Level of Alcohol Use Associated with HIV Care Continuum Targets in a National U.S. Sample of Persons Living with HIV ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-01

AUTHORS

Emily C. Williams, Kathleen A. McGinnis, E. Jennifer Edelman, Theresa E. Matson, Adam J. Gordon, Brandon D. L. Marshall, Kendall J. Bryant, Anna D. Rubinsky, Gwen T. Lapham, Derek D. Satre, Julie E. Richards, Sheryl L. Catz, David A. Fiellin, Amy C. Justice, Katharine A. Bradley

ABSTRACT

We evaluated associations between levels of alcohol use and HIV care continuum components using national Veterans Aging Cohort Study data for all patients with HIV and AUDIT-C screening (2/1/2008-9/30/2014). Poisson regression models evaluated associations between alcohol use levels (non-drinking, low-, medium-, high-, and very high-level drinking) and: (1) engagement with care (documented CD4 cells/µl or viral load copies/ml labs), (2) ART treatment (≥ 1 prescription), and (3) viral suppression (HIV RNA < 500 copies/ml) within one year. Among 33,224 patients, alcohol use level was inversely associated with all care continuum outcomes (all p < 0.001). Adjusted prevalence of care engagement ranged from 77.8% (95% CI 77.1-78.4%) for non-drinking to 69.1% (66.6-71.6%) for high-level drinking. The corresponding range for ART treatment was 74.0% (73.3-74.7%) to 60.1% (57.3-62.9%) and for viral suppression was 57.3% (56.5-58.1%) to 38.3% (35.6-41.1%). Greater alcohol use is associated with suboptimal HIV treatment across the HIV care continuum. More... »

PAGES

140-151

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10461-018-2210-6

DOI

http://dx.doi.org/10.1007/s10461-018-2210-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1105461814

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29995206


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400 https://www.grid.ac/institutes/grid.420085.b schema:alternateName National Institute On Alcohol Abuse and Alcoholism
401 schema:name National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD, USA
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403 https://www.grid.ac/institutes/grid.47100.32 schema:alternateName Yale University
404 schema:name Veterans Aging Cohort Study Coordinating Center, VA Connecticut Healthcare System, West Haven, CT, USA
405 Yale University School of Medicine and Public Health, New Haven, CT, USA
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407 https://www.grid.ac/institutes/grid.488833.c schema:alternateName Kaiser Permanente Washington Health Research Institute
408 schema:name Department of Health Services, University of Washington, Seattle, WA, USA
409 Health Services Research & Development (HSR&D), Center of Innovation for Veteran-Centered Value-Driven Care, Veteran Affairs (VA) Puget Sound Health Care System, 1660 S. Columbian Way, S-152, 98108, Seattle, WA, USA
410 Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA
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