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

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
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.

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

2021 ◽  
Author(s):  
Erika M Rosen ◽  
Stefany D Primeaux ◽  
Liz Simon ◽  
David A Welsh ◽  
Patricia E Molina ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Heavy Drinking ◽  
Saturated Fat ◽  
People Living With Hiv ◽  
Fat Intake ◽  
Heavy Alcohol ◽  
Heavy Alcohol Use ◽  
Binge Drinkers ◽  
Living With Hiv ◽  
Saturated Fat Intake

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.

scholarly journals Alcohol use disorders among people living with HIV/AIDS in Southern Brazil: prevalence, risk factors and biological markers outcomes

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Cláudio Moss da Silva ◽  
Raúl Andrés Mendoza-Sassi ◽  
Luisa Dias da Mota ◽  
Maíba Mikhael Nader ◽  
Ana Maria Barral de Martinez
Keyword(s):  
Risk Factors ◽  
Alcohol Use ◽  
Biological Markers ◽  
Alcohol Use Disorders ◽  
People Living With Hiv ◽  
Southern Brazil ◽  
And Biological Markers ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals Comprehensive Assessment of Alcohol Consumption in People Living with HIV (PLWH): The New Orleans Alcohol Use in HIV Study

2020 ◽  
Vol 44 (6) ◽  
pp. 1261-1272 ◽  
Author(s):  
Tekeda F. Ferguson ◽  
Katherine P. Theall ◽  
Meghan Brashear ◽  
Vincent Maffei ◽  
Alaina Beauchamp ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
New Orleans ◽  
Comprehensive Assessment ◽  
People Living With Hiv ◽  
Living With Hiv

scholarly journals HIV Stigma, Mental Health, and Alcohol Use Disorders among People Living with HIV/AIDS in New Orleans

2019 ◽  
Vol 96 (6) ◽  
pp. 878-888 ◽  
Author(s):  
Erica A. Felker-Kantor ◽  
Maeve E. Wallace ◽  
Aubrey Spriggs Madkour ◽  
Dustin T. Duncan ◽  
Katherine Andrinopoulos ◽  
...  
Keyword(s):  
Mental Health ◽  
Alcohol Use ◽  
New Orleans ◽  
Alcohol Use Disorders ◽  
Hiv Stigma ◽  
People Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals The prevalence of alcohol use disorders among people living with HIV/AIDS: a systematic review and meta-analysis

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Bereket Duko ◽  
Mohammed Ayalew ◽  
Getinet Ayano
Keyword(s):  
Systematic Review ◽  
Developing Countries ◽  
Alcohol Use ◽  
Meta Analysis ◽  
Alcohol Use Disorders ◽  
Prevalence Estimate ◽  
People Living With Hiv ◽  
Pooled Prevalence ◽  
Living With Hiv ◽  
Hiv Aids

Abstract Background Alcohol use disorder (AUD) is common among people living with HIV/AIDS (PLWHA) and associated with a greater risk of poor medication adherence, unsafe sexual behaviors as well as poor quality of life. To our knowledge, there is no previous systematic review and meta-analysis that reported the pooled prevalence estimate of AUD among PLWHA. Therefore, this review aimed to systematically review the available studies on the prevalence of AUD among PLWHA and forward possible recommendations for future clinical practice and research. Methods PubMed, EMBASE, Psych INFO and SCOPUS databases were searched to identify the relevant studies. We have also scanned the reference lists of the eligible studies to supplement our electronic search. We used the Comprehensive Meta-Analysis software versions 3.0 to conduct a meta-analysis. Subgroup and sensitivity analysis were performed and Cochran’s Q- and the I2- test were employed to see the heterogeneity. The presence of publication bias was explored by utilizing Egger’s test and visual inspection of the symmetry in funnel plots. Results A total of 25 studies with 25,154 participants across developed and developing countries were included in the final analysis. Our meta-analysis revealed that the pooled prevalence estimate of AUD among PLWHA was found to be 29.80% (95% CI; 24.10–35.76). The prevalence of AUD was higher in males (26.90%) than female (13.37%) HIV patients. In this study, the pooled prevalence of AUD was considerably higher (31.52%) when measured by Alcohol Use Disorders Identification Test (AUDIT) as compared to Composite International Diagnostic Interview (CIDI) (13.51%). In addition, the pooled prevalence of AUD was higher in the developed countries (42.09%) while lower for developing countries (24.52%). Conclusion In the current study, the pooled prevalence estimates of AUD among PLWHA was considerably high (29.80%). Screening and appropriate management of AUD among PLWHA are recommended.

Sign in / Sign up

Export Citation Format

Share Document