Factors associated with hazardous alcohol use and motivation to reduce drinking among HIV primary care patients: Baseline findings from the Health & Motivation study

Michael J. Silverberg, Wendy A. Leyden, Amy Leibowitz, C. Bradley Hare, Hannah J. Jang, Stacy Sterling, Sheryl L Catz, Sujaya Parthasarathy, Michael A. Horberg, Derek D. Satre

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Background: Limited primary care-based research has examined hazardous drinking risk factors and motivation to reduce use in persons with HIV (PWH). Methods: We computed prevalence ratios (PR) for factors associated with recent (<30 days) hazardous alcohol use (i.e., 4+/5+ drinks in a single day for women/men), elevated Alcohol Use Disorders Identification Test (AUDIT) scores, and importance and confidence (1–10 Likert scales) to reduce drinking among PWH in primary care. Results: Of 614 participants, 48% reported recent hazardous drinking and 12% reported high alcohol use severity (i.e., AUDIT zone 3 or higher). Factors associated with greater alcohol severity included moderate/severe anxiety (PR: 2.07; 95% CI: 1.18, 3.63), tobacco use (PR: 1.79; 1.11, 2.88), and other substance use (PR: 1.72; 1.04, 2.83). Factors associated with lower alcohol severity included age 50–59 years (PR: 0.46; 0.22, 2.00) compared with age 20–39 years, and having some college/college degree (PR: 0.61; 0.38, 0.97) compared with ≤high school. Factors associated with greater importance to reduce drinking (scores >5) included: moderate/severe depression (PR: 1.43; 1.03, 2.00) and other substance use (PR: 1.49; 1.11, 2.01). Lower importance was associated with incomes above $50,000 (PR: 0.65; 0.46, 0.91) and marijuana use (PR: 0.65; 0.49, 0.87). HIV-specific factors (e.g., CD4 and HIV RNA levels) were not associated with alcohol outcomes. Conclusions: This study identified modifiable participant characteristics associated with alcohol outcomes in PWH, including anxiety and depression severity, tobacco use, and other substance use.

Original languageEnglish (US)
Pages (from-to)110-117
Number of pages8
JournalAddictive Behaviors
Volume84
DOIs
StatePublished - Sep 1 2018

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Keywords

  • Anxiety
  • Depression
  • Hazardous alcohol use
  • HIV
  • Interventions
  • Marijuana

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Toxicology
  • Psychiatry and Mental health

Cite this

Silverberg, M. J., Leyden, W. A., Leibowitz, A., Hare, C. B., Jang, H. J., Sterling, S., Catz, S. L., Parthasarathy, S., Horberg, M. A., & Satre, D. D. (2018). Factors associated with hazardous alcohol use and motivation to reduce drinking among HIV primary care patients: Baseline findings from the Health & Motivation study. Addictive Behaviors, 84, 110-117. https://doi.org/10.1016/j.addbeh.2018.03.033