The temporal relationship of alcohol use and subsequent self-reported health status among people with HIV.
Am J Med Open
; 92023 Jun.
Article
em En
| MEDLINE
| ID: mdl-37476695
ABSTRACT
Background:
Alcohol use among people with HIV is associated with worse HIV treatment outcomes. Its impact on self-reported health status is unclear.Setting:
Longitudinal cohort of people with HIV engaged in care across 7 clinics participating in the Centers for AIDS Research Network of Integrated Care Systems between January 2011 and June 2014.Methods:
A total of 5046 participants were studied. A quantile regression model estimated the association of alcohol use levels with subsequent self-reported health status score, accounting for multiple covariates including depressive symptoms. Women, men who have sex with women, and men who have sex with men were analyzed separately.Results:
Prevalence of heavy alcohol use was 21%, 31%, and 37% among women, men who have sex with women, and men who have sex with men, respectively. Women with heavy alcohol use had a subsequently decreased median self-reported health status score compared to women with no or moderate alcohol use (odds ratio [OR] 0.76; 95% confidence interval [CI] 0.58-0.99); this association was not explained by the presence of depressive symptoms. There was no observed association of alcohol use level on subsequent self-reported health status among men who have sex with women. Men who have sex with men reporting no alcohol use had a subsequently decreased median self-reported health status compared to moderate alcohol use (OR 0.88; 95% CI 0.80-0.97).Conclusion:
Heavy alcohol use is associated with worsened self-reported health status at subsequent visits among women with HIV and not men with HIV.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Prognostic_studies
/
Risk_factors_studies
Idioma:
En
Revista:
Am J Med Open
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Estados Unidos