感知到的积极后果与艾滋病毒感染者的不健康饮酒行为有关。

Perceived Positive Consequences Are Associated with Unhealthy Alcohol Use Among Persons Living with HIV.

作者信息

Richards Veronica L, Berey Benjamin L, Lu Huiyin, Stetten Nichole E, Fisk Rebecca J, Wang Yan, Brumback Babette, Cook Robert L

机构信息

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

SHARC Center for Translational HIV Research, Gainesville, FL, USA.

出版信息

Can J Addict. 2020 Dec;11(4):23-31. doi: 10.1097/cxa.0000000000000098.

DOI:10.1097/cxa.0000000000000098

PMID:33748407

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7968731/

Abstract

BACKGROUND

Understanding how perceived positive consequences are associated with drinking may help improve effectiveness of alcohol reduction interventions among people living with HIV (PLWH). We aimed to determine whether perceived positive consequence scores varied by sociodemographic, drinking, mental health or substance use variables.

METHODS

Perceived positive consequences of drinking were assessed using the PROMIS: Positive Consequences-Short Form. Unhealthy alcohol use was measured using a modified AUDIT-C. We used multiple linear regression to identify factors associated with perceived positive consequence.

RESULTS

328 PLWH who consumed at least one alcoholic beverage in the last 6 months participated in the Florida Cohort study (mean age=46, 69% male, 58% Black). Perceived positive consequence scores ranged from 0 to 28 (mean=16.1, SD=6.9). Perceived positive consequence scores increased by 0.8 points for each 1-point increase in AUDIT-C score. Demographics, thoughts on reducing alcohol use, other substance use, depression, and anxiety were not significantly associated with perceived positive consequences.

CONCLUSIONS

Our findings suggest perceived positive consequences are associated with unhealthy alcohol use. Positive consequences should be considered with negative consequences in a decisional balance when intervening on alcohol use among PLWH.

摘要

背景

了解感知到的积极后果与饮酒之间的关联，可能有助于提高对艾滋病毒感染者（PLWH）减少饮酒干预措施的有效性。我们旨在确定感知到的积极后果得分是否因社会人口统计学、饮酒、心理健康或物质使用变量而有所不同。

方法

使用患者报告结果测量信息系统（PROMIS）：积极后果简表来评估饮酒的感知积极后果。使用改良的酒精使用障碍识别测试-消费版（AUDIT-C）来测量不健康的酒精使用情况。我们使用多元线性回归来确定与感知积极后果相关的因素。

结果

328名在过去6个月中至少饮用过一种酒精饮料的艾滋病毒感染者参与了佛罗里达队列研究（平均年龄 = 46岁，69%为男性，58%为黑人）。感知积极后果得分范围为0至28分（平均 = 16.1，标准差 = 6.9）。AUDIT-C得分每增加1分，感知积极后果得分增加0.8分。人口统计学、减少饮酒的想法、其他物质使用、抑郁和焦虑与感知积极后果无显著关联。