Abstract
This prospective, cohort study analyzed the prevalence of alcoholism and patterns of alcohol intake over time in a cohort of HIV-infected patients, predominantly homosexual/bisexual men. One hundred eleven HIV-positive subjects were recruited from a comprehensive HIV clinic associated with a large Midwestern university hospital. Each participant completed the Michigan Alcoholism Screening Test (MAST) survey and a standardized quantity—frequency questionnaire on alcohol intake at enrollment. The quantity—frequency scale was repeated every six months for a total of 30 months. Forty-five of the 111 subjects (41%) met the criteria for alcoholism, as defined by a MAST score 5 or higher. There was a significant decrease in alcohol consumption over time, from 6.4 drinks/week in the initial time period to 3.9 drinks/week by the final time period (p<0.001).
References
Stall R, Wiley J. A comparison of alcohol and drug use patterns of homosexual and heterosexual men: The San Francisco Men’s Health Study. Drug Alcohol Depend. 1988;22:63–73.
Israelstam S, Lambert S. Homosexuality and alcohol: observations and research after the psychoanalytic era. Int J Addict. 1986;21:509–37.
Lohrenz LJ, Connely JC, Coyne L. et al. Alcohol problems in several midwestern homosexual communities. J Stud Alcohol. 1978;39:1959–63.
MacGregor RR. Alcohol and drugs as co-factors for AIDS. Adv Alcohol Subst Abuse. 1988;7(2):47–71.
Ekstrand ML, Coates TJ. Maintenance of safer sexual behaviors and predictors of risky sex: The San Francisco Men’s Health Study. Am J Public Health. 1990;80(8):973–6.
van Griensven GJP. Tielman RA, Goudsmit J, et al. Risk factors and prevalence of HIV antibodies in homosexual men in The Netherlands. Am J Epidemiol. 1987;125(6):1048–57.
Valdisserri RO, Lyter D, Leviton LC. et al. Variables influencing condom use in a cohort of gay and bisexual men. Am J Public Health. 1988;78:801–5.
The Pulmonary Complications of HIV Infection Study Group. Design of a prospective study of the pulmonary complications of human immunodeficiency virus infection. J Clin Epidemiol. 1993;46:497–507.
Selzer ML. The Michigan Alcoholism Screening Test: the quest for a new diagnostic instrument. Am J Psychiatry 1971;127:1653–8.
Coates RA, Farewell VT, Raboud J, et al. Cofactors of progression to acquired immunodeficiency syndrome in a cohort of male sexual contacts of men with human immunodeficiency virus disease. Am J Epidemiol. 1990;132:717–22.
Penkower L, Dew MA, Kingsley L, et al. Behavioral, health and psychosocial factors and risk for HIV infection among sexually active homosexual men: The Multicenter AIDS Cohort Study. Am J Public Health. 1991;81:194–6.
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Supported in part through contract number N01-HR-76035 from the National Heart, Lung and Blood Institute.
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Lefevre, F., O’Leary, B., Moran, M. et al. Alcohol consumption among HIV-infected patients. J Gen Intern Med 10, 458–460 (1995). https://doi.org/10.1007/BF02599920
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DOI: https://doi.org/10.1007/BF02599920