Treatment for alcohol use disorder among persons with and without HIV in a clinical care setting in the United States

Alcohol use disorders (AUD) can lead to poor health outcomes. Little is known about AUD treatment among persons with HIV (PWH). In an integrated health system in Northern California, 2014–2017, we compared AUD treatment rates between PWH with AUD and persons without HIV (PWoH) with AUD. Using Poisso...

Full description

Saved in:
Bibliographic Details
Published in:Drug and alcohol dependence 2021-12, Vol.229 (Pt A), p.109110-109110, Article 109110
Main Authors: Davy-Mendez, Thibaut, Sarovar, Varada, Levine-Hall, Tory, Lea, Alexandra N., Sterling, Stacy A., Chi, Felicia W., Palzes, Vanessa A., Bryant, Kendall J., Weisner, Constance M., Silverberg, Michael J., Satre, Derek D.
Format: Article
Language:English
Subjects:
Alcohol Drinking
Alcohol related disorders
Alcohol use
Alcohol use disorder
Alcoholism
Alcoholism - epidemiology
Alcoholism - therapy
Behavior modification
Clinical outcomes
Comorbidity
Depression
Drugs
Female
Gabapentin
Health insurance
Health status
HIV
HIV Infections - complications
HIV Infections - drug therapy
HIV Infections - epidemiology
Human immunodeficiency virus
Humans
Intervention
Male
Mental depression
Middle Aged
Naltrexone
Pharmacotherapy
Prevalence
Psychotherapy
Psychotropic drugs
Sociodemographics
Statistical analysis
Substance abuse treatment
Substance use
Substance use disorder
Unhealthy alcohol use
United States - epidemiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Alcohol use disorders (AUD) can lead to poor health outcomes. Little is known about AUD treatment among persons with HIV (PWH). In an integrated health system in Northern California, 2014–2017, we compared AUD treatment rates between PWH with AUD and persons without HIV (PWoH) with AUD. Using Poisson regression with GEE, we estimated prevalence ratios (PRs) comparing the annual probability of receiving AUD treatment (behavioral intervention or dispensed medication), adjusted for sociodemographics, psychiatric comorbidities, insurance type, and calendar year. Among PWH, we examined independent AUD treatment predictors using PRs adjusted for calendar year only. PWH with AUD (N = 633; 93% men, median age 49) were likelier than PWoH with AUD (N = 7006; 95% men, median age 52) to have depression (38% vs. 21%) and a non-alcohol substance use disorder (SUD, 48% vs. 25%) (both P 
ISSN:0376-8716
1879-0046
DOI:10.1016/j.drugalcdep.2021.109110