Alcohol consumption trajectory patterns in adult women with HIV infection

Abstract

HIV-infected women with excessive alcohol consumption are at risk for adverse health outcomes, but little is known about their long-term drinking trajectories. This analysis included longitudinal data, obtained from 1996 to 2006, from 2,791 women with HIV from the Women's Interagency HIV Study. Among these women, the proportion in each of five distinct drinking trajectories was: continued heavy drinking (3 %), reduction from heavy to non-heavy drinking (4 %), increase from non-heavy to heavy drinking (8 %), continued non-heavy drinking (36 %), and continued non-drinking (49 %). Depressive symptoms, other substance use (crack/cocaine, marijuana, and tobacco), co-infection with hepatitis C virus (HCV), and heavy drinking prior to enrollment were associated with trajectories involving future heavy drinking. In conclusion, many women with HIV change their drinking patterns over time. Clinicians and those providing alcohol-related interventions might target those with depression, current use of tobacco or illicit drugs, HCV infection, or a previous history of drinking problems.

Figure 1

Drinking trajectory patterns for 3768 women: Women’s Interagency HIV Study, 1994 – 2006. The five groups include (1) women who were persistent heavy drinkers (3%); (2) women who cut back from heavy drinking to non-heavy drinking (4%); (3) women who increased to heavy drinking over time (8%); (4) women who remained non-heavy drinkers during the entire follow-up (36%); and (5) women who were non-drinkers (49%).