Longitudinal trends in hazardous alcohol consumption among women with human immunodeficiency virus infection, 1995-2006.
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.
Cook
Robert L
RL
Department of Epidemiology and Biostatistics, University of Florida, Gainesville, 32607, USA. cookrl@phhp.ufl.edu
Zhu
Fang
F
Belnap
Bea Herbeck
BH
Weber
Kathleen
K
Cook
Judith A
JA
Vlahov
David
D
Wilson
Tracey E
TE
Hessol
Nancy A
NA
Plankey
Michael
M
Howard
Andrea A
AA
Cole
Stephen R
SR
Sharp
Gerald B
GB
Richardson
Jean L
JL
Cohen
Mardge H
MH
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