Changing Patterns of Alcohol Use and Probability of Unsuppressed Viral Load Among Treated Patients with HIV Engaged in Routine Care in the United States

Academic Article

Abstract

  • © 2020, Springer Science+Business Media, LLC, part of Springer Nature. We examined HIV viral load non-suppression (≥ 200 copies/mL) subsequent to person-periods (3–18 months) bookended by two self-reports of alcohol use on a standardized patient reported outcome assessment among adults in routine HIV care. We examined the relative risk (RR) of non-suppression associated with increases and decreases in alcohol use (relative to stable use), stratified by use at the start of the person-period. Increases in drinking from abstinence were associated with higher risk of viral non-suppression (low-risk without binge: RR 1.16, 95% CI 1.03, 1.32; low-risk with binge: RR 1.35, 95% CI 1.11, 1.63; high-risk: RR 1.89, 95% CI 1.16, 3.08). Decreases in drinking from high-risk drinking were weakly, and not statistically significantly associated with lower risk of viral non-suppression. Other changes in alcohol use were not associated with viral load non-suppression. Most changes in alcohol consumption among people using alcohol at baseline were not strongly associated with viral non-suppression.
  • Published In

  • AIDS and Behavior  Journal
  • Digital Object Identifier (doi)

    Pubmed Id

  • 837529
  • Author List

  • Lesko CR; Nance RM; Lau B; Fojo AT; Hutton HE; Delaney JAC; Crane HM; Cropsey KL; Mayer KH; Napravnik S