Level of Alcohol Use Associated with HIV Care Continuum Targets in a National U.S. Sample of Persons Living with HIV Receiving Healthcare

Williams, Emily C.; McGinnis, Kathleen A.; Edelman, E. Jennifer; Matson, Theresa E.; Gordon, Adam J.; Marshall, Brandon D. L.; Bryant, Kendall J.; Rubinsky, Anna D.; Lapham, Gwen T.; Satre, Derek D.; Richards, Julie E.; Catz, Sheryl L.; Fiellin, David A.; Justice, Amy C.; Bradley, Katharine A.

doi:10.1007/s10461-018-2210-6

Cited by 97HIV/AIDS Research and InterventionsHIV, Drug Use, Sexual RiskSubstance Abuse Treatment and Outcomes

Level of Alcohol Use Associated with HIV Care Continuum Targets in a National U.S. Sample of Persons Living with HIV Receiving Healthcare

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Williams, Emily C., McGinnis, Kathleen A., Edelman, E. Jennifer, Matson, Theresa E., Gordon, Adam J., Marshall, Brandon D. L., Bryant, Kendall J., Rubinsky, Anna D. +7 more·2019·AIDS and Behavior

DOI 10.1007/s10461-018-2210-6PMC PMC6344313

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Abstract

We evaluated associations between levels of alcohol use and HIV care continuum components using national Veterans Aging Cohort Study data for all patients with HIV and AUDIT-C screening (2/1/2008-9/30/2014). Poisson regression models evaluated associations between alcohol use levels (non-drinking, low-, medium-, high-, and very high-level drinking) and: (1) engagement with care (documented CD4 cells/µl or viral load copies/ml labs), (2) ART treatment (≥ 1 prescription), and (3) viral suppression (HIV RNA < 500 copies/ml) within one year. Among 33,224 patients, alcohol use level was inversely associated with all care continuum outcomes (all p < 0.001). Adjusted prevalence of care engagement ranged from 77.8% (95% CI 77.1-78.4%) for non-drinking to 69.1% (66.6-71.6%) for high-level drinking. The corresponding range for ART treatment was 74.0% (73.3-74.7%) to 60.1% (57.3-62.9%) and for viral suppression was 57.3% (56.5-58.1%) to 38.3% (35.6-41.1%). Greater alcohol use is associated with suboptimal HIV treatment across the HIV care continuum.

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Unhealthy alcohol use among people with HIV is associated with significant health-related consequences, including mortality, lack of viral suppression, less ART utilization, and sub-optimal adherence to ART.
“Unhealthy alcohol use is prevalent among people with HIV (PWH) and associated with significant health-related consequences.”
From A Randomized Feasibility/Acceptability Trial of Acceptance and Commitment Therapy for People with HIV Who Drink at Unhealthy Levels. (2026) · cites this paper as [8]
The Discussion (page unavailable) reports that higher alcohol use was associated with lower ART treatment and viral suppression, and describes an association with ART adherence. The paper does not report a mortality finding, so it supports the citing sentence’s general point about health-related consequences but not every consequence listed in the supplied paraphrase. (LLM, conf=0.84)
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[56]Williams EC, Lapham GT, Shortreed SM, Among patients with unhealthy alcohol use, those with HIV are less likely than those without to receive evidence-based alcohol-related care: A national VA study. Drug Alcohol Depend. 5 01 2017; 174: 113– 120. 28324813 PMC5444382

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Williams, E. C., McGinnis, K. A., Rubinsky, A. D., Matson, T. E., Bobb, J. F., Lapham, G. T., Edelman, E. J., Satre, D. D., Catz, S. L., Richards, J. A., et al. (2020) · AIDS and Behavior · doi:10.1007/s10461-020-02950-x · Cited by 30 · see citing works
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Comprehensive Assessment of Alcohol Consumption in People Living with HIV (PLWH): The New Orleans Alcohol Use in HIV Study
