title: Alcohol consumption within the context of hepatitis C: a qualitative study of non-problematic drinkers.
abstract: OBJECTIVE
  Little is known about how non-problematic drinkers respond to advice to reduce alcohol consumption as part of disease management. In this article, we examine patient reports of drinking behaviour after being diagnosed with chronic hepatitis C, a condition for which alcohol consumption is contraindicated.
  
  
  METHODS
  In this qualitative study, we analyzed transcripts of semi-structured interviews with hepatitis C virus+ (HCV+) patients whose level of alcohol consumption would not be considered problematic in the absence of their diagnosis.
  
  
  RESULTS
  Most respondents reported some instances of adherence, but only half adhered to the advice to limit drinking consistently over time. Respondents who did not stop drinking often modified their behaviour by changing the type of alcohol consumed or limiting drinking to particular occasions.
  
  
  CONCLUSIONS
  Most informants understood the risks of drinking after HCV infection, particularly in the presence of symptoms, with the onset of complications, or when undergoing treatment. But some believed they could monitor their bodies for evidence of disease progression or that drinking was acceptable during early, asymptomatic stages of infection. Our results also identified situations in which patients need support in adhering to intentions not to drink, including social pressures, stressful situations, or environmental triggers.
authors.affiliation: Wake Forest University, Winston-Salem, NC, USA. eps3@po.cwru.edu
authors.forename: Eleanor Palo
authors.initials: EP
authors.lastname: Stoller
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Hund
authors.forename: Noah J
authors.initials: NJ
authors.lastname: Webster
authors.forename: Carol E
authors.initials: CE
authors.lastname: Blixen
authors.forename: Adam T
authors.initials: AT
authors.lastname: Perzynski
authors.forename: Richard A
authors.initials: RA
authors.lastname: McCormick
authors.forename: Stephanie W
authors.initials: SW
authors.lastname: Kanuch
authors.forename: Neal V
authors.initials: NV
authors.lastname: Dawson
mesh_terms: D000328:Adult; D000368:Aged; D000428:Alcohol Drinking; D005260:Female; D015438:Health Behavior; D019698:Hepatitis C, Chronic / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009820:Ohio; D036301:Qualitative Research