Russia has over 1.2 million HIV infections and Europe's highest HIV incidence. Although its HIV epidemic is intertwined with high alcohol consumption rates, the interaction between alcohol use and HIV care in Russia is understudied. Five hundred eighty-six HIV-positive persons were recruited using social network methods in St. Petersburg. Fifty-nine percent of males, and 45% of females, drank regularly. Thirty percent of alcohol users reported binge drinking (males: ≥ 5 drinks; females ≥ 4 drinks) in the past week. Alcohol use was associated with lower HIV care engagement and having a detectable viral load. Multivariate analyses showed that any alcohol consumption, number of alcohol drinks consumed, and having a binge drinking day in the past week were associated with male gender, use of illicit drugs, drug injection, smaller social network size, lower social supports, being unmarried, and reporting condomless intercourse with non-main partners. Interventions to improve HIV care in Russia must comprehensively address the use of alcohol and substances that interfere with care engagement.

中文翻译：

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俄罗斯圣彼得堡感染艾滋病毒感染者社交网络中的饮酒流行率和与饮酒相关的因素

俄罗斯的艾滋病毒感染人数超过120万，是欧洲艾滋病毒发病率最高的国家。尽管其艾滋病毒流行与高饮酒率息息相关，但对俄罗斯的饮酒与艾滋病毒护理之间的相互作用却缺乏研究。在圣彼得堡，使用社交网络方法招募了586名HIV阳性人员。有59％的男性和45％的女性经常喝酒。在过去一周中，有30％的酒精使用者报告了酗酒（男性：≥5杯酒；女性≥4杯酒）。饮酒与降低HIV护理人员参与程度以及可检测的病毒载量有关。多因素分析显示，任何饮酒量，饮酒次数以及过去一周的暴饮暴食都与男性，非法药物的使用，药物注射，较小的社交网络规模，较低的社交支持，未婚以及报告与非主要伴侣的无避孕套性行为。在俄罗斯，改善艾滋病毒护理的干预措施必须全面解决酒精和会干扰护理参与的物质的使用。