title: Contextualizing Psychosocial Determinants of Alcohol Use by Age Cohorts of Adults Living With HIV, Ages 50 and Older.
abstract: We examined the influence of age on associations between affective states, social support, and alcohol use by age cohorts. We recruited 96 older Black adults living with HIV from the southeastern United States in 2013 and 2014. Participants completed questionnaires assessing demographics, psychological function, and substance use. Hierarchical regression analyses assessed the relationship between psychosocial factors and alcohol use in a 50- to 59-year-old group, and a 60-years-and-older age group. After controlling for covariates, trait anger, state anger, and life stress were positively associated with alcohol consumption in the younger group, while social support was negatively associated with alcohol consumption in the older group. Interventions should target negative affective states in 50- to 59-year-old adults with HIV, and preserve social support for adults with HIV as they age, as such interventions will likely have an impact on these individuals' alcohol consumption and longstanding quality of life.
authors.forename: Zachary L
authors.initials: ZL
authors.lastname: Mannes
authors.forename: Larry E
authors.initials: LE
authors.lastname: Burrell
authors.forename: Eugene M
authors.initials: EM
authors.lastname: Dunne
authors.forename: Lauren E
authors.initials: LE
authors.lastname: Hearn
authors.forename: Nicole Ennis
authors.initials: NE
authors.lastname: Whitehead
mesh_terms: D000223:Adaptation, Psychological; D001741:Black or African American / Q000523:psychology; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology*; D000786:Anger; D044383:Black People / Q000523:psychology*; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology; D005260:Female; D005431:Florida / Q000453:epidemiology; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology*; D006801:Humans; D008132:Loneliness; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life / Q000523:psychology*; D012044:Regression Analysis; D012944:Social Support; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000453:epidemiology / Q000523:psychology*
keywords: HIV; aging; alcohol use; mental health; quality of life; social support