title: Longitudinal trends in hazardous alcohol consumption among women with human immunodeficiency virus infection, 1995-2006.
abstract: Hazardous alcohol consumption among women with human immunodeficiency virus (HIV) infection is associated with several adverse health and behavioral outcomes, but the proportion of HIV-positive women who engage in hazardous drinking over time is unclear. The authors sought to determine rates of hazardous alcohol consumption among these women over time and to identify factors associated with this behavior. Subjects were 2,770 HIV-positive women recruited from 6 US cities who participated in semiannual follow-up visits in the Women's Interagency HIV Study from 1995 to 2006. Hazardous alcohol consumption was defined as exceeding daily (> or =4 drinks) or weekly (>7 drinks) consumption recommendations. Over the 11-year follow-up period, 14%-24% of the women reported past-year hazardous drinking, with a slight decrease in hazardous drinking over time. Women were significantly more likely to report hazardous drinking if they were unemployed, were not high school graduates, had been enrolled in the original cohort (1994-1995), had a CD4 cell count of 200-500 cells/mL, were hepatitis C-seropositive, or had symptoms of depression. Approximately 1 in 5 of the women met criteria for hazardous drinking. Interventions to identify and address hazardous drinking among HIV-positive women are urgently needed.
authors.affiliation: Department of Epidemiology and Biostatistics, University of Florida, Gainesville, 32607, USA. cookrl@phhp.ufl.edu
authors.forename: Robert L
authors.initials: RL
authors.lastname: Cook
authors.forename: Fang
authors.initials: F
authors.lastname: Zhu
authors.forename: Bea Herbeck
authors.initials: BH
authors.lastname: Belnap
authors.forename: Kathleen
authors.initials: K
authors.lastname: Weber
authors.forename: Judith A
authors.initials: JA
authors.lastname: Cook
authors.forename: David
authors.initials: D
authors.lastname: Vlahov
authors.forename: Tracey E
authors.initials: TE
authors.lastname: Wilson
authors.forename: Nancy A
authors.initials: NA
authors.lastname: Hessol
authors.forename: Michael
authors.initials: M
authors.lastname: Plankey
authors.forename: Andrea A
authors.initials: AA
authors.lastname: Howard
authors.forename: Stephen R
authors.initials: SR
authors.lastname: Cole
authors.forename: Gerald B
authors.initials: GB
authors.lastname: Sharp
authors.forename: Jean L
authors.initials: JL
authors.lastname: Richardson
authors.forename: Mardge H
authors.initials: MH
authors.lastname: Cohen
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology*; D023241:Antiretroviral Therapy, Highly Active; D015897:Comorbidity; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000453:epidemiology*; D006801:Humans; D008137:Longitudinal Studies; D015999:Multivariate Analysis; D019966:Substance-Related Disorders / Q000453:epidemiology; D014481:United States / Q000453:epidemiology