.1007/s10461-017-1740-7

Prevalence and Factors Associated with Hazardous Alcohol Use Among Persons Living with HIV Across the US in the Current Era of Antiretroviral Treatment

Heidi M. Crane, Mary E. McCaul, Geetanjali Chander, Heidi Hutton, Robin M. Nance, Joseph A.C. Delaney, Joseph O. Merrill, Bryan Lau, Kenneth H. Mayer, Michael J. Mugavero, Matthew Mimiaga, James H. Willig, Greer A. Burkholder, Daniel R. Drozd, Rob J. Fredericksen, Karen Cropsey, Richard D. Moore, Jane M. Simoni, W. Christopher Mathews, Joseph J. EronSonia Napravnik, Katerina Christopoulos, Elvin Geng, Michael S. Saag, Mari M. Kitahata

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97 Scopus citations

Abstract

Hazardous alcohol use is associated with detrimental health outcomes among persons living with HIV (PLWH). We examined the prevalence and factors associated with hazardous alcohol use in the current era using several hazardous drinking definitions and binge drinking defined as ≥5 drinks for men versus ≥4 for women. We included 8567 PLWH from 7 U.S. sites from 2013 to 2015. Current hazardous alcohol use was reported by 27% and 34% reported binge drinking. In adjusted analyses, current and past cocaine/crack (odd ratio [OR] 4.1:3.3–5.1, p < 0.001 and OR 1.3:1.1–1.5, p < 0.001 respectively), marijuana (OR 2.5:2.2–2.9, p < 0.001 and OR 1.4:1.2–1.6, p < 0.001), and cigarette use (OR 1.4:1.2–1.6, p < 0.001 and OR 1.3:1.2–1.5, p < 0.001) were associated with increased hazardous alcohol use. The prevalence of hazardous alcohol use remains high in the current era, particularly among younger men. Routine screening and targeted interventions for hazardous alcohol use, potentially bundled with interventions for other drugs, remain a key aspect of HIV care.

Original language	English
Pages (from-to)	1914-1925
Number of pages	12
Journal	AIDS and Behavior
Volume	21
Issue number	7
DOIs	https://doi.org/10.1007/s10461-017-1740-7
State	Published - Jul 1 2017

Keywords

Alcohol use
HIV
Hepatitis C
Substance use

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10.1007/s10461-017-1740-7

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Crane, H. M., McCaul, M. E., Chander, G., Hutton, H., Nance, R. M., Delaney, J. A. C., Merrill, J. O., Lau, B., Mayer, K. H., Mugavero, M. J., Mimiaga, M., Willig, J. H., Burkholder, G. A., Drozd, D. R., Fredericksen, R. J., Cropsey, K., Moore, R. D., Simoni, J. M., Christopher Mathews, W., ... Kitahata, M. M. (2017). Prevalence and Factors Associated with Hazardous Alcohol Use Among Persons Living with HIV Across the US in the Current Era of Antiretroviral Treatment. AIDS and Behavior, 21(7), 1914-1925. https://doi.org/10.1007/s10461-017-1740-7

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title = "Prevalence and Factors Associated with Hazardous Alcohol Use Among Persons Living with HIV Across the US in the Current Era of Antiretroviral Treatment",

abstract = "Hazardous alcohol use is associated with detrimental health outcomes among persons living with HIV (PLWH). We examined the prevalence and factors associated with hazardous alcohol use in the current era using several hazardous drinking definitions and binge drinking defined as ≥5 drinks for men versus ≥4 for women. We included 8567 PLWH from 7 U.S. sites from 2013 to 2015. Current hazardous alcohol use was reported by 27% and 34% reported binge drinking. In adjusted analyses, current and past cocaine/crack (odd ratio [OR] 4.1:3.3–5.1, p < 0.001 and OR 1.3:1.1–1.5, p < 0.001 respectively), marijuana (OR 2.5:2.2–2.9, p < 0.001 and OR 1.4:1.2–1.6, p < 0.001), and cigarette use (OR 1.4:1.2–1.6, p < 0.001 and OR 1.3:1.2–1.5, p < 0.001) were associated with increased hazardous alcohol use. The prevalence of hazardous alcohol use remains high in the current era, particularly among younger men. Routine screening and targeted interventions for hazardous alcohol use, potentially bundled with interventions for other drugs, remain a key aspect of HIV care.",

keywords = "Alcohol use, HIV, Hepatitis C, Substance use",

author = "Crane, {Heidi M.} and McCaul, {Mary E.} and Geetanjali Chander and Heidi Hutton and Nance, {Robin M.} and Delaney, {Joseph A.C.} and Merrill, {Joseph O.} and Bryan Lau and Mayer, {Kenneth H.} and Mugavero, {Michael J.} and Matthew Mimiaga and Willig, {James H.} and Burkholder, {Greer A.} and Drozd, {Daniel R.} and Fredericksen, {Rob J.} and Karen Cropsey and Moore, {Richard D.} and Simoni, {Jane M.} and {Christopher Mathews}, W. and Eron, {Joseph J.} and Sonia Napravnik and Katerina Christopoulos and Elvin Geng and Saag, {Michael S.} and Kitahata, {Mari M.}",

