Natalia Gnatienko1, Katherine Calver1, Meg Sullivan2, Leah S Forman3, Timothy Heeren4, Elena Blokhina5, Nneka Emenyonu6, Alicia S Ventura1, Judith I Tsui7, Winnie R Muyindike8, Robin Fatch6, Christine Ngabirano8, Carly Bridden1, Kendall Bryant9, Angela R Bazzi10, Judith A Hahn6,11. 1. Department of Medicine, Section of General Internal Medicine, Boston Medical Center, Clinical Addiction Research and Education (CARE) Unit, Boston, Massachusetts. 2. Department of Medicine, Section of Infectious Diseases, Boston University School of Medicine/Boston Medical Center, Boston, Massachusetts. 3. Biostatistics and Epidemiology Data Analytics Center (BEDAC), Boston University School of Public Health, Boston, Massachusetts. 4. Department of Biostatistics, Boston University School of Public Health, Boston, Massachusetts. 5. First Pavlov State Medical University of St. Petersburg, St. Petersburg, Russian Federation. 6. Department of Medicine, University of California San Francisco, San Francisco, California. 7. Department of Medicine, Section of General Internal Medicine, University of Washington School of Medicine and Harborview Hospital, Seattle, Washington. 8. Department of Medicine, Mbarara Regional Referral Hospital, Mbarara, Uganda. 9. HIV/AIDS Research, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland. 10. Department of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts. 11. Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California.
Abstract
OBJECTIVE: We examined whether gender is associated with heavy drinking in three cohorts of people living with HIV (PLWH) in Mbarara, Uganda; St. Petersburg, Russia; and Boston, Massachusetts. METHOD: We conducted secondary analyses of baseline data collected from three cohorts in the Uganda Russia Boston Alcohol Network for Alcohol Research Collaboration on HIV/AIDS (URBAN ARCH) consortium. We used multiple logistic regression models to evaluate the association between gender and heavy drinking (defined in combination with self-report and phosphatidylethanol [PEth]) within each cohort. RESULTS: In unadjusted logistic regression models, we found no significant association between gender and heavy drinking in Russia or Boston. In Uganda, women were less likely than men to engage in heavy drinking (odds ratio = 0.38, 95% CI [0.26, 0.58], p <.01). These findings were invariant to adjustment for covariates. CONCLUSIONS: We did not detect associations between gender and heavy drinking in cohorts of PLWH in Russia or Boston, suggesting that heavy drinking may be as common in women living with HIV as in men living with HIV in these locations. Although these cohorts were enriched with heavy drinking participants, which limits broad extrapolation to PLWH in those settings, nonetheless the findings are concerning given the significant morbidity associated with alcohol use among PLWH and women in particular.
OBJECTIVE: We examined whether gender is associated with heavy drinking in three cohorts of people living with HIV (PLWH) in Mbarara, Uganda; St. Petersburg, Russia; and Boston, Massachusetts. METHOD: We conducted secondary analyses of baseline data collected from three cohorts in the Uganda Russia Boston Alcohol Network for Alcohol Research Collaboration on HIV/AIDS (URBAN ARCH) consortium. We used multiple logistic regression models to evaluate the association between gender and heavy drinking (defined in combination with self-report and phosphatidylethanol [PEth]) within each cohort. RESULTS: In unadjusted logistic regression models, we found no significant association between gender and heavy drinking in Russia or Boston. In Uganda, women were less likely than men to engage in heavy drinking (odds ratio = 0.38, 95% CI [0.26, 0.58], p <.01). These findings were invariant to adjustment for covariates. CONCLUSIONS: We did not detect associations between gender and heavy drinking in cohorts of PLWH in Russia or Boston, suggesting that heavy drinking may be as common in women living with HIV as in men living with HIV in these locations. Although these cohorts were enriched with heavy drinking participants, which limits broad extrapolation to PLWH in those settings, nonetheless the findings are concerning given the significant morbidity associated with alcohol use among PLWH and women in particular.
Authors: J A Fleishman; C D Sherbourne; S Crystal; R L Collins; G N Marshall; M Kelly; S A Bozzette; M F Shapiro; R D Hays Journal: Am J Community Psychol Date: 2000-08
Authors: D V Sheehan; Y Lecrubier; K H Sheehan; P Amorim; J Janavs; E Weiller; T Hergueta; R Baker; G C Dunbar Journal: J Clin Psychiatry Date: 1998 Impact factor: 4.384
Authors: Theresa E Matson; Kathleen A McGinnis; Anna D Rubinsky; Madeline C Frost; Maggie Czarnogorski; Kendall J Bryant; E Jennifer Edelman; Derek D Satre; Sheryl L Catz; Kara M Bensley; David A Fiellin; Amy C Justice; Emily C Williams Journal: AIDS Date: 2018-09-24 Impact factor: 4.177