Associations of Binge Drinking and Heavy Alcohol Use on Sugar and Fat Intake in a Cohort of Southern People Living with HIV

Abstract Aims To assess whether binge drinking and heavy alcohol use are associated with increased sugar and fat consumption among a Southern cohort of people living with HIV (PWH). Methods This was a cross-sectional analysis of PWH enrolled in the New Orleans Alcohol use in HIV (NOAH) Study (n = 215). Binge and heavy drinking were identified through a 30-day Alcohol Timeline-Followback and dietary intake was assessed through a 24-hour dietary recall. Results Participants were 65.4% male, 83.3% Black, with a mean age of 49.2 ± 9.9. Heavy drinkers consumed more total calories than abstainers (P = 0.035) and low-to-moderate drinkers (P = 0.024), and binge drinkers consumed more calories than non-binge drinkers (P = 0.025). Binge and heavy drinkers had significantly higher intake of total and saturated fat in grams. However, substantially increased caloric intake among these participants led to non-significant associations for alcohol use with high total and saturated fat intake as a percent of total energy intake (%TEI). Binge drinkers had lower odds of consuming high sugar as a %TEI (odds ratio: 0.31 [0.14, 0.68]). Additionally, sugar intake predicted total and saturated fat intake, and this association was slightly higher among binge drinkers (total fat P-value: 0.12). Conclusions In this population of PWH, while binge and heavy drinking predicted higher caloric and fat intake in grams, binge drinkers were less likely to consume a high-sugar diet. This analysis suggests that interventions focused on reduced alcohol use may be especially beneficial in reducing metabolic disease burden in PWH if supplemented with information on incorporating lower energy-dense foods with reduced fat.

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Heavy alcohol consumption in individuals with HIV infection: Effects on neuropsychological performance

Journal of the International Neuropsychological Society ◽

10.1017/s1355617705050095 ◽

2005 ◽

Vol 11 (1) ◽

pp. 70-83 ◽

Cited By ~ 66

Author(s):

JOHANNES C. ROTHLIND ◽

TANYA M. GREENFIELD ◽

ANNE V. BRUCE ◽

DIETER J. MEYERHOFF ◽

DEREK L. FLENNIKEN ◽

...

Keyword(s):

Alcohol Consumption ◽

Alcohol Use ◽

Executive Functioning ◽

Hiv Infection ◽

Synergistic Effects ◽

Heavy Drinking ◽

Heavy Alcohol ◽

Heavy Drinkers ◽

Heavy Alcohol Use ◽

Active Alcohol

Higher rates of alcohol use have been reported in HIV+ individuals compared to the general population. Both heavy alcohol use and HIV infection are associated with increased risk of neuropsychological (NP) impairment. We examined effects of heavy active alcohol use and HIV on NP functioning in a large sample of community-residing HIV+ individuals and HIV− controls. The four main study groups included 72 HIV− light/non-drinkers, 70 HIV− heavy drinkers (>100 drinks per month), 70 HIV+ light/non-drinkers, and 56 HIV+ heavy drinkers. The heavy drinking group was further subdivided to assess effects of the heaviest levels of active alcohol use (>6 drinks per day) on NP functioning. A comprehensive NP battery was administered. Multivariate analysis of covariance was employed to examine the effect of HIV and alcohol on NP functioning after adjusting for group differences in age and estimated premorbid verbal intellectual functioning. The analyses identified main effects of heavy drinking and HIV on NP function, with greatest effects involving the contrast of HIV+ heavy drinkers and the HIV− light drinkers. Synergistic effects of heaviest current drinking and HIV infection were identified in analyses of motor and visuomotor speed. Supplementary analyses also revealed better NP function in the HIV+ group with antiretroviral treatment (ART) and lower level of viral burden, a finding that was consistent across levels of alcohol consumption. Finally, heavy alcohol use and executive functioning difficulties were associated with lower levels of self-reported medication adherence in the HIV+ group. The findings suggest that active heavy alcohol use and HIV infection have additive adverse effects on NP function, that they may show synergistic effects in circumstances of very heavy active alcohol use, and that heavy drinking and executive functioning may mediate health-related behaviors in HIV disease. (JINS, 2005, 11, 70–83.)

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Post-traumatic stress disorder among persons with HIV who engage in heavy alcohol consumption in southwestern Uganda

BMC Psychiatry ◽

10.1186/s12888-021-03464-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Allen Kekibiina ◽

Julian Adong ◽

Robin Fatch ◽

Nneka I. Emenyonu ◽

Kara Marson ◽

...

