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- Title
Characterizing Unhealthy Alcohol Use Patterns and Their Association with Alcohol Use Reduction and Alcohol Use Disorder During Follow-Up in HIV Care.
- Authors
Davy-Mendez, Thibaut; Sarovar, Varada; Levine-Hall, Tory; Lea, Alexandra N.; Sterling, Stacy A.; Chi, Felicia W.; Palzes, Vanessa A.; Luu, Mitchell N.; Flamm, Jason A.; Hare, C. Bradley; Williams, Emily C.; Bryant, Kendall J.; Weisner, Constance M.; Silverberg, Michael J.; Satre, Derek D.
- Abstract
Outcomes of PWH with unhealthy alcohol use, such as alcohol use reduction or progression to AUD, are not well-known and may differ by baseline patterns of unhealthy alcohol use. Among 1299 PWH screening positive for NIAAA-defined unhealthy alcohol use in Kaiser Permanente Northern California, 2013–2017, we compared 2-year probabilities of reduction to low-risk/no alcohol use and rates of new AUD diagnoses by baseline use patterns, categorized as exceeding: only daily limits (72% of included PWH), only weekly limits (17%), or both (11%), based on NIAAA recommendations. Overall, 73.2% (95% CI 70.5–75.9%) of re-screened PWH reduced to low-risk/no alcohol use over 2 years, and there were 3.1 (95% CI 2.5–3.8%) new AUD diagnoses per 100 person-years. Compared with PWH only exceeding daily limits at baseline, those only exceeding weekly limits and those exceeding both limits were less likely to reduce and likelier to be diagnosed with AUD during follow-up. PWH exceeding weekly drinking limits, with or without exceeding daily limits, may have a potential need for targeted interventions to address unhealthy alcohol use.
- Subjects
CALIFORNIA; DIAGNOSIS of alcoholism; ALCOHOLISM risk factors; PREVENTION of alcoholism; HIV-positive persons; HIV infections; PATIENT aftercare; DISEASE progression; CONFIDENCE intervals; MEDICAL screening; RISK assessment; ALCOHOL drinking; DESCRIPTIVE statistics; HEALTH behavior; RESEARCH funding; PROBABILITY theory
- Publication
AIDS & Behavior, 2023, Vol 27, Issue 5, p1380
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-022-03873-5