title: Reasons for drinking as predictors of alcohol involvement one year later among HIV-infected individuals with and without hepatitis C.
abstract: Heavy drinking can be harmful for individuals with HIV, particularly those coinfected with hepatitis C virus (HCV). HIV patients' reasons for drinking predict short-term alcohol involvement, but whether they predict longer-term involvement is unknown. Also, it remains unknown whether these motives are differentially predictive for HIV monoinfected and HIV/HCV coinfected patients.
  
  
  
  HIV-infected heavy drinkers (n = 254) participated in a randomized trial of brief alcohol interventions, 236 (92.9%) of whom reported on baseline motives and alcohol involvement 12 months later (77.1% male, 94.9% minority, 30.6% with HCV).
  
  
  
  Greater endorsement of baseline drinking to cope with negative affect predicted greater alcohol dependence symptoms at 12 months (incident rate ratio [IRR] = 1.80, p < 0.05), while greater endorsement of baseline drinking due to social pressure predicted fewer drinks consumed at 12 months (IRR = 0.67, p < 0.05). Coping and social reasons were both predictive for HIV monoinfected patients, whereas only coping reasons were predictive for HIV/HCV coinfected patients.
  
  
  
  Drinking for coping and social reasons predict alcohol involvement 12 months later; however, social reasons may only be important for HIV monoinfected patients. Understanding patient reasons for drinking may help predict patient risk up to a year later. KEY MESSAGES Among HIV patients, drinking motives predict alcohol involvement 12 months later. For HIV monoinfected patients, drinking to cope and drinking for social reasons predict 12-month alcohol involvement. For HIV/Hepatitis C coinfected patients, coping (but not social) motives predict 12-month alcohol involvement.
authors.affiliation: a Department of Psychiatry , Columbia University Medical Center , New York , USA.|b New York State Psychiatric Institute , New York , USA.
authors.forename: Jennifer C
authors.initials: JC
authors.lastname: Elliott
authors.affiliation: b New York State Psychiatric Institute , New York , USA.
authors.forename: Malka
authors.initials: M
authors.lastname: Stohl
authors.affiliation: a Department of Psychiatry , Columbia University Medical Center , New York , USA.|b New York State Psychiatric Institute , New York , USA.
authors.forename: Efrat
authors.initials: E
authors.lastname: Aharonovich
authors.affiliation: c Centers for Disease Control and Prevention , Atlanta , GA , USA.
authors.forename: Ann
authors.initials: A
authors.lastname: O'Leary
authors.affiliation: a Department of Psychiatry , Columbia University Medical Center , New York , USA.|b New York State Psychiatric Institute , New York , USA.|d Department of Epidemiology, Mailman School of Public Health , Columbia University , New York , USA.
authors.forename: Deborah S
authors.initials: DS
authors.lastname: Hasin
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000428:Alcohol Drinking / Q000523:psychology* / Q000628:therapy; D000437:Alcoholism / Q000523:psychology* / Q000628:therapy / Q000821:virology*; D060085:Coinfection / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006526:Hepatitis C / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D011897:Random Allocation; D012307:Risk Factors; D012959:Socioeconomic Factors
keywords: Alcohol; HIV; Hepatitis C; drinking; motives; reasons for drinking