Changing Patterns of Alcohol Use and Probability of Unsuppressed Viral Load Among Treated Patients with HIV Engaged in Routine Care in the United States
We examined HIV viral load non-suppression ([Formula: see text] 200 copies/mL) subsequent to person-periods (3-18 months) bookended by two self-reports of alcohol use on a standardized patient reported outcome assessment among adults in routine HIV care. We examined the relative risk (RR) of non-suppression associated with increases and decreases in alcohol use (relative to stable use), stratified by use at the start of the person-period. Increases in drinking from abstinence were associated with higher risk of viral non-suppression (low-risk without binge: RR 1.16, 95% CI 1.03, 1.32; low-risk with binge: RR 1.35, 95% CI 1.11, 1.63; high-risk: RR 1.89, 95% CI 1.16, 3.08). Decreases in drinking from high-risk drinking were weakly, and not statistically significantly associated with lower risk of viral non-suppression. Other changes in alcohol use were not associated with viral load non-suppression. Most changes in alcohol consumption among people using alcohol at baseline were not strongly associated with viral non-suppression.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:25 |
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| Enthalten in: |
AIDS and behavior - 25(2021), 4 vom: 16. Apr., Seite 1072-1082 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lesko, Catherine R [VerfasserIn] |
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| Links: |
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| Themen: |
Alcohol drinking |
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| Anmerkungen: |
Date Completed 27.04.2021 Date Revised 16.07.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s10461-020-03065-z |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM316337366 |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a We examined HIV viral load non-suppression ([Formula: see text] 200 copies/mL) subsequent to person-periods (3-18 months) bookended by two self-reports of alcohol use on a standardized patient reported outcome assessment among adults in routine HIV care. We examined the relative risk (RR) of non-suppression associated with increases and decreases in alcohol use (relative to stable use), stratified by use at the start of the person-period. Increases in drinking from abstinence were associated with higher risk of viral non-suppression (low-risk without binge: RR 1.16, 95% CI 1.03, 1.32; low-risk with binge: RR 1.35, 95% CI 1.11, 1.63; high-risk: RR 1.89, 95% CI 1.16, 3.08). Decreases in drinking from high-risk drinking were weakly, and not statistically significantly associated with lower risk of viral non-suppression. Other changes in alcohol use were not associated with viral load non-suppression. Most changes in alcohol consumption among people using alcohol at baseline were not strongly associated with viral non-suppression | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Alcohol drinking | |
| 650 | 4 | |a Drinking behavior | |
| 650 | 4 | |a HIV infections | |
| 650 | 4 | |a Patient reported outcome measures | |
| 650 | 4 | |a Prospective studies | |
| 650 | 4 | |a Viral load | |
| 700 | 1 | |a Nance, Robin M |e verfasserin |4 aut | |
| 700 | 1 | |a Lau, Bryan |e verfasserin |4 aut | |
| 700 | 1 | |a Fojo, Anthony T |e verfasserin |4 aut | |
| 700 | 1 | |a Hutton, Heidi E |e verfasserin |4 aut | |
| 700 | 1 | |a Delaney, Joseph A C |e verfasserin |4 aut | |
| 700 | 1 | |a Crane, Heidi M |e verfasserin |4 aut | |
| 700 | 1 | |a Cropsey, Karen L |e verfasserin |4 aut | |
| 700 | 1 | |a Mayer, Kenneth H |e verfasserin |4 aut | |
| 700 | 1 | |a Napravnik, Sonia |e verfasserin |4 aut | |
| 700 | 1 | |a Geng, Elvin |e verfasserin |4 aut | |
| 700 | 1 | |a Mathews, W Christopher |e verfasserin |4 aut | |
| 700 | 1 | |a McCaul, Mary E |e verfasserin |4 aut | |
| 700 | 1 | |a Chander, Geetanjali |e verfasserin |4 aut | |
| 700 | 0 | |a CNICS |e verfasserin |4 aut | |
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