Ferguson, T. F., Theall, K. P., Brashear, M., Maffei, V., Beauchamp, A., Siggins, R. W., Simon, L., Mercante, D., Nelson, S., Welsh, D. A., et al. (2020) · Alcoholism: Clinical and Experimental Research · doi:10.1111/acer.14336 · Cited by 26 · see citing works
HIV Disease Severity Is Sensitive to Temporal Changes in Alcohol Use: A National Study of VA Patients With HIV
Williams, E. C., McGinnis, K. A., Tate, J. P., Matson, T. E., Rubinsky, A. D., Bobb, J. F., Lapham, G. T., Edelman, E. J., Catz, S. L., Satre, D. D., et al. (2019) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000002049 · Cited by 26 · see citing works
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Predictors of initiation of and retention on medications for alcohol use disorder among people living with and without HIV
Oldfield, B. J., McGinnis, K. A., Edelman, E. J., Williams, E. C., Gordon, A. J., Akgün, K. M., Crystal, S., Fiellin, L. E., Gaither, J. R., Goulet, J. L., et al. (2019) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2019.11.002 · Cited by 26 · see citing works
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Substance use service availability in HIV treatment programs: data from the global IeDEA consortium, 2014-2015 and 2017
Parcesepe, A. M., Lancaster, K., Edelman, E. J., DeBoni, R., Ross, J., Atwoli, L., Tlali, M., Althoff, K., Tine, J., Duda, S. N., et al. (2020) · PLoS ONE · doi:10.1371/journal.pone.0237772 · Cited by 24 · see citing works
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Patterns of alcohol use and associated characteristics and HIV-related outcomes among a sample of African-American women living with HIV
Lipira, L., Rao, D., Nevin, P. E., Kemp, C. G., Cohn, S. E., Turan, J. M., Simoni, J. M., Andrasik, M. P., French, A. L., Unger, J. M., et al. (2020) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2019.107753 · Cited by 23 · see citing works
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Clinical Research: A Review of Study Designs, Hypotheses, Errors, Sampling Types, Ethics, and Informed Consent
singh, A. P., Vadakedath, S., & Kandi, V. (2023) · Cureus · doi:10.7759/cureus.33374 · Cited by 25 · see citing works
Readiness to Provide Medications for Addiction Treatment in HIV Clinics: A Multisite Mixed-Methods Formative Evaluation
Edelman, E. J., Gan, G., Dziura, J. D., Esserman, D. A., Morford, K. L., Porter, E., Chan, P. A., Cornman, D. H., Oldfield, B. J., Yager, J. E., et al. (2021) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000002666 · Cited by 25 · see citing works
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The relationship of smoking and unhealthy alcohol use to the HIV care continuum among people with HIV in an integrated health care system
Satre, D. D., Levine‐Hall, T., Sterling, S., Young‐Wolff, K. C., Lam, J. O., Alexeeff, S., Hojilla, J. C., Williams, A. E., Justice, A. C., Sterne, J. A. C., et al. (2021) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2020.108481 · Cited by 25 · see citing works
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Integrated stepped alcohol treatment for patients with HIV and liver disease: A randomized trial
Edelman, E. J., Maisto, S. A., Hansen, N. B., Cutter, C. J., Dziura, J., Deng, Y., Fiellin, L. E., O’Connor, P. G., Bedimo, R., Gibert, C. L., et al. (2019) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2019.08.007 · Cited by 23 · see citing works
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Validating Self‐Reported Unhealthy Alcohol Use With Phosphatidylethanol (PEth) Among Patients With HIV
Eyawo, O., Deng, Y., Dziura, J. D., Justice, A. C., McGinnis, K. A., Tate, J. P., Rodriguez‐Barradas, M. C., Hansen, N. B., Maisto, S. A., Marconi, V. C., et al. (2020) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.14435 · Cited by 22 · see citing works
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HealthCall: A randomized trial assessing a smartphone enhancement of brief interventions to reduce heavy drinking in HIV care
