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Factors associated with hazardous alcohol use and motivation to reduce drinking among HIV primary care patients: Baseline findings from the Health & Motivation study.
Silverberg, Michael J; Leyden, Wendy A; Leibowitz, Amy; Hare, C Bradley; Jang, Hannah J; Sterling, Stacy; Catz, Sheryl L; Parthasarathy, Sujaya; Horberg, Michael A; Satre, Derek D.
Afiliación
  • Silverberg MJ; Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States. Electronic address: Michael.J.Silverberg@kp.org.
  • Leyden WA; Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States.
  • Leibowitz A; Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States.
  • Hare CB; Department of Adult and Family Medicine, Kaiser Permanente San Francisco Medical Center, San Francisco, CA, United States.
  • Jang HJ; Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States; UCSF Medical Center Institute for Nursing Excellence, United States.
  • Sterling S; Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States.
  • Catz SL; Betty Irene Moore School of Nursing, University of California at Davis, Sacramento, CA, United States.
  • Parthasarathy S; Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States.
  • Horberg MA; Mid-Atlantic Permanente Research Institute, Kaiser Permanente Mid-Atlantic States, Rockville, MD, United States.
  • Satre DD; Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States; UCSF Weill Institute for Neurosciences, Department of Psychiatry, University of California, San Francisco, CA, United States.
Addict Behav ; 84: 110-117, 2018 09.
Article en En | MEDLINE | ID: mdl-29660593
BACKGROUND: Limited primary care-based research has examined hazardous drinking risk factors and motivation to reduce use in persons with HIV (PWH). METHODS: We computed prevalence ratios (PR) for factors associated with recent (<30 days) hazardous alcohol use (i.e., 4+/5+ drinks in a single day for women/men), elevated Alcohol Use Disorders Identification Test (AUDIT) scores, and importance and confidence (1-10 Likert scales) to reduce drinking among PWH in primary care. RESULTS: Of 614 participants, 48% reported recent hazardous drinking and 12% reported high alcohol use severity (i.e., AUDIT zone 3 or higher). Factors associated with greater alcohol severity included moderate/severe anxiety (PR: 2.07; 95% CI: 1.18, 3.63), tobacco use (PR: 1.79; 1.11, 2.88), and other substance use (PR: 1.72; 1.04, 2.83). Factors associated with lower alcohol severity included age 50-59 years (PR: 0.46; 0.22, 2.00) compared with age 20-39 years, and having some college/college degree (PR: 0.61; 0.38, 0.97) compared with ≤high school. Factors associated with greater importance to reduce drinking (scores >5) included: moderate/severe depression (PR: 1.43; 1.03, 2.00) and other substance use (PR: 1.49; 1.11, 2.01). Lower importance was associated with incomes above $50,000 (PR: 0.65; 0.46, 0.91) and marijuana use (PR: 0.65; 0.49, 0.87). HIV-specific factors (e.g., CD4 and HIV RNA levels) were not associated with alcohol outcomes. CONCLUSIONS: This study identified modifiable participant characteristics associated with alcohol outcomes in PWH, including anxiety and depression severity, tobacco use, and other substance use.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Consumo Excesivo de Bebidas Alcohólicas / Uso de la Marihuana / Motivación Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Addict Behav Año: 2018 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Consumo Excesivo de Bebidas Alcohólicas / Uso de la Marihuana / Motivación Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Addict Behav Año: 2018 Tipo del documento: Article Pais de publicación: Reino Unido