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year = "2017",

month = jul,

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doi = "10.1007/s10461-017-1740-7",

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Crane, HM, McCaul, ME, Chander, G, Hutton, H, Nance, RM, Delaney, JAC, Merrill, JO, Lau, B, Mayer, KH, Mugavero, MJ, Mimiaga, M, Willig, JH, Burkholder, GA, Drozd, DR, Fredericksen, RJ, Cropsey, K, Moore, RD, Simoni, JM, Christopher Mathews, W, Eron, JJ, Napravnik, S, Christopoulos, K, Geng, E, Saag, MS & Kitahata, MM 2017, 'Prevalence and Factors Associated with Hazardous Alcohol Use Among Persons Living with HIV Across the US in the Current Era of Antiretroviral Treatment', AIDS and Behavior, vol. 21, no. 7, pp. 1914-1925. https://doi.org/10.1007/s10461-017-1740-7

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T1 - Prevalence and Factors Associated with Hazardous Alcohol Use Among Persons Living with HIV Across the US in the Current Era of Antiretroviral Treatment

AU - Crane, Heidi M.

AU - McCaul, Mary E.

AU - Chander, Geetanjali

AU - Hutton, Heidi

AU - Nance, Robin M.

AU - Delaney, Joseph A.C.

AU - Merrill, Joseph O.

AU - Lau, Bryan

AU - Mayer, Kenneth H.

AU - Mugavero, Michael J.

AU - Mimiaga, Matthew

AU - Willig, James H.

AU - Burkholder, Greer A.

AU - Drozd, Daniel R.

AU - Fredericksen, Rob J.

AU - Cropsey, Karen

AU - Moore, Richard D.

AU - Simoni, Jane M.

AU - Christopher Mathews, W.

AU - Eron, Joseph J.

AU - Napravnik, Sonia

AU - Christopoulos, Katerina

AU - Geng, Elvin

AU - Saag, Michael S.

AU - Kitahata, Mari M.

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N2 - Hazardous alcohol use is associated with detrimental health outcomes among persons living with HIV (PLWH). We examined the prevalence and factors associated with hazardous alcohol use in the current era using several hazardous drinking definitions and binge drinking defined as ≥5 drinks for men versus ≥4 for women. We included 8567 PLWH from 7 U.S. sites from 2013 to 2015. Current hazardous alcohol use was reported by 27% and 34% reported binge drinking. In adjusted analyses, current and past cocaine/crack (odd ratio [OR] 4.1:3.3–5.1, p < 0.001 and OR 1.3:1.1–1.5, p < 0.001 respectively), marijuana (OR 2.5:2.2–2.9, p < 0.001 and OR 1.4:1.2–1.6, p < 0.001), and cigarette use (OR 1.4:1.2–1.6, p < 0.001 and OR 1.3:1.2–1.5, p < 0.001) were associated with increased hazardous alcohol use. The prevalence of hazardous alcohol use remains high in the current era, particularly among younger men. Routine screening and targeted interventions for hazardous alcohol use, potentially bundled with interventions for other drugs, remain a key aspect of HIV care.

AB - Hazardous alcohol use is associated with detrimental health outcomes among persons living with HIV (PLWH). We examined the prevalence and factors associated with hazardous alcohol use in the current era using several hazardous drinking definitions and binge drinking defined as ≥5 drinks for men versus ≥4 for women. We included 8567 PLWH from 7 U.S. sites from 2013 to 2015. Current hazardous alcohol use was reported by 27% and 34% reported binge drinking. In adjusted analyses, current and past cocaine/crack (odd ratio [OR] 4.1:3.3–5.1, p < 0.001 and OR 1.3:1.1–1.5, p < 0.001 respectively), marijuana (OR 2.5:2.2–2.9, p < 0.001 and OR 1.4:1.2–1.6, p < 0.001), and cigarette use (OR 1.4:1.2–1.6, p < 0.001 and OR 1.3:1.2–1.5, p < 0.001) were associated with increased hazardous alcohol use. The prevalence of hazardous alcohol use remains high in the current era, particularly among younger men. Routine screening and targeted interventions for hazardous alcohol use, potentially bundled with interventions for other drugs, remain a key aspect of HIV care.

KW - Alcohol use

KW - HIV

KW - Hepatitis C

KW - Substance use

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SN - 1090-7165

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JO - AIDS and Behavior

JF - AIDS and Behavior

IS - 7

ER -

Prevalence and Factors Associated with Hazardous Alcohol Use Among Persons Living with HIV Across the US in the Current Era of Antiretroviral Treatment

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