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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. AIDS Educ Prev 2019 08;31(4):380-393

Date

07/31/2019

Pubmed ID

31361515

Pubmed Central ID

PMC6668921

DOI

10.1521/aeap.2019.31.4.380

Scopus ID

2-s2.0-85070265092

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 non-main partners. Interventions to improve HIV care in Russia must comprehensively address the use of alcohol and substances that interfere with care engagement.

Author List

Amirkhanian YA, Kelly JA, Tarima SS, Kuznetsova AV, DiFranceisco WJ, Musatov VB, Yakovlev AA, McAuliffe TL

Authors

Yuri A. Amirkhanian PhD Professor in the Psychiatry department at Medical College of Wisconsin
Jeffrey A. Kelly PhD Professor in the Psychiatry department at Medical College of Wisconsin
Timothy L. McAuliffe PhD Professor in the Psychiatry department at Medical College of Wisconsin
Sergey S. Tarima PhD Associate Professor in the Institute for Health and Equity department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Alcohol Drinking
Alcoholism
Anti-HIV Agents
Female
HIV Infections
Humans
Male
Prevalence
Risk-Taking
Russia
Sexual Behavior
Sexual Partners
Social Networking
Social Support
Unsafe Sex
Viral Load
jenkins-FCD Prod-486 e3098984f26de787f5ecab75090d0a28e7f4f7c0