Hasin, D. S., Aharonovich, E., Zingman, B. S., Stohl, M., Walsh, C. A., Elliott, J. C., Fink, D. S., Knox, J., Durant, S., Menchaca, R., et al. (2020) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2022.108733 · Cited by 20 · see citing works
Changes in Days of Unhealthy Alcohol Use and Antiretroviral Therapy Adherence, HIV RNA Levels, and Condomless Sex: A Secondary Analysis of Clinical Trial Data
Satre, D. D., Sarovar, V., Leyden, W. A., Hare, C. B., Catz, S. L., BRYANT, K. J., Williams, E. C., Hojilla, J. C., Horberg, M. A., & Silverberg, M. J. (2019) · AIDS and Behavior · doi:10.1007/s10461-019-02742-y · Cited by 21 · see citing works
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Implementing electronic substance use disorder and depression and anxiety screening and behavioral interventions in primary care clinics serving people with HIV: Protocol for the Promoting Access to Care Engagement (PACE) trial
Satre, D. D., Anderson, A. N., Leibowitz, A., Levine‐Hall, T., Slome, S. B., Flamm, J., Hare, C. B., McNeely, J., Weisner, C. M., Horberg, M. A., et al. (2019) · Contemporary Clinical Trials · doi:10.1016/j.cct.2019.105833 · Cited by 20 · see citing works
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The importance of domain-specific self-efficacy assessment for substance use and HIV care continuum outcomes among adults in an urban HIV clinic network
Starks, T. J., Skeen, S. J., Jones, S. S., Millar, B. M., Gurung, S., Ferraris, C. M., Ventuneac, A., Parsons, J. T., & Sparks, M. A. (2021) · AIDS Care · doi:10.1080/09540121.2021.1904501 · Cited by 19 · see citing works
Impact of behavioral and medication treatment for alcohol use disorder on changes in HIV-related outcomes among patients with HIV: A longitudinal analysis
McGinnis, K. A., Skanderson, M., Edelman, E. J., Gordon, A. J., Korthuis, P. T., Oldfield, B. J., Williams, E. C., Wyse, J. J. B., BRYANT, K. J., Fiellin, D. A., et al. (2020) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2020.108272 · Cited by 18 · see citing works
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A Randomized Trial Comparing Brief Advice and Motivational Interviewing for Persons with HIV–HCV Co-infection Who Drink Alcohol
Stein, M. D., Herman, D. S., Kim, H. N., Howell, A., Lambert, A. M., Madden, S., Moitra, E., Blevins, C. E., Anderson, B. J., Taylor, L. E., et al. (2020) · AIDS and Behavior · doi:10.1007/s10461-020-03062-2 · Cited by 18 · see citing works
Integrated stepped alcohol treatment for patients with HIV and at-risk alcohol use: a randomized trial
Edelman, E. J., Maisto, S. A., Hansen, N. B., Cutter, C. J., Dziura, J. D., Deng, Y., Fiellin, L. E., O’Connor, P. G., Bedimo, R. G., Gibert, C. L., et al. (2020) · Addiction Science & Clinical Practice · doi:10.1186/s13722-020-00200-y · Cited by 17 · see citing works
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Contribution of behavioral health factors to non-AIDS-related comorbidities: an updated review
Chichetto, N. E., Polanka, B. M., So-Armah, K. A., Sung, M., Stewart, J. C., Koethe, J. R., Edelman, E. J., Tindle, H. A., & Freiberg, M. S. (2020) · Current HIV/AIDS Reports · doi:10.1007/s11904-020-00498-y · Cited by 17 · see citing works
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Higher Levels of Alcohol Use Are Associated With Latent Tuberculosis Infection in Adults Living With Human Immunodeficiency Virus
Puryear, S. B., Fatch, R., Beesiga, B., Kekibiina, A., Lodi, S., Marson, K. G., Emenyonu, N. I., Muyindike, W. R., Kwarisiima, D., Hahn, J. A., et al. (2020) · Clinical Infectious Diseases · doi:10.1093/cid/ciaa527 · Cited by 16 · see citing works
Associations Between Alcohol Use, Antiretroviral Therapy Use, and Viral Load Suppression Among People Living with HIV in Rural Central Uganda
Wynn, A., Sileo, K. M., Schmarje, K. A., Naigino, R., Ediau, M., Menzies, N. A., Kalichman, S. C., Wanyenze, R. K., Martin, N. K., & Kiene, S. M. (2024) · AIDS and Behavior · doi:10.1007/s10461-024-04299-x · Cited by 14 · see citing works
