title: Drinking motives among HIV primary care patients.
abstract: Heavy drinking among individuals with HIV is associated with poor medication adherence and other health problems. Understanding reasons for drinking (drinking motives) in this population is therefore important and could inform intervention. Using concepts of drinking motives from previous alcohol research, we assessed these motives and drinking in 254 HIV-positive primary care patients (78.0 % male; 94.5 % African American or Hispanic) prior to their participation in an alcohol intervention trial. Three motives had good factor structure and internal consistency: "drinking to cope with negative affect", "drinking for social facilitation" (both associated with heavier drinking), and "drinking due to social pressure" (associated with less drinking). Drinking motives may provide important content for alcohol intervention; clinical trials could indicate whether inclusion of such content improves intervention efficacy. Discussing motives in session could help providers assist clients in better managing psychological and social aspects of their lives without reliance on alcohol.
authors.affiliation: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
authors.forename: Jennifer C
authors.initials: JC
authors.lastname: Elliott
authors.forename: Efrat
authors.initials: E
authors.lastname: Aharonovich
authors.forename: Ann
authors.initials: A
authors.lastname: O'Leary
authors.forename: Milton
authors.initials: M
authors.lastname: Wainberg
authors.forename: Deborah S
authors.initials: DS
authors.lastname: Hasin
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology*; D003863:Depression / Q000453:epidemiology*; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology*; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D008875:Middle Aged; D009042:Motivation; D011320:Primary Health Care; D012931:Social Environment; D011795:Surveys and Questionnaires; D014481:United States; D016903:Drug Monitoring