Longitudinal association of alcohol use with HIV disease progression and psychological health of women with HIV

We evaluated the association of alcohol consumption and depression, and their effects on HIV disease progression among women with HIV. The study included 871 women with HIV who were recruited from 1993-1995 in four US cities. The participants had physical examination, medical record extraction, and...

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Bibliographic Details
Published in:AIDS care 2009-07, Vol.21 (7), p.834-841
Main Authors: Ghebremichael, Musie, Paintsil, Elijah, Ickovics, Jeannette R., Vlahov, David, Schuman, Paula, Boland, Robert, Schoenbaum, Ellie, Moore, Janet, Zhang, Heping
Format: Article
Language:English
Subjects:
Addictive behaviors
Adult
Adult and adolescent clinical studies
Alcohol consumption
Alcohol Drinking - epidemiology
Alcohol Drinking - psychology
Alcohol use
Alcoholism
Alcoholism - epidemiology
Alcoholism - psychology
Anti-Retroviral Agents - therapeutic use
Antiretroviral therapy
Behavior modification
Biological and medical sciences
CD4 Lymphocyte Count
CD4+T-cells
Cocaine-Related Disorders - epidemiology
Depression
Depressive Disorder - epidemiology
Disease Progression
Drug therapy
Epidemiologic Methods
Female
HIV
HIV Infections - epidemiology
HIV Infections - immunology
HIV Infections - psychology
HIV/AIDS
Human immunodeficiency virus
Human viral diseases
Humans
Infectious diseases
Medical sciences
Mental depression
Mental health
Mood disorders
multilevel longitudinal models
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk Factors
Studies
Substance Abuse, Intravenous - epidemiology
United States - epidemiology
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Women
Women's issues
Womens health
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Summary:We evaluated the association of alcohol consumption and depression, and their effects on HIV disease progression among women with HIV. The study included 871 women with HIV who were recruited from 1993-1995 in four US cities. The participants had physical examination, medical record extraction, and venipuncture, CD4+T-cell counts determination, measurement of depression symptoms (using the self-report Center for Epidemiological Studies-Depression Scale), and alcohol use assessment at enrollment, and semiannually until March 2000. Multilevel random coefficient ordinal models as well as multilevel models with joint responses were used in the analysis. There was no significant association between level of alcohol use and CD4+ T-cell counts. When participants were stratified by antiretroviral therapy (ART) use, the association between alcohol and CD4+ T-cell did not reach statistical significance. The association between alcohol consumption and depression was significant (p
ISSN:0954-0121
1360-0451
DOI:10.1080/09540120802537864