Alcohol consumption and HIV/AIDS: the neglected interface

Schneider, Michelle; Chersich, Matthew; Neuman, Manuela G.; Parry, Charles D. H.

doi:10.1111/j.1360-0443.2012.03824.x

Cited by 55 publications

(48 citation statements)

References 13 publications

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“…Many variables may be implicated in the complex association between substance use and HIV infection and the studies still show conflicting results. Trying to stimulate more research in this subject, an editorial titled "Alcohol consumption and HIV/AIDS: the neglected interface" was recently published (Schneider, Chersich, Neuman, & Parry, 2012).…”

Section: Introductionmentioning

confidence: 99%

Alcohol dependence and CD4 cell count: is there a relationship?

2014

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Alcohol and other drugs use seem to be common among people infected with HIV on antiretroviral treatment (ART). Their effects on HIV progression is still in debate. This study aimed to assess the association between alcohol and drug use and an HIV disease progression biomarker (CD4 cell count) among patients on ART. A cross-sectional study was carried out at an HIV treatment center affiliated with Medical School of the University of São Paulo, Brazil. Four hundred and thirty-eight HIV-positive patients on ART were interviewed by trained psychiatrists and psychologists using the following instruments: Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Alcohol Use Disorders Identification Test (AUDIT), 17-item Hamilton Rating Scale for Depression, and the Simplified Medication Adherence Questionnaire (SMAQ). In the previous month, 219 (50%) and 41 (9.3%) patients reported use of alcohol and illicit drugs, respectively. Fifty patients (12.6%) were classified as having harmful alcohol use by AUDIT. According to SCID-I, 80 patients (18.3%) were alcohol abusers, 24 (5.5%) alcohol dependents, and 21 (4.2%) had a current depressive disorder. Almost 73% (n = 319-72.8%) of the patients were adherent to ART. Alcohol dependents were nine times (p < 0.01) more likely to have CD4 cell count ≤200/mm(3), and this association was independent of ART adherence. In conclusion, alcohol dependence seems to be associated with low CD4 cell count in HIV-positive patients. Based on these data, HIV health care workers should always assess alcohol consumption in the treatment setting, and patients should be advised that alcohol dependence may be linked to low CD4.

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Section: Introductionmentioning

confidence: 99%

Alcohol dependence and CD4 cell count: is there a relationship?

2014

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“…Alcohol use has a profound effect on the HIV epidemic, influencing a variety of HIV-related outcomes including the progression of disease and adherence to treatment (6, 7). Perhaps no effect has received more attention than the role of alcohol in increasing HIV transmission risk (8).…”

Section: Introductionmentioning

confidence: 99%

Daily Associations Between Alcohol Use and Unprotected Anal Sex Among Heavy Drinking HIV-Positive Men Who Have Sex with Men

et al. 2014

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Men who have sex with men (MSM) account for the largest proportion of new HIV infections in the United States. Alcohol may facilitate HIV transmission by increasing unprotected anal sex, but few studies have focused on transmission behaviors in HIV-positive MSM. This study explored daily associations between alcohol use and sexual behavior among heavy drinking HIV-positive MSM using a 30-day Timeline Followback interview. Results of generalized estimating equations indicated that greater alcohol consumption on a given day was associated with a linear increase in the odds of having unprotected anal sex with partners of any HIV status. However, the odds of reporting unprotected anal sex with HIV-negative or HIV-status unknown partners increased in a curvilinear fashion, occurring primarily at very heavy levels of use (12+ drinks). Results suggest that very heavy drinking increases the risk of engaging in sexual behavior that has the potential for transmitting HIV to other men.

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“…18 Because brewers are using ARVs in brews to increase potency, ARVs are diverted from intended use, further straining an already limited supply in the country.…”

Section: Lack Of Regulation Of Informal Alcohol Contentmentioning

confidence: 99%

Informal alcohol in Malawi: Stakeholder perceptions and policy recommendations

Limaye

Rutkow

Rimal

et al. 2013

J Public Health Pol

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Through the eyes of those involved in the alcohol policy-making process in Malawi, we explored the role of informal (non-commercial) alcohol in rural communities, its harmful effects, and implications for appropriate national policy. Harms included early drinking initiation, violence, and sexual risk exposure. Informants suggested that policy should address informal alcohol's content, selling times, and easy access. Because most informal alcohol producers are women who rely upon sales for subsistence, policies must avoid limiting women's economic opportunities while protecting community health.

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Alcohol consumption and HIV/AIDS: the neglected interface

Cited by 55 publications

References 13 publications

Alcohol dependence and CD4 cell count: is there a relationship?

Alcohol dependence and CD4 cell count: is there a relationship?

Daily Associations Between Alcohol Use and Unprotected Anal Sex Among Heavy Drinking HIV-Positive Men Who Have Sex with Men

Informal alcohol in Malawi: Stakeholder perceptions and policy recommendations

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