HIV 和丙型肝炎合并感染个体的戒酒动机。

Motivation to Quit Drinking in Individuals Coinfected with HIV and Hepatitis C.

机构信息

Department of Psychology, College of the Holy Cross, P.O. Box 217A, Worcester, MA, 01610, USA.

Behavioral Medicine and Addictions Research Unit, Butler Hospital, Providence, RI, USA.

出版信息

AIDS Behav. 2020 Jun;24(6):1709-1716. doi: 10.1007/s10461-019-02709-z.

DOI:10.1007/s10461-019-02709-z

PMID:31642998

Abstract

Alcohol consumption is common among individuals coinfected with HIV and hepatitis C (HCV) despite the uniquely harmful effects in this population. Limited research has examined factors that could influence drinking reduction or cessation among HIV/HCV coinfected persons; this study investigates motivation to quit. Participants were 110 alcohol-consuming HIV/HCV coinfected patients recruited from medical clinics. Participants self-reported 90-day drinking frequency and intensity; alcohol-related problems; reasons to quit drinking; reasons to drink; and motivation to quit drinking. Participants consumed alcohol on 54.1 (± 26.9) of the past 90 days. In a multivariate model that controlled for demographic variables, motivation to quit drinking was directly associated with alcohol-related problems (β = 0.35, p = .007) and reasons to quit drinking (β = 0.23, p = .021), and inversely associated with drinking for enhancement (β = - 0.36, p = .004). This study identified several factors associated with motivation to quit drinking in a sample of alcohol-consuming HIV/HCV patients.

摘要

尽管在这一人群中具有独特的有害影响，但同时感染艾滋病毒和丙型肝炎 (HCV) 的个体饮酒现象很普遍。尽管已经进行了有限的研究来探讨可能影响 HIV/HCV 合并感染人群减少或停止饮酒的因素，但本研究仍着眼于戒酒动机。参与者是从医疗诊所招募的 110 名饮酒的 HIV/HCV 合并感染患者。参与者自我报告了过去 90 天的饮酒频率和强度；与饮酒相关的问题；戒酒的原因；饮酒的原因；以及戒酒的动机。参与者在过去 90 天中有 54.1（±26.9）天饮酒。在一个控制人口统计学变量的多变量模型中，戒酒动机与与饮酒相关的问题（β=0.35，p=0.007）和戒酒原因（β=0.23，p=0.021）直接相关，与为提高情绪而饮酒（β=−0.36，p=0.004）呈负相关。本研究在一组饮酒的 HIV/HCV 患者中确定了与戒酒动机相关的几个因素。