BACKGROUND Alcohol use is common among people living with HIV and negatively impacts care and outcomes. African-American women living with HIV are subject to vulnerabilities that may increase risk for alcohol use and associated HIV-related outcomes. METHODS We used baseline data from a randomized controlled trial of an HIV-related stigma-reduction intervention among African-American women living with HIV in Chicago and Birmingham (2013-2015). Patterns of alcohol use [any use, unhealthy alcohol use (UAU), heavy episodic drinking (HED)] were measured using the AUDIT-C. We assessed demographic, social, and clinical characteristics which may influence alcohol use and HIV-related outcomes which may be influenced by patterns of alcohol use in bivariate and multivariable analyses. RESULTS Among 220 African-American women living with HIV, 54 % reported any alcohol use, 24 % reported UAU, and 27 % reported HED. In bivariate analysis, greater depressive symptoms, lower religiosity, lower social support, marijuana, and crack/cocaine use were associated with patterns of alcohol use (p < 0.05). Marijuana and cocaine/crack use were associated with patterns of alcohol use in adjusted analysis (p < 0.05). In adjusted analysis, any alcohol use and HED were associated with lower likelihood of ART adherence (ARR = 0.72, 95 % CI: 0.53-0.97 and ARR = 0.65, 95 % CI: 0.44-0.96, respectively), and UAU was associated with lack of viral suppression (ARR = 0.78, 95 % CI: 0.63-0.96). CONCLUSIONS Findings suggest any and unhealthy alcohol use is common and associated with poor HIV-related outcomes in this population. Regular alcohol screening and intervention should be offered, potentially targeted to subgroups (e.g., those with other substance use).

中文翻译：

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在感染了艾滋病毒的非裔美国妇女样本中，饮酒的方式，相关特征和与艾滋病毒有关的结果。

背景技术饮酒在艾滋病毒感染者中很普遍，会对护理和结果产生负面影响。感染艾滋病毒的非裔美国人妇女容易受到感染，这可能会增加饮酒风险以及与艾滋病毒相关的后果。方法我们使用了一项随机对照试验的基线数据，该试验是在芝加哥和伯明翰（2013-2015）进行的一项针对与HIV相关的减少耻辱感干预措施的非洲裔美国妇女中，进行的。使用AUDIT-C测量了酒精使用的方式[任何使用，不健康使用酒精（UAU），发作性饮酒（HED）]。我们在双变量和多变量分析中评估了可能影响饮酒和HIV相关结果的人口统计学，社会和临床特征。结果在220名感染艾滋病毒的非洲裔美国妇女中，54％的人报告有饮酒，24％的人报告了UAU，27％的人报告了HED。在双变量分析中，抑郁症状的增加，宗教信仰的降低，社会支持的降低，大麻和裂纹/可卡因的使用与酒精的使用方式有关（p <0.05）。在调整后的分析中，大麻和可卡因/可卡因的使用与酒精的使用方式相关（p <0.05）。在调整后的分析中，任何饮酒和HED均与较低的ART依从性相关（分别为ARR = 0.72、95％CI：0.53-0.97和ARR = 0.65、95％CI：0.44-0.96），而UAU与缺乏病毒抑制作用（ARR = 0.78，95％CI：0.63-0.96）。结论研究结果表明，任何不健康的饮酒行为都很普遍，并且与该人群中与HIV相关的不良后果有关。应当定期进行酒精筛查和干预，