Multilevel and Multifactorial Interventions to Reduce Alcohol Consumption and Improve ART Adherence and Related Factors Among HIV Positive Men in Mumbai, India
Schensul, S. L., Ha, T., Schensul, J. J., Grady, J. J., Burleson, J. A., Gaikwad, S., Joshi, K., Malye, R., & Sarna, A. (2021) · AIDS and Behavior · doi:10.1007/s10461-021-03303-y · Cited by 14 · see citing works
Effectiveness of naltrexone treatment for alcohol use disorders in HIV: a systematic review
Farhadian, N., Moradi, S., Zamanian, M. H., Farnia, V., Rezaeian, S., Farhadian, M., & Shahlaei, M. (2020) · Substance Abuse Treatment Prevention and Policy · doi:10.1186/s13011-020-00266-6 · Cited by 13 · see citing works
Effect of a brief alcohol counselling intervention on HIV viral suppression and alcohol use among persons with HIV and unhealthy alcohol use in Uganda and Kenya: a randomized controlled trial
Puryear, S. B., Mwangwa, F., Opel, F., Chamie, G., Balzer, L. B., Kabami, J., Ayieko, J., Owaraganise, A., Kakande, E., Agengo, G., et al. (2023) · Journal of the International AIDS Society · doi:10.1002/jia2.26187 · Cited by 12 · see citing works
Chronic High Risk Prescription Opioid Use Among Persons With HIV
Ventuneac, A., Hecht, G., Forcht, E., Duah, B. A., Tarar, S., Langenbach, B., Gates, J., Cain, D. N., Rendina, H. J., Aberg, J. A., et al. (2021) · Frontiers in Sociology · doi:10.3389/fsoc.2021.645992 · Cited by 12 · see citing works
Development of a Telephone-Delivered Acceptance and Commitment Therapy Intervention for People Living with HIV who are Hazardous Drinkers
Woolf-King, S. E., Firkey, M., Foley, J. D., Bricker, J., Hahn, J. A., Asiago-Reddy, E., Wikier, J., Moskal, D., Sheinfil, A. Z., Ramos, J., et al. (2022) · AIDS and Behavior · doi:10.1007/s10461-022-03649-x · Cited by 10 · see citing works
Brief interventions for alcohol misuse among people living with HIV: a meta-analysis
Ghosh, A., Singh, G. K., Yadav, N., Singh, P., & Kathiravan, S. (2023) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990.2023.2248647 · Cited by 10 · see citing works
Substance Use, Highly Active Antiretroviral Therapy, and Liver Enzymes: Evidence From a Cross-Sectional Study of HIV-Infected Adult Patients Without Comorbidities on HAART in the University of Port Harcourt Teaching Hospital
Anyanwu, C. F., Johnbull, T.-O., Usman, I. M., Aigbogun, E., Ochai, J., Qasem, A. H., Alkhayyat, S. S., Alexiou, A. T., & Batiha, G. E. (2021) · Frontiers in Reproductive Health · doi:10.3389/frph.2021.664080 · Cited by 11 · see citing works
Safety and tolerability of isoniazid preventive therapy for tuberculosis for persons with HIV with and without alcohol use
Hahn, J. A., Ngabirano, C., Fatch, R., Emenyonu, N. I., Cheng, D. M., Adong, J., Tumwegamire, A., Terrault, N. A., Linas, B. P., Jacobson, K. R., et al. (2023) · AIDS · doi:10.1097/qad.0000000000003613 · Cited by 11 · see citing works
Alcohol use and the longitudinal HIV care continuum for people with HIV who enrolled in care between 2011 and 2019
Lesko, C. R., Gnang, J. S., Fojo, A. T., Hutton, H. E., McCaul, M. E., Delaney, J. A., Cachay, E. R., Mayer, K. H., Crane, H. M., Batey, D. S., et al. (2023) · Annals of Epidemiology · doi:10.1016/j.annepidem.2023.07.002 · Cited by 11 · see citing works
Delirium among people aging with and without HIV : Role of alcohol and Neurocognitively active medications
Akgün, K. M., Krishnan, S., Tate, J., BRYANT, K. J., Pisani, M. A., Re, V. L., Rentsch, C. T., Crothers, K. A., Gordon, K. S., Justice, A. C., et al. (2023) · Journal of the American Geriatrics Society · doi:10.1111/jgs.18265 · Cited by 11 · see citing works
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Change in Alcohol Use Based on Self-Report and a Quantitative Biomarker, Phosphatidylethanol, in People With HIV
McGinnis, K. A., Tate, J. P., BRYANT, K. J., Justice, A. C., O’Connor, P. G., Rodriguez‐Barradas, M. C., Crystal, S., Cutter, C. J., Hansen, N. B., Maisto, S. A., et al. (2021) · AIDS and Behavior · doi:10.1007/s10461-021-03438-y · Cited by 10 · see citing works
