Department of Family Medicine, Keck School of Medicine of the University of Southern California, Alhambra, CA, USA.
Division of Infectious Diseases, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA.
West J Nurs Res. 2020 Dec;42(12):1155-1162. doi: 10.1177/0193945920912946. Epub 2020 Apr 2.
Older adults living with HIV may have health conditions that amplify the potentially negative health effects of alcohol use. We adapted the Comorbidity Alcohol Risk Evaluation Tool (CARET) screening tool for at-risk drinking to reflect HIV/AIDS and related conditions, medications, and behaviors. The adapted CARET-HIV along with a brief intervention was administered to 27 older men living with HIV. The CARET-HIV identified the same number of at-risk drinkers as the original CARET (n = 24) but identified more risk domains. Most participants welcomed receiving information about risks associated with their drinking, but some felt "embarrassed" or "guilty" discussing their drinking. This is particularly salient within the context of HIV discourse, which has historically assigned blame of HIV infection on personal choices. The SBI was generally acceptable to participants. The modified CARET can help providers integrate discussion of alcohol use into the context of HIV care for personalized feedback.
患有 HIV 的老年人可能患有一些疾病，这些疾病可能会放大饮酒对健康的潜在负面影响。我们改编了 Comorbidity Alcohol Risk Evaluation Tool (CARET) 筛查工具，以反映 HIV/AIDS 及相关疾病、药物和行为。适应性 CARET-HIV 与简短干预一起用于 27 名患有 HIV 的老年男性。CARET-HIV 识别出与原始 CARET 相同数量的有风险的饮酒者（n = 24），但识别出更多的风险领域。大多数参与者欢迎收到与饮酒相关的风险信息，但有些人感到“尴尬”或“内疚”讨论他们的饮酒情况。这在 HIV 话语的背景下尤为明显，因为 HIV 感染的责任历来归因于个人选择。SBI 通常被参与者接受。改良后的 CARET 可以帮助提供者将饮酒讨论纳入 HIV 护理的背景下，以提供个性化的反馈。
