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The temporal relationship of alcohol use and subsequent self-reported health status among people with HIV.
Pytell, Jarratt D; Li, Ximin; Thompson, Carol; Lesko, Catherine R; McCaul, Mary E; Hutton, Heidi; Scott Batey, D; Cachay, Edward; Mayer, Kenneth H; Napravnik, Sonia; Christopoulos, Katerina; Yang, Cui; Crane, Heidi M; Chander, Geetanjali; Lau, Bryan.
Afiliação
  • Pytell JD; Department of Medicine, Johns Hopkins School of Medicine, 5200 Eastern Avenue, Baltimore, MD 21224, USA.
  • Li X; Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  • Thompson C; Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  • Lesko CR; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  • McCaul ME; Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, MD, USA.
  • Hutton H; Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, MD, USA.
  • Scott Batey D; Department of Social Work, University of Alabama at Birmingham, Birmingham, AL, USA.
  • Cachay E; Department of Medicine, University of California, San Diego, CA, USA.
  • Mayer KH; Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
  • Napravnik S; Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  • Christopoulos K; Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  • Yang C; Department of Medicine, Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USA.
  • Crane HM; Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  • Chander G; Department of Medicine, UW School of Medicine, University of Washington, Seattle, WA, USA.
  • Lau B; Department of Medicine, Johns Hopkins School of Medicine, 5200 Eastern Avenue, Baltimore, MD 21224, USA.
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.
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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

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