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Age group differences in substance use, social support, and physical and mental health concerns among people living with HIV two years after receiving primary care-based alcohol treatment
Satre, D. D., Sarovar, V., Leyden, W. A., Leibowitz, A., Lam, J. O., Hojilla, J. C., Davy-Méndez, T., Hare, C. B., & Silverberg, M. J. (2022) · Aging & Mental Health · doi:10.1080/13607863.2022.2084504 · Cited by 10 · see citing works
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Impact of alcohol use disorder severity on human immunodeficiency virus (HIV) viral suppression and CD4 count in three international cohorts of people with HIV
Bertholet, N., Saitz, R., Hahn, J. A., Heeren, T., Emenyonu, N. I., Freiberg, M. S., Winter, M. R., Kim, T. W., Magane, K. M., Lloyd-Travaglini, C. A., et al. (2023) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.15031 · Cited by 10 · see citing works
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Influence of comorbid drug use disorder on receipt of evidence-based treatment for alcohol use disorder among VA patients with alcohol use disorder and Hepatitis C and/or HIV
Frost, M. C., Matson, T. E., Tsui, J. I., & Williams, E. C. (2018) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2018.10.008 · Cited by 10 · see citing works
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An update on drug–drug interactions in older adults living with human immunodeficiency virus (HIV)
Linfield, R. Y., Nguyen, N. N., Laprade, O. H., Holodniy, M., & Chary, A. (2024) · Expert Review of Clinical Pharmacology · doi:10.1080/17512433.2024.2350968 · Cited by 12 · see citing works
Prevalence of alcohol use by gender and HIV status in rural Uganda
Wynn, A., Sileo, K. M., Schmarje, K. A., Naigino, R., Ediau, M., Wanyenze, R. K., Kiwanuka, N., Martin, N. K., & Kiene, S. M. (2024) · PLoS ONE · doi:10.1371/journal.pone.0303885 · Cited by 9 · see citing works
Low-Burden Universal Substance Use Screening in a Primary Care Clinic to Lower Implementation Barriers
Konkle‐Parker, D. J., Williams, D. C., McAfee, N. W., Schumacher, J. A., & Parker, J. D. (2022) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-022-09814-3 · Cited by 8 · see citing works
Lifetime Alcohol Use Trajectories and Health Status Among Persons Living with HIV (PLWH)
Madkour, A. S., Felker-Kantor, E., Welsh, D. A., Molina, P. E., Theall, K. P., & Ferguson, T. F. (2022) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.21-00303 · Cited by 7 · see citing works
The Geography of Emergency Department-Based HIV Testing in South Africa: Can Patients Link to Care?
Hansoti, B., Mishra, A., Rao, A., Chimoyi, L., Redd, A. D., Reynolds, S. J., Stead, D., Black, J. M., Maharaj, R. C., Hahn, E., et al. (2021) · EClinicalMedicine · doi:10.1016/j.eclinm.2021.101091 · Cited by 7 · see citing works
HealthCall: Smartphone Enhancement of Brief Interventions to Improve HIV Medication Adherence Among Patients in HIV Care
Knox, J., Aharonovich, E., Zingman, B. S., Stohl, M., Walsh, C. A., Elliott, J. C., Fink, D. S., Durant, S., Menchaca, R., Sharma, A., et al. (2024) · AIDS and Behavior · doi:10.1007/s10461-024-04289-z · Cited by 6 · see citing works
Alcohol Use Disorder and Recent Alcohol Use and HIV Viral Non-Suppression Among People Engaged in HIV Care in an Urban Clinic, 2014–2018
Lesko, C. R., Hutton, H. E., Edwards, J. K., McCaul, M. E., Fojo, A. T., Keruly, J. C., Moore, R. D., & Chander, G. (2021) · AIDS and Behavior · doi:10.1007/s10461-021-03487-3 · Cited by 6 · see citing works
Perspectives on contingency management for alcohol use and alcohol‐associated conditions among people in care with HIV
Cohen, S. M., DePhilippis, D., Deng, Y., Dziura, J. D., Ferguson, T. F., Fucito, L. M., Justice, A. C., Maisto, S. A., Marconi, V. C., Molina, P. E., et al. (2023) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.15159 · Cited by 6 · see citing works
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Substance Use-Related Intentional Nonadherence to Antiretroviral Therapy Among Young Adults Living with HIV
