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中国艾滋病病毒感染者在确诊感染艾滋病病毒后自我报告的饮酒行为变化。

Self-reported changes in alcohol use behavior among people living with HIV in China after receiving HIV positive diagnosis.

作者信息

Wang Yan, Chen Xinguang, Ball Jacob, Li Xiaoming, Zhou Yuejiao, Shen Zhiyong

机构信息

Department of Epidemiology, University of Florida, Gainesville, FL, USA.

Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, USA.

出版信息

SAGE Open Med. 2018 Jan 30;6:2050312118755783. doi: 10.1177/2050312118755783. eCollection 2018.

Abstract

BACKGROUND

Alcohol use remains a significant challenge for treating people living with HIV (people living with HIV). We aimed to examine current use and retrospective self-reported changes in drinking behavior after HIV+ diagnosis in people living with HIV.

METHOD

Survey data were collected from a large random sample of people living with HIV (N = 2964, mean age = 42.5, standard deviation = 12.8) in Guangxi, China.

RESULTS

The estimated prevalence rate of current alcohol use was 42.8%. Among current drinkers, 41.7% reported binge drinking and 10.4% reported hazardous drinking. Among the ever drinkers, 45.4% reported reductions in drinking and 19.5% reported quitting after HIV+ diagnosis. Older age, female gender, higher income, being employed, if currently on antiretroviral therapy, and having received an HIV+ diagnosis within a year were positively associated with quitting; and more education, lower income, currently on antiretroviral therapy, and having received an HIV+ diagnosis more than one year were associated with reduced drinking.

CONCLUSION

The time period immediately following receiving an HIV+ diagnosis may represent a window of opportunity for alcohol use intervention in people living with HIV.

摘要

背景

饮酒问题仍然是治疗艾滋病病毒感染者(HIV感染者)的一项重大挑战。我们旨在研究HIV感染者在确诊HIV后当前的饮酒情况以及回顾性自我报告的饮酒行为变化。

方法

从中国广西的大量HIV感染者随机样本(N = 2964,平均年龄 = 42.5,标准差 = 12.8)中收集调查数据。

结果

当前饮酒的估计患病率为42.8%。在当前饮酒者中,41.7%报告有暴饮行为,10.4%报告有危险饮酒行为。在曾经饮酒者中,45.4%报告在确诊HIV后饮酒量减少,19.5%报告戒酒。年龄较大、女性、收入较高、就业、目前正在接受抗逆转录病毒治疗以及在一年内确诊HIV与戒酒呈正相关;受教育程度较高、收入较低、目前正在接受抗逆转录病毒治疗以及确诊HIV超过一年与饮酒量减少有关。

结论

确诊HIV后的这段时间可能是对HIV感染者进行饮酒干预的一个机会窗口。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96c1/5794042/81c1b8d55cff/10.1177_2050312118755783-fig1.jpg

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