scholarly journals Factors associated with hazardous alcohol use and motivation to reduce drinking among HIV primary care patients: Baseline findings from the Health & Motivation study

2018 ◽  
Vol 84 ◽  
pp. 110-117 ◽  
Author(s):  
Michael J. Silverberg ◽  
Wendy A. Leyden ◽  
Amy Leibowitz ◽  
C. Bradley Hare ◽  
Hannah J. Jang ◽  
...  
2010 ◽  
Vol 193 (4) ◽  
pp. 248-248
Author(s):  
Louise M Nash ◽  
Michele G Daly ◽  
Patrick J Kelly ◽  
Elizabeth H Van Ekert ◽  
Garry Walter ◽  
...  

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Esperanza Romero-Rodríguez ◽  
◽  
Luis Ángel Pérula de Torres ◽  
Juan Manuel Parras Rejano ◽  
Fernando Leiva-Cepas ◽  
...  

2021 ◽  
pp. 095646242110144
Author(s):  
Mayuko Takamiya ◽  
Kudawashe Takarinda ◽  
Shrish Balachandra ◽  
Musuka Godfrey ◽  
Elizabeth Radin ◽  
...  

We assessed the prevalence of isoniazid preventive therapy (IPT) uptake and explored factors associated with IPT non-uptake among people living with HIV (PLHIV) using nationally representative data from the Zimbabwe Population-based HIV Impact Assessment (ZIMPHIA) 2015–2016. This was a cross-sectional study of 3418 PLHIV ZIMPHIA participants eligible for IPT, aged ≥15 years and in HIV care. Logistic regression modeling was performed to assess factors associated with self-reported IPT uptake. All analyses accounted for multistage survey design. IPT uptake among PLHIV was 12.7% (95% confidence interval (CI): 11.4–14.1). After adjusting for sex, age, rural/urban residence, TB screening at the last clinic visit, and hazardous alcohol use, rural residence was the strongest factor associated with IPT non-uptake (adjusted OR (aOR): 2.39, 95% CI: 1.82–3.12). Isoniazid preventive therapy non-uptake having significant associations with no TB screening at the last HIV care (aOR: 2.07, 95% CI: 1.54–2.78) and with hazardous alcohol use only in urban areas (aOR: 10.74, 95% CI: 3.60–32.0) might suggest suboptimal IPT eligibility screening regardless of residence, but more so in rural areas. Self-reported IPT use among PLHIV in Zimbabwe was low, 2 years after beginning national scale-up. This shows the importance of good TB screening procedures for successful IPT implementation.


2010 ◽  
Vol 193 (3) ◽  
pp. 161-166 ◽  
Author(s):  
Louise M Nash ◽  
Michele G Daly ◽  
Patrick J Kelly ◽  
Elizabeth H Van Ekert ◽  
Garry Walter ◽  
...  

2017 ◽  
Vol 21 (7) ◽  
pp. 1914-1925 ◽  
Author(s):  
Heidi M. Crane ◽  
Mary E. McCaul ◽  
Geetanjali Chander ◽  
Heidi Hutton ◽  
Robin M. Nance ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S933-S933
Author(s):  
Bailey Lanai ◽  
Deanna Dragan ◽  
Rebecca S Allen ◽  
Anne Halli-Tierney ◽  
Dana Carroll ◽  
...  

Abstract This longitudinal behavioral health surveillance and integrated care project aims to assess physical and mental health and substance use in a geriatric primary care setting. Approximately 230 patients (mean age = 76; 74% female; 16% African American) attending an interdisciplinary geriatrics clinic in Alabama have taken part in baseline behavioral health screenings since 2014. Behavioral health measures include cognitive status, self-reported mood, subjective and objective health literacy, and alcohol use. All measures are administered by clinical psychology graduate students. Patients had an average of 5.83 medical diagnoses. Only 26.2% of patients had scores indicating cognitive functioning within normal limits; 32.6% had scores indicative of mild neurocognitive disorder, and 41.2% had scores indicative of dementia. Over 80% of patients had adequate self-reported health literacy; however, measurements of objective health literacy indicated a significant number of individuals have difficulty following medical directions independently. Over 30% of patients reported clinically significant levels of depression or anxiety, and 16.5% of patients reported at least one indicator of hazardous alcohol use. Specifically, 50.7% of patients consume alcohol on at least a yearly basis with 38.2% endorsing at least one problematic drinking behavior and 11.6% scoring in the clinically significant range for alcohol misuse. Moreover, 22.7% report use of opioid pain medication. The results of this study demonstrate that routine hazardous alcohol use screening as one component of integrated behavioral health care within geriatric primary care increases detection of hazardous alcohol use among older adults.


2011 ◽  
Vol 194 (2) ◽  
pp. 104-104
Author(s):  
Louise M Nash ◽  
Michele G Daly ◽  
Patrick J Kelly ◽  
Elizabeth H Van Ekert ◽  
Garry Walter ◽  
...  

2019 ◽  
Vol 42 (3) ◽  
pp. 305-313 ◽  
Author(s):  
Kyle Possemato ◽  
Emily M. Johnson ◽  
J. Bronte Emery ◽  
Michael Wade ◽  
Michelle C. Acosta ◽  
...  

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e041574 ◽  
Author(s):  
Holly Knight ◽  
David Harman ◽  
Joanne R Morling ◽  
Guruprasad Aithal ◽  
Timothy Card ◽  
...  

ObjectivesThe increasing incidence of chronic liver disease (CLD) in the UK may be attributed to a rise in preventable risk factors, including hazardous alcohol use and type 2 diabetes. Transient elastography (TE) can rapidly stratify risk of CLD in primary care populations and provide an opportunity to raise patient awareness of risk factors.This study explores patients’ experiences of TE screening in a primary care setting. In addition, patient awareness of CLD risk is explored.Study design and settingThis study used a qualitative process evaluation of a community screening pathway for CLD (Nottingham, UK). Participants completed semistructured interviews, which were audio-recorded, transcribed verbatim and analysed thematically.ParticipantsTwenty adults were purposively recruited 6 months to 2 years after TE screening. Inclusion criteria included (1) hazardous alcohol use, (2) type 2 diabetes and/or (3) persistently elevated liver enzymes without known cause.ResultsUndergoing TE in primary care was seen as acceptable to most participants. Hazardous alcohol use was identified as the primary cause of CLD; no participants were aware of metabolic risk factors. TE improved understanding of personal risk factors and prompted contemplation of lifestyle changes across all TE stratifications. However, participants’ perceptions of risk were altered by the healthcare providers’ communication of TE scores.ConclusionsHigh acceptability of TE, regardless of the risk factor, provides strong support for inclusion of TE stratification in primary care. Findings highlight the positive impact of receiving TE on risk awareness. Future clinical iterations should improve the structure and communication of TE results to patients.


Sign in / Sign up

Export Citation Format

Share Document