Gender Differences in the Association of Hazardous Alcohol Use with Hypertension in an Urban Cohort of People Living with HIV in South Florida

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.

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Impact of co-occurring drug use, hazardous alcohol use and mental health disorders on drug use patterns in people living with HIV and hepatitis C virus infection

Open Forum Infectious Diseases ◽

10.1093/ofid/ofab520 ◽

2021 ◽

Author(s):

Sean McCormick ◽

Kathleen M Ward ◽

Catherine G Sutcliffe ◽

Risha Irvin ◽

Geetanjali Chander ◽

...

Keyword(s):

Mental Health ◽

Alcohol Use ◽

Drug Use ◽

Mental Health Disorders ◽

People Living With Hiv ◽

Hazardous Alcohol Use ◽

Use Patterns ◽

Hazardous Alcohol ◽

Health Disorders ◽

Living With Hiv

Abstract Drug use, hazardous alcohol use, and mental health disorders are prevalent among people with HIV and HCV infection. Co-occurrence of alcohol use and depression negatively impacts substance use patterns. Nevertheless, HCV treatment provides a promising opportunity to identify and address co-occurring drug use, hazardous alcohol use, and mental health disorders.

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Hazardous alcohol use, antiretroviral therapy receipt and viral suppression in people living with HIV who inject drugs in the U.S., India, Russia and Vietnam

AIDS ◽

10.1097/qad.0000000000002716 ◽

2020 ◽

Vol Publish Ahead of Print ◽

Author(s):

Jennifer A. Wagman ◽

Adriane Wynn ◽

Mika Matsuzaki ◽

Natalia Gnatienko ◽

Lisa R. Metsch ◽

...

Keyword(s):

Antiretroviral Therapy ◽

Alcohol Use ◽

Viral Suppression ◽

People Living With Hiv ◽

Hazardous Alcohol Use ◽

Hazardous Alcohol ◽

Living With Hiv ◽

The U.S

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461Alcohol use and anti-retroviral adherence among people living with HIV in ART centre of Nepal

International Journal of Epidemiology ◽

10.1093/ije/dyab168.156 ◽

2021 ◽

Vol 50 (Supplement_1) ◽

Author(s):

Upendra Dhungana ◽

Durga Prasad Pahari ◽

Amod Kumar Poudyal

Keyword(s):

Alcohol Use ◽

Alcohol Use Disorder ◽

People Living With Hiv ◽

Subjective Feeling ◽

Hazardous Alcohol Use ◽

Hazardous Alcohol ◽

Disorder Identification ◽

Living With Hiv ◽

Alcohol User ◽

Hazardous Use

Abstract Background Alcohol use is known to have higher prevalence among HIV infected individuals. Hazardous use of alcohol in many studies is negatively associated with the adherence to antiretroviral therapy. Use of alcohol and ART adherence among PLHIV is inadequately explored in Nepalese context. This study aimed at identifying the level of alcohol use and its relationship with adherence to ART among PLHIV. Methods A total of 205 PLHIV of age 18 years or more were randomly selected at a national ART centre of Nepal. Self-reported adherence questionnaire was used to get the level of adherence, Alcohol Use Disorder Identification Test (AUDIT) with five questions was adopted for screening the hazardous alcohol use. Those who took more than 95% of the prescribed doses were considered as adherent. Results About 86% of the respondents were adherent to ART in four days recall. About one third of the respondents were alcohol user and 40% of them had hazardous use of alcohol. Those having hazardous use of alcohol were four times (AOR=4.60, 95% CI 1.27,16.62) more likely to be non-adherent as compared to those who had not hazardous use of alcohol. Multivariate analyses adjusted ethnicity, Knowledge on dangers of non-adherence, subjective feeling of own health, use of memory aid, IDU background, treatment substitution and depression category. Conclusion Hazardous use of alcohol was independently associated with non-adherence with the ART. Key message Screening at the start of the treatment and intervention targeting alcohol use may improve HIV outcomes in individuals with hazardous alcohol use.

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Impact of exposure to combat during deployment to Iraq and Afghanistan on mental health by gender

Psychological Medicine ◽

10.1017/s003329171100290x ◽

2012 ◽

Vol 42 (9) ◽

pp. 1985-1996 ◽

Cited By ~ 30

Author(s):

C. Woodhead ◽

S. Wessely ◽

N. Jones ◽

N. T. Fear ◽

S. L. Hatch

Keyword(s):

Mental Health ◽

Gender Differences ◽

Alcohol Use ◽

Common Mental Disorder ◽

Armed Forces ◽

Post Traumatic Stress ◽

Hazardous Alcohol Use ◽

Men And Women ◽

Hazardous Alcohol ◽

The Impact

BackgroundInterest in the mental health of women deployed to modern military campaigns is increasing, although research examining gender differences is limited. Little is known about experiences women have had on these deployments, or whether men and women respond differently to combat exposure.MethodThe current study used data from a representative sample of UK Armed Forces personnel to examine gender differences among those deployed to Iraq and Afghanistan (n=432 women,n=4554 men) in three measures of experience: ‘risk to self’, ‘trauma to others’ and ‘appraisal of deployment’. We examined the impact of such experiences on post-deployment symptoms of post-traumatic stress disorder (PTSD), symptoms of common mental disorder (CMD) and hazardous alcohol use.ResultsAfter adjustment, men reported more exposure to ‘risk to self’ and ‘trauma to others’ events and more negative appraisals of their deployment. Among both genders, all measures of combat experience were associated with symptoms of PTSD and CMD (except ‘risk to self’ events on symptoms of CMD among women) but not with alcohol misuse. Women reported higher scores on the PTSD Checklist – Civilian Version (PCL-C) among those exposed to lower levels of each experience type but this did not hold in the higher levels. Women reported greater symptoms of CMD and men reported greater hazardous alcohol use across both levels of each experience type. Examining men and women separately suggested similar responses to exposure to adverse combat experiences.ConclusionsThe current findings suggest that, although gender differences in mental health exist, the impact of deployment on mental health is similar among men and women.

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