Kalichman, S. C., Eaton, L. A., & Kalichman, M. O. (2021) · AIDS Patient Care and STDs · doi:10.1089/apc.2021.0137 · Cited by 6 · see citing works
Alcohol Use and Its Associations With Frailty, Fractures, and Falls Among Older Adults With HIV
Satre, D. D. (2025) · Alcohol research · doi:10.35946/arcr.v45.1.08 · Cited by 5 · see citing works
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Patients' perspectives of medications for addiction treatment in HIV clinics: A qualitative study
Morford, K. L., Muvvala, S. B., Chan, P. A., Cornman, D. H., Doernberg, M., Porter, E., Virata, M., Yager, J. E., Fiellin, D. A., & Edelman, E. J. (2022) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2022.108767 · Cited by 5 · see citing works
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Associations between alcohol and cigarette use and type 1 and 2 myocardial infarction among people with HIV
Drumright, L. N., Nance, R. M., Ruderman, S. A., Ma, J., Whitney, B. M., Hahn, A. W., Fredericksen, R. J., Luu, B., Lober, W. B., Moore, R. D., et al. (2023) · HIV Medicine · doi:10.1111/hiv.13466 · Cited by 5 · see citing works
Changes in frequency of cannabis use among people with HIV during the COVID-19 pandemic: a multi-methods study to explore the underlying reasons for change
Parisi, C. E., Wang, Y., Varma, D. S., Vaddiparti, K., Ibañez, G. E., Carrillo, L. C., & Cook, R. L. (2023) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990.2023.2176234 · Cited by 5 · see citing works
Patient‐reported outcome measures in adult HIV care: A rapid scoping review of targeted outcomes and instruments used
Engler, K., Avallone, F., Cadri, A., & Lebouché, B. (2024) · HIV Medicine · doi:10.1111/hiv.13599 · Cited by 6 · see citing works
Chronic Alcohol Exposure Among People Living with HIV Is Associated with Innate Immune Activation and Alterations in Monocyte Phenotype and Plasma Cytokine Profile
Underwood, M. L., Park, B. S., Uebelhoer, L. S., Gu, G., Kunkel, L. E., Korthuis, P. T., Cook, R., Sékaly, R., Ribeiro, S. P., & Lancioni, C. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.867937 · Cited by 5 · see citing works
Barriers and facilitators on the HIV care continuum among adults living with HIV in high-income countries: a scoping review protocol
Kim, G. S., Kim, Y., Park, M. K., Lee, S. A., Lee, Y., & Shim, M. (2022) · Systematic Reviews · doi:10.1186/s13643-022-02097-x · Cited by 5 · see citing works
Efficacy of Behavioral Intervention, Text Messaging, and Extended Intervention to Address Alcohol Misuse in Sexual Minority Men with HIV: A Factorial Randomized Clinical Trial
Kahler, C. W., Surace, A., Liu, T., Pantalone, D. W., Mastroleo, N. R., Yan, Y., Wray, T. B., Mayer, K. H., & Monti, P. M. (2024) · AIDS and Behavior · doi:10.1007/s10461-024-04493-x · Cited by 4 · see citing works
“…is associated with worse retention in HIV care [4–6], worse antiretroviral therapy (ART) adherence [7–10], decreased odds of HIV viral suppression [5, 8, 10], greater HIV disease severity [11], and increased risk of mortality [12, 13], as well as a variety of long-term comorbidities including…”
Sociodemographic and clinical factors associated with use of depression treatment among people with HIV in the United States: An electronic health records-based cohort study
Metz, V. E., Kline‐Simon, A. H., Levine, T., Sarovar, V., Lea, A. N., Doren, N. V., Sterling, S., Silverberg, M. J., & Satre, D. D. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.119815 · Cited by 4 · see citing works
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Avoidance and Rumination as Predictors of Substance Use, Mental Health, and Pain Outcomes Among People Living With HIV
Ferguson, E. G., Busch, A. M., Anderson, B. J., Abrantes, A. M., Pinkston, M. M., Baker, J. V., Stein, M. D., & Uebelacker, L. A. (2024) · Behavior Therapy · doi:10.1016/j.beth.2024.02.008 · Cited by 4 · see citing works
