Level of Alcohol Use Associated with HIV Care Continuum Targets in a National U.S. Sample of Persons Living with HIV Receiving Healthcare

Emily C. Williams, Kathleen A. McGinnis, E. Jennifer Edelman, Theresa E. Matson, Adam J. Gordon, Brandon D.L. Marshall, Kendall J. Bryant, Anna D. Rubinsky, Gwen T. Lapham, Derek D. Satre, Julie E. Richards, Sheryl L Catz, David A. Fiellin, Amy C. Justice, Katharine A. Bradley

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

We evaluated associations between levels of alcohol use and HIV care continuum components using national Veterans Aging Cohort Study data for all patients with HIV and AUDIT-C screening (2/1/2008–9/30/2014). Poisson regression models evaluated associations between alcohol use levels (non-drinking, low-, medium-, high-, and very high-level drinking) and: (1) engagement with care (documented CD4 cells/µl or viral load copies/ml labs), (2) ART treatment (≥ 1 prescription), and (3) viral suppression (HIV RNA < 500 copies/ml) within one year. Among 33,224 patients, alcohol use level was inversely associated with all care continuum outcomes (all p < 0.001). Adjusted prevalence of care engagement ranged from 77.8% (95% CI 77.1–78.4%) for non-drinking to 69.1% (66.6–71.6%) for high-level drinking. The corresponding range for ART treatment was 74.0% (73.3–74.7%) to 60.1% (57.3–62.9%) and for viral suppression was 57.3% (56.5–58.1%) to 38.3% (35.6–41.1%). Greater alcohol use is associated with suboptimal HIV treatment across the HIV care continuum.

Original languageEnglish (US)
Pages (from-to)1-12
Number of pages12
JournalAIDS and Behavior
DOIs
StateAccepted/In press - Jul 9 2018

Keywords

  • Alcohol
  • Antiretroviral therapy
  • Care continuum
  • HIV
  • Treatment cascade
  • Viral suppression

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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    Williams, E. C., McGinnis, K. A., Edelman, E. J., Matson, T. E., Gordon, A. J., Marshall, B. D. L., Bryant, K. J., Rubinsky, A. D., Lapham, G. T., Satre, D. D., Richards, J. E., Catz, S. L., Fiellin, D. A., Justice, A. C., & Bradley, K. A. (Accepted/In press). Level of Alcohol Use Associated with HIV Care Continuum Targets in a National U.S. Sample of Persons Living with HIV Receiving Healthcare. AIDS and Behavior, 1-12. https://doi.org/10.1007/s10461-018-2210-6