Keyword(s):

Alcohol Use ◽

Traumatic Stress ◽

Ptsd Symptoms ◽

Post Traumatic Stress ◽

Heavy Alcohol ◽

Symptoms Of Depression ◽

Heavy Alcohol Consumption ◽

Heavy Alcohol Use ◽

Post Traumatic ◽

Living With Hiv

Abstract Background We aimed to describe the prevalence of PTSD symptoms and its associated factors in persons living with HIV (PLWH) in Uganda who engage in heavy alcohol use. Methods We analyzed baseline data from the Drinkers Intervention to Prevent Tuberculosis study which enrolls PLWH with latent tuberculosis who engage in heavy alcohol consumption. Using the primary care Post Traumatic Stress Disorder (PTSD) screening scale from the DSM-5 (PC-PTSD-5), probable PTSD was defined as reporting ≥3 of 5 assessed symptoms. We conducted the Alcohol Use Disorders Identification Test-Consumption and assessed demographics, smoking, symptoms of depression, and spirituality/religiosity. Results Of 421 participants enrolled from 2018 through 2020, the majority (68.2%) were male, median age was 40 years (interquartile range [IQR]: 32–47), and median AUDIT-C score was 6 [IQR: 4–8]. Half (50.1%) of the participants reported ever experiencing a traumatic event, and 20.7% reported ≥3 symptoms of PTSD. The most commonly reported PTSD symptoms in the past 1 month in the entire sample were avoidance (28.3%), nightmares (27.3%), and being constantly on guard (21.6%). In multivariable logistic regression analyses, level of alcohol use was not associated with probable PTSD (adjusted odds ratio [AOR] for each AUDIT-C point: (1.02; 95% CI: 0.92–1.14; p = 0.69); however, lifetime smoking (AOR 1.89; 95% CI: 1.10–3.24) and reporting symptoms of depression (AOR 1.89; 95% CI: 1.04–3.44) were independently associated with probable PTSD. Conclusions and recommendations A history of traumatic events and probable PTSD were frequently reported among persons who engage in heavy drinking, living with HIV in Uganda. Level of alcohol use was not associated with probable PTSD in this sample of PLWH with heavy alcohol use, however other behavioral and mental health factors were associated with probable PTSD. These data highlight the high prevalence of PTSD in this group, and the need for screening and interventions for PTSD and mental health problems.

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Marital Quality and Heavy Alcohol Use Among Older Couples

Innovation in Aging ◽

10.1093/geroni/igab046.1569 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 406-406

Author(s):

Angela Curl ◽

Jennifer Bulanda ◽

Amy Restorick Roberts

Keyword(s):

Alcohol Use ◽

Marital Quality ◽

Drinking Behavior ◽

Heavy Drinking ◽

Married Couples ◽

Later Life ◽

Older Couples ◽

Heavy Alcohol ◽

Pooled Data ◽

Heavy Alcohol Use

Abstract Supportive marital relationships may reduce partners’ problematic health behaviors, whereas unhappy relationships may lack efficacious spousal monitoring of health and increase the likelihood of using maladaptive coping strategies, such as heavy alcohol use, to deal with relationship problems. We used pooled data from the 2014 and 2016 waves of the Health and Retirement Study to examine how both partners’ perceptions of marital quality were associated with heavy drinking. Our analytic sample included married couples in which both spouses were over age 50, completed the leave-behind psychosocial questionnaire, and provided non-missing data on marital quality and alcohol use (n=2,095 couples). Measures included both positive and negative dimensions of marital quality and controls for sociodemographic, economic, health, household and marital characteristics. Using Proc Glimmix, we estimated a dual-intercept Actor-Partner Interdependence Model (APIM), in which separate equations were computed simultaneously for husbands and wives. For husbands, higher negative marital quality was associated with an increase in the odds of their own heavy drinking (OR=1.27), but there was no significant association between wives’ marital quality and husbands’ heavy drinking behavior. For wives, marital quality was not significantly associated with their own heavy drinking, but husbands’ higher ratings of both negative and positive marital quality increased the risk of wives’ heavy drinking (OR=1.60 and OR=1.75, respectively). Results suggest that marital quality is associated with heavy drinking in later life: self-ratings of marital quality matter for men, whereas spousal perceptions of marital quality are more important for women.

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Glutamate plasticity woven through the progression to alcohol use disorder: a multi-circuit perspective

F1000Research ◽

10.12688/f1000research.9609.1 ◽

2017 ◽

Vol 6 ◽

pp. 298 ◽

Cited By ~ 18

Author(s):

Lara Hwa ◽

Joyce Besheer ◽

Thomas Kash

Keyword(s):

