期刊
SUBSTANCE ABUSE
卷 32, 期 4, 页码 252-261出版社
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/08897077.2011.599255
关键词
Acquired immunodeficiency syndrome; alcohol consumption; HIV infection; mass screening; patient adherence
资金
- National Institute of Nursing Research (NINR) [F31NR008822]
- NINR [R01NR004749]
- Health Services Research & Development Service of the US Department of Veterans Affairs
- VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania
- NATIONAL INSTITUTE OF NURSING RESEARCH [R01NR004749, F31NR008822] Funding Source: NIH RePORTER
Alcohol use negatively affects adherence to antiretroviral therapy (ART), thus human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) care providers need accurate, efficient assessments of alcohol use. Using existing data from an efficacy trial of 2 cognitive-behavioral ART adherence interventions, the authors sought to determine if results on 2 common alcohol screening tests (Alcohol Use Disorders Identification Test-Consumption [AUDIT-C] and its binge-related question [AUDIT-3]) predict ART nonadherence. Twenty-seven percent of the sample (n = 308) were positive on the AUDIT-C and 34% were positive on the AUDIT-3. In multivariate analyses, AUDIT-C-positive status predicted ART nonadherence after controlling for race, age, conscientiousness, and self-efficacy (P = .036). Although AUDIT-3-positive status was associated with ART nonadherence in unadjusted analyses, this relationship was not maintained in the final multivariate model. The AUDIT-C shows potential as an indirect screening tool for both at-risk drinking and ART nonadherence, underscoring the relationship between alcohol and chronic disease management.
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