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. 2021;56(6):871-878.
doi: 10.1080/10826084.2021.1899232. Epub 2021 Mar 26.

Negative Consequences of Alcohol Use among People Living with HIV

Rebecca J Fisk  1 , Veronica L Richards  1 , Robert F Leeman  2 , Babette Brumback  3 , Christa Cook  4 , Robert L Cook  1
Affiliations

Negative Consequences of Alcohol Use among People Living with HIV

Rebecca J Fisk et al. Subst Use Misuse. 2021.

Abstract

Introduction: Among people living with HIV (PLWH), alcohol use can have negative impacts beyond HIV-related outcomes. The objectives of this study are to identify the most common alcohol-related consequences among PLWH in Florida and describe factors associated with experiencing more alcohol-related consequences. Methods: Data were collected from PLWH in the Florida Cohort study who drank at least monthly in the past year (n=397). Self-reported consequences were assessed by the 15-item Short Inventory of Problems Revised (SIP-2R). Nonparametric tests and a generalized estimating equation model with inverse probability of exposure weighting were used to evaluate associations between the total SIP-2R score and socio-demographics, mental health, and substance use while controlling for alcohol use. Results: Over half (56%) endorsed at least one consequence and 29% endorsed 5 or more consequences. The most common consequences were doing something they regretted and taking foolish risks (both endorsed by 37% of participants), both in the impulse control domain. After controlling for alcohol use and other covariates, homelessness and injection drug use remained significantly associated with greater SIP-2R scores. Conclusion: PLWH who are experiencing homelessness or injecting drugs could benefit from receiving additional screening for alcohol-related consequences if they report any alcohol use.

Keywords: Alcohol consumption; HIV; binge drinking; drinking behavior; drug abuse; homeless persons.

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Figures

Figure 1.
Figure 1.
Number of endorsed negative consequences by domain among persons living with HIV who reported drinking at least monthly (n=397)
Figure 2.
Figure 2.
Most commonly endorsed individual negative consequences of alcohol use (n=397)
See this image and copyright information in PMC

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