Alcohol Use ◽

Alcohol Drinking ◽

Metabotropic Glutamate Receptor ◽

Heavy Drinking ◽

Ethanol Vapor ◽

Research Field ◽

Self Administration ◽

Excitatory Neurotransmitter ◽

Heavy Alcohol ◽

Heavy Alcohol Use

Glutamate signaling in the brain is one of the most studied targets in the alcohol research field. Here, we report the current understanding of how the excitatory neurotransmitter glutamate, its receptors, and its transporters are involved in low, episodic, and heavy alcohol use. Specific animal behavior protocols can be used to assess these different drinking levels, including two-bottle choice, operant self-administration, drinking in the dark, the alcohol deprivation effect, intermittent access to alcohol, and chronic intermittent ethanol vapor inhalation. Importantly, these methods are not limited to a specific category, since they can be interchanged to assess different states in the development from low to heavy drinking. We encourage a circuit-based perspective beyond the classic mesolimbic-centric view, as multiple structures are dynamically engaged during the transition from positive- to negative-related reinforcement to drive alcohol drinking. During this shift from lower-level alcohol drinking to heavy alcohol use, there appears to be a shift from metabotropic glutamate receptor-dependent behaviors to N-methyl-D-aspartate receptor-related processes. Despite high efficacy of the glutamate-related pharmaceutical acamprosate in animal models of drinking, it is ineffective as treatment in the clinic. Therefore, research needs to focus on other promising glutamatergic compounds to reduce heavy drinking or mediate withdrawal symptoms or both.

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Heavy Alcohol Use Among Women and Men Living With HIV in Uganda, Russia, and the United States

Journal of Studies on Alcohol and Drugs ◽

10.15288/jsad.2021.82.486 ◽

2021 ◽

Vol 82 (4) ◽

pp. 486-492

Author(s):

Natalia Gnatienko ◽

Katherine Calver ◽

Meg Sullivan ◽

Leah S. Forman ◽

Timothy Heeren ◽

...

Keyword(s):

United States ◽

Alcohol Use ◽

The United States ◽

Heavy Alcohol ◽

Heavy Alcohol Use ◽

Living With Hiv

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Advancing Behavioral HIV Prevention: Adapting an Evidence-Based Intervention for People Living with HIV and Alcohol Use Disorders

AIDS Research and Treatment ◽

10.1155/2015/879052 ◽

2015 ◽

Vol 2015 ◽

pp. 1-10 ◽

Cited By ~ 3

Author(s):

M. L. Armstrong ◽

A. M. LaPlante ◽

F. L. Altice ◽

M. Copenhaver ◽

P. E. Molina

Keyword(s):

Alcohol Consumption ◽

Alcohol Use ◽

Hiv Prevention ◽

Disease Progression ◽

Alcohol Use Disorders ◽

People Living With Hiv ◽

Evidence Based ◽

Care Clinic ◽

Heavy Alcohol ◽

Living With Hiv

Alcohol use disorders (AUDs) are highly prevalent among people living with HIV/AIDS (PLWHA) and are associated with increased HIV risk behaviors, suboptimal treatment adherence, and greater risk for disease progression. We used the ADAPT-ITT strategy to adapt an evidence-based intervention (EBI), the Holistic Health Recovery Program (HHRP+), that focuses on secondary HIV prevention and antiretroviral therapy (ART) adherence and apply it to PLWHA with problematic drinking. Focus groups (FGs) were conducted with PLWHA who consume alcohol and with treatment providers at the largest HIV primary care clinic in New Orleans, LA. Overall themes that emerged from the FGs included the following: (1) negative mood states contribute to heavy alcohol consumption in PLWHA; (2) high levels of psychosocial stress, paired with few adaptive coping strategies, perpetuate the use of harmful alcohol consumption in PLWHA; (3) local cultural norms are related to the permissiveness and pervasiveness of drinking and contribute to heavy alcohol use; (4) healthcare providers unanimously stated that outpatient options for AUD intervention are scarce, (5) misperceptions about the relationships between alcohol and HIV are common; (6) PLWHA are interested in learning about alcohol’s impact on ART and HIV disease progression. These data were used to design the adapted EBI.

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Heavy Alcohol Use, Alcohol and Drug Screening and their Relationship to Mothers' Welfare Participation: A Temporal-ordered Causal Analysis

Journal of Social Policy ◽

10.1017/s004727941000022x ◽

2010 ◽

Vol 39 (4) ◽

pp. 543-559 ◽

Cited By ~ 3

Author(s):

TYRONE C. CHENG ◽

CELIA C. LO

Keyword(s):

Social Support ◽

Alcohol Use ◽

Drug Screening ◽

Heavy Drinking ◽

The United States ◽

Policy Implications ◽

Support Network ◽

Heavy Alcohol ◽

Welfare Participation ◽

Heavy Alcohol Use

AbstractThis longitudinal study examined the association between heavy alcohol use, alcohol- and drug-screening requirements, and social support network variables and mothers' welfare participation in the United States. The study was a secondary data analysis of 3,517 mothers. The sample was extracted from National Longitudinal Survey of Youth data gathered in 1994–2004. Results of logistic regression show welfare participation is not associated with heavy alcohol use or alcohol- and drug-screening requirements, but is associated with a history of reported heavy alcohol use, informal help with childcare, and scant human capital. Results also indicate that alcohol- and drug screening required under TANF may not exclude heavy drinking mothers from TANF participation, and that social support networks do not cancel heavy drinking's association with participation. Policy implications are discussed.

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