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Utilization of Alcohol Treatment Among HIV-Positive Women with Hazardous Drinking.

Title: Utilization of Alcohol Treatment Among HIV-Positive Women with Hazardous Drinking.
Name(s): Hu, Xingdi, author
Harman, Jeffrey, author
Winterstein, Almut G, author
Zhong, Yue, author
Wheeler, Amber L, author
Taylor, Tonya N, author
Plankey, Michael, author
Rubtsova, Anna, author
Cropsey, Karen, author
Cohen, Mardge H, author
Adimora, Adaora A, author
Milam, Joel, author
Adedimeji, Adebola, author
Cook, Robert L, author
Type of Resource: text
Genre: Journal Article
Date Issued: 2016-05-01
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: Hazardous alcohol consumption has been frequently reported among women with HIV infection and is associated with a variety of negative health consequences. Treatments to reduce alcohol use may bring in health benefits. However, little is known regarding the utilization of alcohol treatment services among HIV+ women with hazardous drinking. Using data from the Women's Interagency HIV Study (WIHS), this study assessed utilization of any alcohol treatment in the past 6 months and performed multivariable logistic regression to determine correlates of receipt of any alcohol treatment. Among 474 HIV+ women reporting recent hazardous drinking, less than one in five (19%) reported recent utilization of any alcohol treatment. Alcoholics Anonymous (AA) was the most commonly reported (12.9%), followed by inpatient detoxification (9.9%) and outpatient alcohol treatment program (7.0%). Half (51%) receiving any alcohol treatment reported utilization of multiple treatments. Multivariable analyses found alcohol treatment was more often utilized by those who had social support (odds ratio [OR]=1.68, 95% confidence interval [CI]=1.00 to 2.83), fewer economic resources (income ≤$12,000 vs. >$12,000, OR=3.10, 95% CI=1.53 to 6.27), higher levels of drinking (16-35 drinks/week vs. 12-15 drinks/week, OR=3.02, 95% CI=1.47 to 6.21; 36+ drinks/week vs. 12-15 drinks/week, OR=4.41, 95% CI=2.03 to 9.59), and those who reported any illicit drug use (OR=2.77, 95% CI=1.44 to 5.34). More efforts are needed to enhance the utilization of alcohol treatment. Our findings highlight the unique profile of those who utilized alcohol treatment. Such information is vital to improve treatment delivery to address unmet need in this particular population.
Identifier: FSU_pmch_26961420 (IID), 10.1016/j.jsat.2016.01.011 (DOI), PMC4943324 (PMCID), 26961420 (RID), 26961420 (EID), S0740-5472(16)00043-X (PII)
Keywords: Alcohol treatment, Hazardous drinking, Social support, Utilization, Women with HIV
Grant Number: U01 AI103397, U01-AI-103390, U01-AI-034994, U01-AI-103408, U01 AI031834, UL1-TR000004, U01 AI035004, UL1-TR000454, U24 AA022002, U01-AI-034993, U01 AA020797, U01 AI034989, U01-AI-103401, U01-AI-035004, UL1 TR001427, U01 AI034994, UL1 TR000454, U01-AI-103397, U01 AI103401, U01-AI-034989, U01-AI-042590, U01-HD-032632, U01 AI103390, U01 AI034993, UL1 TR000004, U01 AI103408, U01-AA020797, U01-AI-031834, U01 HD032632, U01 AI042590
Publication Note: This NIH-funded author manuscript originally appeared in PubMed Central at
Subject(s): Adolescent
Alcohol Drinking
Alcohol-Related Disorders/therapy
HIV Infections
Patient Compliance
Socioeconomic Factors
Substance Abuse Treatment Centers
Surveys and Questionnaires
United States
Women's Health
Young Adult
Persistent Link to This Record:
Host Institution: FSU
Is Part Of: Journal of substance abuse treatment.
Issue: vol. 64

Choose the citation style.
Hu, X., Harman, J., Winterstein, A. G., Zhong, Y., Wheeler, A. L., Taylor, T. N., … Cook, R. L. (2016). Utilization of Alcohol Treatment Among HIV-Positive Women with Hazardous Drinking. Journal Of Substance Abuse Treatment. Retrieved from