Utilization of Alcohol Treatment Among HIV-Positive Women with Hazardous Drinking

• Type of Material: Article
• Authors: Ganna Rubtsova, Emory University; Xingdi Hu, University of Florida; Jeffrey Harman, Florida State University; Almut G. Winterstein, University of Florida; Yue Zhong, Tufts Medical Center; Amber L. Wheeler, VA Medical Center; Tonya N. Taylor, SUNY Downstate Medical Center; Michael Plankey, Georgetown University Medical Center; Karen Cropsey, University of Alabama at Birmingham; Mardge H. Cohen, John H. Stroger, Jr. Hospital of Cook County; Adaora A. Adimora, University of North Carolina School of Medicine; Joel Milam, University of Southern California; Adebola Adedimeji, Yeshiva University; Robert L. Cook, University of Florida
• Language: English
• Date: 2016-05-01
• Publisher: Elsevier
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2016 Elsevier Inc.
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1016/j.jsat.2016.01.011
• Title of Journal or Parent Work: Journal of Substance Abuse Treatment
• ISSN: 0740-5472
• Volume: 64
• Start Page: 55
• End Page: 61
• Grant/Funding Information: Targeted supplemental funding for specific projects is also provided by the National Institute of Dental and Craniofacial Research (NIDCR), the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the National Institute on Deafness and other Communication Disorders (NIDCD), and the NIH Office of Research on Women’s Health.; WIHS data collection is also supported by UL1-TR000004 (UCSF CTSA) and UL1-TR000454 (Atlanta CTSA).; This work was supported by a grant from the National Institutes of Health (U01-AA020797).; The WIHS is funded primarily by the National Institute of Allergy and Infectious Diseases (NIAID), with additional co-funding from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), the National Cancer Institute (NCI), the National Institute on Drug Abuse (NIDA), and the National Institute on Mental Health (NIMH).
• Keywords: Patient Compliance; Female; Women with HIV; United States; HIV Infections; Alcohol Drinking; Humans; Alcohol-Related Disorders; Alcohol treatment; Adolescent; Surveys and Questionnaires; Adult; Utilization; Women's Health; Young Adult; Substance Abuse Treatment Centers; Social support; Hazardous drinking; Socioeconomic Factors
• Research Categories: Health Sciences, Education; Health Sciences, Public Health

Abstract

Hazardous alcohol consumption has been frequently reported among women with HIV infection and is associated with a variety of negative health consequences. Treatments to reduce alcohol use may bring in health benefits. However, little is known regarding the utilization of alcohol treatment services among HIV. + women with hazardous drinking. Using data from the Women's Interagency HIV Study (WIHS), this study assessed utilization of any alcohol treatment in the past 6 months and performed multivariable logistic regression to determine correlates of receipt of any alcohol treatment. Among 474 HIV. + women reporting recent hazardous drinking, less than one in five (19%) reported recent utilization of any alcohol treatment. Alcoholics Anonymous (AA) was the most commonly reported (12.9%), followed by inpatient detoxification (9.9%) and outpatient alcohol treatment program (7.0%). Half (51%) receiving any alcohol treatment reported utilization of multiple treatments. Multivariable analyses found alcohol treatment was more often utilized by those who had social support (odds ratio [OR] = 1.68, 95% confidence interval [CI] = 1.00 to 2.83), fewer economic resources (income ≤$12,000 vs. >$12,000, OR = 3.10, 95% CI = 1.53 to 6.27), higher levels of drinking (16-35 drinks/week vs. 12-15 drinks/week, OR = 3.02, 95% CI = 1.47 to 6.21; 36. + drinks/week vs. 12-15 drinks/week, OR = 4.41, 95% CI = 2.03 to 9.59), and those who reported any illicit drug use (OR = 2.77, 95% CI = 1.44 to 5.34). More efforts are needed to enhance the utilization of alcohol treatment. Our findings highlight the unique profile of those who utilized alcohol treatment. Such information is vital to improve treatment delivery to address unmet need in this particular population.