Abstract
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 nonmain partners. Interventions to improve HIV care in Russia must comprehensively address the use of alcohol and substances that interfere with care engagement.
Original language | English |
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Pages (from-to) | 380-393 |
Number of pages | 14 |
Journal | AIDS Education and Prevention |
Volume | 31 |
Issue number | 4 |
DOIs | |
Publication status | Published - 1 Jan 2019 |
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Scopus subject areas
- Health(social science)
- Public Health, Environmental and Occupational Health
- Infectious Diseases
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Prevalence of alcohol use and factors associated with problem drinking in social networks of people living with HIV infection in St. Petersburg, Russia. / Amirkhanian, Yuri A.; Kelly, Jeffrey A.; Tarima, Sergey S.; Kuznetsova, Anna V.; Difranceisco, Wayne J.; Musatov, Vladimir B.; Yakovlev, Alexey A.; McAuliffe, Timothy L.
In: AIDS Education and Prevention, Vol. 31, No. 4, 01.01.2019, p. 380-393.Research output
TY - JOUR
T1 - Prevalence of alcohol use and factors associated with problem drinking in social networks of people living with HIV infection in St. Petersburg, Russia
AU - Amirkhanian, Yuri A.
AU - Kelly, Jeffrey A.
AU - Tarima, Sergey S.
AU - Kuznetsova, Anna V.
AU - Difranceisco, Wayne J.
AU - Musatov, Vladimir B.
AU - Yakovlev, Alexey A.
AU - McAuliffe, Timothy L.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - 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 nonmain partners. Interventions to improve HIV care in Russia must comprehensively address the use of alcohol and substances that interfere with care engagement.
AB - 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 nonmain partners. Interventions to improve HIV care in Russia must comprehensively address the use of alcohol and substances that interfere with care engagement.
KW - Alcohol use and misuse
KW - HIV care engagement
KW - HIV epidemic
KW - HIV treatment
KW - People living with HIV/AIDS
KW - Russia
UR - http://www.scopus.com/inward/record.url?scp=85070265092&partnerID=8YFLogxK
U2 - 10.1521/aeap.2019.31.4.380
DO - 10.1521/aeap.2019.31.4.380
M3 - Article
C2 - 31361515
AN - SCOPUS:85070265092
VL - 31
SP - 380
EP - 393
JO - AIDS Education and Prevention
JF - AIDS Education and Prevention
SN - 0899-9546
IS - 4
ER -