Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
Louisiana State University Health Sciences Center Comprehensive Alcohol and HIV Research Center (CARC), New Orleans, LA, USA.
AIDS Behav. 2019 Dec;23(12):3237-3246. doi: 10.1007/s10461-019-02632-3.
Despite greater mental health co-morbidities and heavier alcohol use among PLWH, few studies have examined the role of the neighborhood alcohol environment on either alcohol consumption or mental health. Utilizing cross-sectional data from a cohort study in a southern U.S. metropolitan area, we examine the association between neighborhood alcohol environments on hazardous drinking and mental health among 358 in-care PLWH (84% African American, 31% female). Multilevel models were utilized to quantify associations between neighborhood alcohol exposure on hazardous drinking and effect modification by sex. Neighborhood alcohol density was associated with hazardous drinking among men but not women. Women living in alcohol dense neighborhoods were nearly two-fold likely to report depression compared to those in less dense neighborhoods, with no association between neighborhood alcohol density and depression among men. Neighborhood alcohol environments may be an important contextual factor to consider in reducing heavy alcohol consumption and improving mental health among PLWH.
尽管 PLWH 存在更多的心理健康共病和更大量的酒精使用，但很少有研究探讨邻里酒精环境对饮酒或心理健康的影响。本研究利用美国南部一个大都市地区队列研究的横断面数据，调查了邻里酒精环境与 358 名接受治疗的 PLWH（84%为非裔美国人，31%为女性）的危险饮酒和心理健康之间的关联。多水平模型用于量化邻里酒精暴露与性别对危险饮酒的影响修饰作用之间的关联。邻里酒精密度与男性的危险饮酒有关，但与女性无关。与居住在酒精密度较低的社区的女性相比，居住在酒精密度较高的社区的女性报告抑郁的可能性几乎高出两倍，而男性的抑郁与邻里酒精密度之间没有关联。邻里酒精环境可能是一个重要的背景因素，需要考虑在内，以减少 PLWH 的大量饮酒和改善他们的心理健康。
