title: Alcohol consumption trajectory patterns in adult women with HIV infection.
abstract: HIV-infected women with excessive alcohol consumption are at risk for adverse health outcomes, but little is known about their long-term drinking trajectories. This analysis included longitudinal data, obtained from 1996 to 2006, from 2,791 women with HIV from the Women's Interagency HIV Study. Among these women, the proportion in each of five distinct drinking trajectories was: continued heavy drinking (3 %), reduction from heavy to non-heavy drinking (4 %), increase from non-heavy to heavy drinking (8 %), continued non-heavy drinking (36 %), and continued non-drinking (49 %). Depressive symptoms, other substance use (crack/cocaine, marijuana, and tobacco), co-infection with hepatitis C virus (HCV), and heavy drinking prior to enrollment were associated with trajectories involving future heavy drinking. In conclusion, many women with HIV change their drinking patterns over time. Clinicians and those providing alcohol-related interventions might target those with depression, current use of tobacco or illicit drugs, HCV infection, or a previous history of drinking problems.
authors: Department of Epidemiology, University of Florida, PO Box 100231, Gainesville, FL 32610, USA. cookrl@ufl.edu
authors: Robert L
authors: RL
authors: Cook
authors: Fang
authors: F
authors: Zhu
authors: Bea Herbeck
authors: BH
authors: Belnap
authors: Kathleen M
authors: KM
authors: Weber
authors: Stephen R
authors: SR
authors: Cole
authors: David
authors: D
authors: Vlahov
authors: Judith A
authors: JA
authors: Cook
authors: Nancy A
authors: NA
authors: Hessol
authors: Tracey E
authors: TE
authors: Wilson
authors: Michael
authors: M
authors: Plankey
authors: Andrea A
authors: AA
authors: Howard
authors: Gerald B
authors: GB
authors: Sharp
authors: Jean L
authors: JL
authors: Richardson
authors: Mardge H
authors: MH
authors: Cohen
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology* / Q000523:psychology; D000437:Alcoholism / Q000453:epidemiology / Q000523:psychology; D003863:Depression / Q000453:epidemiology / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D013997:Time Factors; D014481:United States / Q000453:epidemiology