Department of Medicine, University of Washington, 325 Ninth Avenue Box 359930, Seattle, WA, 98104, USA.
Section of General Internal Medicine, CARE Unit, Boston Medical Center, Boston, MA, USA.
AIDS Behav. 2021 Apr;25(4):1083-1093. doi: 10.1007/s10461-020-03067-x. Epub 2020 Oct 16.
For persons diagnosed with HIV and who are coinfected with hepatitis C virus (HCV), chronic liver disease is a leading cause of death and excessive consumption of alcohol can be a contributing factor. Little is known about the factors these individuals identify as key to achieving sustained sobriety. In this qualitative study, fourteen HIV/HCV coinfected persons who endorsed past problematic drinking were interviewed about their path to sustained sobriety. In open-ended interviews, participants often described their drinking in the context of polysubstance use and their decision to become sober as a singular response to a transcendent moment or a traumatic event. All articulated specific, concrete strategies for maintaining sobriety. The perceived effect of the HIV or HCV diagnosis on sobriety was inconsistent, and medical care as an influence on sobriety was rarely mentioned. Qualitative interviews may offer new insights on interventions and support strategies for heavy-drinking persons with HIV/HCV coinfection.
对于被诊断患有 HIV 且同时感染丙型肝炎病毒 (HCV) 的人来说，慢性肝病是导致死亡的主要原因，而过量饮酒可能是一个促成因素。对于这些人认为实现持续戒酒的关键因素，我们知之甚少。在这项定性研究中，对 14 名 HIV/HCV 合并感染并过去饮酒有问题的人进行了采访，了解他们实现持续戒酒的经历。在开放性访谈中，参与者经常在多种物质使用的背景下描述他们的饮酒情况，他们决定戒酒是对一个超凡时刻或创伤性事件的单一回应。所有人都制定了具体的、具体的戒酒策略。HIV 或 HCV 诊断对戒酒的影响并不一致，很少有人提到医疗保健对戒酒的影响。定性访谈可能为 HIV/HCV 合并感染的重度饮酒者的干预措施和支持策略提供新的见解。
