The temporal relationship of alcohol use and subsequent self-reported health status among people with HIV

Jarratt D. Pytell; Ximin Li; Carol Thompson; Catherine R. Lesko; Mary E. McCaul; Heidi Hutton; D. Scott Batey; Edward Cachay; Kenneth H. Mayer; Sonia Napravnik; Katerina Christopoulos; Cui Yang; Heidi M. Crane; Geetanjali Chander; Bryan Lau

American Journal of Medicine Open (Jun 2023)

The temporal relationship of alcohol use and subsequent self-reported health status among people with HIV

Jarratt D. Pytell,
Ximin Li,
Carol Thompson,
Catherine R. Lesko,
Mary E. McCaul,
Heidi Hutton,
D. Scott Batey,
Edward Cachay,
Kenneth H. Mayer,
Sonia Napravnik,
Katerina Christopoulos,
Cui Yang,
Heidi M. Crane,
Geetanjali Chander,
Bryan Lau

Affiliations

Jarratt D. Pytell: Department of Medicine, Johns Hopkins School of Medicine, 5200 Eastern Avenue, Baltimore, MD 21224, USA; Corresponding author.
Ximin Li: Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Carol Thompson: Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Catherine R. Lesko: Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Mary E. McCaul: Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, MD, USA
Heidi Hutton: Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, MD, USA
D. Scott Batey: Department of Social Work, University of Alabama at Birmingham, Birmingham, AL, USA
Edward Cachay: Department of Medicine, University of California, San Diego, CA, USA
Kenneth H. Mayer: Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
Sonia Napravnik: Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
Katerina Christopoulos: Department of Medicine, Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USA
Cui Yang: Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Heidi M. Crane: Department of Medicine, UW School of Medicine, University of Washington, Seattle, WA, USA
Geetanjali Chander: Department of Medicine, Johns Hopkins School of Medicine, 5200 Eastern Avenue, Baltimore, MD 21224, USA; Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Bryan Lau: Department of Medicine, Johns Hopkins School of Medicine, 5200 Eastern Avenue, Baltimore, MD 21224, USA; Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

Journal volume & issue: Vol. 9
p. 100020

Abstract

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Background: Alcohol use among people with HIV is associated with worse HIV treatment outcomes. Its impact on self-reported health status is unclear. Setting: Longitudinal cohort of people with HIV engaged in care across 7 clinics participating in the Centers for AIDS Research Network of Integrated Care Systems between January 2011 and June 2014. Methods: A total of 5046 participants were studied. A quantile regression model estimated the association of alcohol use levels with subsequent self-reported health status score, accounting for multiple covariates including depressive symptoms. Women, men who have sex with women, and men who have sex with men were analyzed separately. Results: Prevalence of heavy alcohol use was 21%, 31%, and 37% among women, men who have sex with women, and men who have sex with men, respectively. Women with heavy alcohol use had a subsequently decreased median self-reported health status score compared to women with no or moderate alcohol use (odds ratio [OR]: 0.76; 95% confidence interval [CI]: 0.58–0.99); this association was not explained by the presence of depressive symptoms. There was no observed association of alcohol use level on subsequent self-reported health status among men who have sex with women. Men who have sex with men reporting no alcohol use had a subsequently decreased median self-reported health status compared to moderate alcohol use (OR: 0.88; 95% CI: 0.80-0.97). Conclusion: Heavy alcohol use is associated with worsened self-reported health status at subsequent visits among women with HIV and not men with HIV.

Published in American Journal of Medicine Open

ISSN: 2667-0364 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine
Website: https://www.sciencedirect.com/journal/american-journal-of-medicine-open

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