2019
DOI: 10.1007/s40615-019-00630-8
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Alcohol Use and Ethnicity Independently Predict Antiretroviral Therapy Nonadherence Among Patients Living with HIV/HCV Coinfection

Abstract: Background: Adherence to antiretroviral therapy (ART) is important to counter synergistic effects of HIV and hepatitis C (HCV) in patients living with co-infection. Predictors of ART nonadherence among patients living with HIV/HCV co-infection are not well established. This knowledge would be advantageous for clinicians and behavioral health specialists who provide care to patients living with HIV/HCV co-infection.

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Cited by 3 publications
(3 citation statements)
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“…In this study we enrolled a large and diverse national sample of adolescents with ZIP Code level data/ census tract/ to examine neighborhood-level characteristics i.e., age, race, ethnicity, and income). Similar to the literature we found that addressing ethnicity and income can play a significant role in improving the efficacy of interventions in RCTs ( Kraemer et al, 2008 , Sims et al, 2020 , Johnson Lyons et al, 2022 ). Importantly, neighborhoods may operate in ways that enable the behaviors of individuals or restrict access to preventive care or health resources ( Diez Roux and Mair, 2010 , Akinyemiju et al, 2013 ), further exacerbating adverse health outcomes.…”
Section: Discussionsupporting
confidence: 87%
“…In this study we enrolled a large and diverse national sample of adolescents with ZIP Code level data/ census tract/ to examine neighborhood-level characteristics i.e., age, race, ethnicity, and income). Similar to the literature we found that addressing ethnicity and income can play a significant role in improving the efficacy of interventions in RCTs ( Kraemer et al, 2008 , Sims et al, 2020 , Johnson Lyons et al, 2022 ). Importantly, neighborhoods may operate in ways that enable the behaviors of individuals or restrict access to preventive care or health resources ( Diez Roux and Mair, 2010 , Akinyemiju et al, 2013 ), further exacerbating adverse health outcomes.…”
Section: Discussionsupporting
confidence: 87%
“…Importantly, a recent paper stressed the fact that both adherence to HAART treatment and alcohol consumption should be carefully monitored in this group of patients. Furthermore, higher alcohol consumption per day was positively associated with HAART non-adherence[ 346 ]. Interestingly, high coffee intake is probably associated with reduced liver fibrosis even in HCV/HIV coinfected patients with high alcohol abuse[ 347 ].…”
Section: Hcv/hiv Coinfectionmentioning
confidence: 99%
“…Undoubtedly, attention to both alcohol and substance use are warranted. Alcohol use accelerates HIV and HCV viral replication and worsens liver damage (Lim et al, 2014 ; Szabo et al, 2010 ), and both alcohol and substance use reduces medication adherence and increases the risk of transmission to those living without infection (Massa & Rosen, 2012 ; Sims et al, 2019 ) Despite tobacco use also expediting HCV and HIV disease progression and other negative health outcomes, tobacco use in patients living with HIV/HCV co-infection is rarely addressed in HIV clinical settings and in research. Health professionals and researchers are encouraged to consider intervention approaches that target concurrent alcohol and substance use as a method of reducing the likelihood of tobacco use or intervention approaches that collectively target alcohol, substance, and tobacco use.…”
Section: Discussionmentioning
confidence: 99%