Elliott Jennifer C, Stohl Malka, Aharonovich Efrat, O'Leary Ann, Hasin Deborah S
a Department of Psychiatry , Columbia University Medical Center , New York , USA.
b New York State Psychiatric Institute , New York , USA.
Ann Med. 2016 Dec;48(8):634-640. doi: 10.1080/07853890.2016.1206668. Epub 2016 Jul 27.
Heavy drinking can be harmful for individuals with HIV, particularly those coinfected with hepatitis C virus (HCV). HIV patients' reasons for drinking predict short-term alcohol involvement, but whether they predict longer-term involvement is unknown. Also, it remains unknown whether these motives are differentially predictive for HIV monoinfected and HIV/HCV coinfected patients.
HIV-infected heavy drinkers (n = 254) participated in a randomized trial of brief alcohol interventions, 236 (92.9%) of whom reported on baseline motives and alcohol involvement 12 months later (77.1% male, 94.9% minority, 30.6% with HCV).
Greater endorsement of baseline drinking to cope with negative affect predicted greater alcohol dependence symptoms at 12 months (incident rate ratio [IRR] = 1.80, p < 0.05), while greater endorsement of baseline drinking due to social pressure predicted fewer drinks consumed at 12 months (IRR = 0.67, p < 0.05). Coping and social reasons were both predictive for HIV monoinfected patients, whereas only coping reasons were predictive for HIV/HCV coinfected patients.
Drinking for coping and social reasons predict alcohol involvement 12 months later; however, social reasons may only be important for HIV monoinfected patients. Understanding patient reasons for drinking may help predict patient risk up to a year later. KEY MESSAGES Among HIV patients, drinking motives predict alcohol involvement 12 months later. For HIV monoinfected patients, drinking to cope and drinking for social reasons predict 12-month alcohol involvement. For HIV/Hepatitis C coinfected patients, coping (but not social) motives predict 12-month alcohol involvement.
大量饮酒对感染艾滋病毒的个体有害，尤其是那些同时感染丙型肝炎病毒（HCV）的人。艾滋病毒患者饮酒的原因可预测短期饮酒情况，但能否预测长期饮酒情况尚不清楚。此外，这些动机对单纯感染艾滋病毒和艾滋病毒/丙型肝炎病毒合并感染患者的预测是否存在差异也不清楚。
感染艾滋病毒的酗酒者（n = 254）参与了一项简短酒精干预的随机试验，其中236人（92.9%）报告了基线动机以及12个月后的饮酒情况（77.1%为男性，94.9%为少数族裔，30.6%感染丙型肝炎病毒）。
更多认可为应对负面影响而在基线时饮酒，预测12个月时会出现更多酒精依赖症状（发生率比[IRR] = 1.80，p < 0.05），而更多因社会压力在基线时饮酒，则预测12个月时饮酒量较少（IRR = 0.67，p < 0.05）。应对和社交原因对单纯感染艾滋病毒的患者均有预测作用，而只有应对原因对艾滋病毒/丙型肝炎病毒合并感染的患者有预测作用。
因应对和社交原因饮酒可预测12个月后的饮酒情况；然而，社交原因可能仅对单纯感染艾滋病毒的患者重要。了解患者饮酒的原因可能有助于预测长达一年后的患者风险。关键信息 在艾滋病毒患者中，饮酒动机可预测12个月后的饮酒情况。对于单纯感染艾滋病毒的患者，为应对和社交原因饮酒可预测12个月后的饮酒情况。对于艾滋病毒/丙型肝炎病毒合并感染的患者，应对（而非社交）动机可预测12个月后的饮酒情况。
