Drinking Motives Among HIV Primary Care Patients

Elliott, Jennifer C.; Aharonovich, Efrat; O’Leary, Ann; Wainberg, Milton L.; Hasin, Deborah S.

doi:10.1007/s10461-013-0644-4

Cited by 20 publications

(43 citation statements)

References 51 publications

(58 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As reported previously (Elliott et al, in press), participants reported typically consuming a mean of 5.68 (s.d. = 3.49) drinks per occasion, with a maximum consumption of 11.29 drinks (s.d.…”

Section: Resultssupporting

confidence: 67%

“…Data analyzed in the present report were collected via Audio Computer-Assisted Self-Interview (A-CASI) in English or Spanish (patients’ preference) at baseline assessment, after enrollment in the study but prior to intervention participation. As described elsewhere (Elliott et al, in press), participants were mostly male (78.0%), and African American (49.6%) or Hispanic (44.9%). Their average age was 45.7 years (s.d.…”

Section: Methodsmentioning

confidence: 91%

“…Interestingly, HIV-positive heavy drinkers endorse social issues as reasons for drinking (e.g., for social facilitation, in response to social pressure; (Elliott et al, in press)) as well as reasons for limiting drinking (e.g., due to social responsibilities, to avoid social disapproval). This suggests that social issues are related to drinking in complex ways.…”

Section: Discussionmentioning

confidence: 99%

“…Consistent with previous research on this sample (Elliott et al, in press), we controlled for the following demographic variables: age, ethnicity, gender, highest level of education, and preferred language for study completion. We also controlled for whether patients were on HIV medication, and the number of years since HIV diagnosis.…”

Section: Methodsmentioning

confidence: 99%

“…Studies thus far have focused on reasons for drinking. These studies indicate that drinking is related to coping and social drinking motives (Elliott et al, in press) and expectancies about alcohol and sex (Bimbi et al, 2006, Kalichman et al, 2002, Maisto et al, 2010). However, no studies have assessed reasons for abstaining, decreasing drinking, or maintaining low levels of drinking (hereafter termed “reasons for limiting drinking”) in patients living with HIV.…”

Section: Introductionmentioning

confidence: 96%

See 4 more Smart Citations

Reasons for Limiting Drinking in an HIV Primary Care Sample

Elliott

Aharonovich

Hasin

2014

Alcohol Clin Exp Res

Self Cite

View full text Add to dashboard Cite

BACKGROUND Heavy drinking among individuals with HIV is associated with major health concerns (liver disease, medication nonadherence, immune functioning), but little is known about cognitive-motivational factors involved in alcohol consumption in this population, particularly reasons for limiting drinking. METHODS Urban HIV primary care patients (N=254; 78.0% male; 94.5% African American or Hispanic) in a randomized trial of brief drinking-reduction interventions reported on reasons for limiting drinking, alcohol consumption, and alcohol dependence symptoms prior to intervention. RESULTS Exploratory factor analysis indicated three main domains of reasons for limiting drinking: social reasons (e.g., responsibility to family), lifestyle reasons (e.g., religious/moral reasons), and impairment concerns (e.g., hangovers). These factors evidenced good internal consistency (αs=0.76–0.86). Higher scores on social reasons for limiting drinking were associated with lower typical quantity, maximum quantity, and binge frequency (ps<0.01), and higher scores on lifestyle reasons were associated with lower maximum quantity, binge frequency, and intoxication frequency (ps<0.01). In contrast, higher scores on impairment concerns were associated with more frequent drinking and intoxication, and higher risk of alcohol dependence (ps<0.05), likely because dependent drinkers are more familiar with alcohol-induced impairment. CONCLUSIONS The current study is the first to explore reasons for limiting drinking among individuals with HIV, and how these reasons relate to alcohol involvement. This study yields a scale that can be used to assess reasons for limiting drinking among HIV-positive drinkers, and provides information that can be used to enhance interventions with this population. Discussing social and lifestyle reasons for limiting drinking among less extreme drinkers may support and validate these patients’ efforts to limit engagement in heavy drinking; discussion of impairment reasons for limiting drinking may be a way to engage dependent drinkers in efforts to decrease their alcohol consumption.

show abstract

Section: Resultssupporting

confidence: 67%

Section: Methodsmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

See 3 more Smart Citations

Reasons for Limiting Drinking in an HIV Primary Care Sample

Elliott

Aharonovich

Hasin

2014

Alcohol Clin Exp Res

Self Cite

View full text Add to dashboard Cite

show abstract

Qualitative Study of Changes in Alcohol Use Among HIV-Infected Adults Entering Care and Treatment for HIV/AIDS in Rural Southwest Uganda

et al. 2014

View full text Add to dashboard Cite

Alcohol has a substantial negative impact on the HIV epidemic in sub-Saharan Africa, particularly in Uganda, where heavy alcohol consumption is common. Using a content analytic approach, this qualitative study characterizes changes in alcohol use among 59 HIV-infected Ugandan adults (>18 years old), who reported any alcohol use in the previous year as they entered HIV care. Most participants reported attempting to cease or reduce alcohol intake over the study period. Reasons for decreased use included advice from clinicians, interference with social obligations, threats to financial security, and negative impact on social standing. Participants reported difficulty abstaining from alcohol, with incentives to continue drinking including desire for social inclusion, stress relief, and enjoyment of alcohol. These contrasting incentives created a moral quandary for some participants, who felt ‘pulled’ between ‘good’ and ‘bad’ influences. Results suggest brief interventions addressing self-identified obstacles to change may facilitate long-term reductions in drinking in this population.

show abstract

Behavioral Interventions Targeting Alcohol Use Among People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

et al. 2017

View full text Add to dashboard Cite

Alcohol use is often reported among people living with HIV/AIDS (PLWHA) and is associated with increased sexual risk and poor medication adherence. This meta-analysis evaluated the efficacy of behavioral interventions addressing alcohol use among PLWHA. Twenty-one studies (N = 8,461 PLWHA) that evaluated an individual-level intervention addressing alcohol use alone or as part of a more comprehensive alcohol/HIV intervention, included a control condition, and were available through December 2016 were included. Independent raters coded study, sample, and intervention content. Weighted mean effect sizes, using random-effects models, were calculated. Results indicate that interventions reduced alcohol consumption, increased condom use, and improved medication adherence relative to controls (d+s = 0.10–0.24). Plasma viral load was also reduced in intervention versus control participants (d+ = 0.14, 95% CI = 0.02, 0.26; k= 7). These findings show that behavioral interventions addressing alcohol use can successfully reduce alcohol consumption and also improve HIV-related outcomes among PLWHA.

show abstract

Drinking Motives Among HIV Primary Care Patients

Cited by 20 publications

References 51 publications

Reasons for Limiting Drinking in an HIV Primary Care Sample

Reasons for Limiting Drinking in an HIV Primary Care Sample

Qualitative Study of Changes in Alcohol Use Among HIV-Infected Adults Entering Care and Treatment for HIV/AIDS in Rural Southwest Uganda

Behavioral Interventions Targeting Alcohol Use Among People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

Contact Info

Product

Resources

About