Negative Consequences of Alcohol Use among People Living with HIV
Fisk-Hoffman, R. J., Richards, V. L., Leeman, R. F., Brumback, B., Cook, C. L., & Cook, R. L. (2021) · Substance Use & Misuse · doi:10.1080/10826084.2021.1899232 · Cited by 4 · see citing works
The temporal relationship of alcohol use and subsequent self-reported health status among people with HIV
Pytell, J. D., Li, X., Thompson, C. B., Lesko, C. R., McCaul, M. E., Hutton, H. E., Batey, D. S., Cachay, E. R., Mayer, K. H., Napravnik, S., et al. (2022) · American Journal of Medicine Open · doi:10.1016/j.ajmo.2022.100020 · Cited by 4 · see citing works
Consumo de álcool em pessoas vivendo com HIV e suas implicações para os desfechos clínicos
Mesquita, A. L., Melo, E. S., Costa, C. R. B., Pontes, P. S., Gir, E., & Reis, R. K. (2020) · Revista Eletrônica de Enfermagem · doi:10.5216/ree.v22.56418 · Cited by 3 · see citing works
Factors Associated with Bothersome Symptoms in Individuals With and Without HIV Who Report Alcohol Use
Bahji, A., Gordon, K. S., Crystal, S., Satre, D. D., Williams, E. C., Edelman, E. J., & Justice, A. C. (2023) · AIDS and Behavior · doi:10.1007/s10461-022-03972-3 · Cited by 3 · see citing works
Self-citation
The relationship of smoking and unhealthy alcohol use to HIV care retention and viral suppression: findings from a multisite cohort study
Satre, D. D., Sarovar, V., Levine, T., Alexeeff, S., Lea, A. N., Sterling, S., Justice, A. C., Guest, J. L., Sterne, J. A. C., Ingle, S. M., et al. (2025) · AIDS · doi:10.1097/qad.0000000000004329 · Cited by 4 · see citing works
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Integrated telehealth intervention to reduce chronic pain and unhealthy drinking among people living with HIV: protocol for a randomized controlled trial
Palfai, T. P., Bernier, L., Kratzer, M. P. L., Magane, K. M., Fielman, S., Otis, J. D., Heeren, T., Winter, M. R., & Stein, M. D. (2024) · Addiction Science & Clinical Practice · doi:10.1186/s13722-024-00493-3 · Cited by 3 · see citing works
Identifying the best measures of alcohol consumption to predict future HIV viral suppression trajectories
Richards, V. L., Leeman, R. F., Wang, Y., Cook, C. L., Prins, C., Ennis, N., Spencer, E. C., & Cook, R. L. (2022) · AIDS and Behavior · doi:10.1007/s10461-022-03674-w · Cited by 3 · see citing works
Effects of a COVID-19 Public Health Lockdown on Drinking and Health Behavior Among Persons with HIV and with Unhealthy Alcohol use in Uganda
Beesiga, B., Marson, K. G., Fatch, R., Emenyonu, N. I., Adong, J., Kekibiina, A., Puryear, S. B., Lodi, S., McDonell, M. G., Muyindike, W. R., et al. (2023) · AIDS and Behavior · doi:10.1007/s10461-023-04042-y · Cited by 3 · see citing works
A Latent Class Analysis of Substance Use and Longitudinal HIV RNA Patterns Among PWH in DC Cohort
Byrne, M. E., Monroe, A. K., Doshi, R. K., Horberg, M. A., & Castel, A. D. (2024) · AIDS and Behavior · doi:10.1007/s10461-023-04257-z · Cited by 2 · see citing works
Cumulative violence exposures among men who have sex with men living with HIV in India: Psychosocial correlates of HIV care continuum outcomes
Sabri, B., Budhathoki, C. B., McFall, A. M., Mehta, S. H., Celentano, D. D., Solomon, S. S., Srikrishnan, A. K., Anand, S., Vasudevan, C. K., & Lucas, G. M. (2023) · PLoS ONE · doi:10.1371/journal.pone.0295225 · Cited by 2 · see citing works
Scaling up a brief alcohol intervention to prevent HIV infection in Vietnam: a cluster randomized, implementation trial
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Authors: Williams, E. C., McGinnis, K. A., Edelman, E. J., Matson, T. E., Gordon, A. J., Marshall, B. D. L., Bryant, K. J., Rubinsky, A. D., Lapham, G. T., Satre, D. D., Richards, J. E., Catz, S. L., Fiellin, D. A., Justice, A. C., & Bradley, K. A.
Affiliations: University of Washington (US)
VA Connecticut Healthcare System (US)
Yale University (US)
Kaiser Permanente Washington Health Research Institute (US)
University of Pittsburgh (US)
Brown University (US)
National Institute on Alcohol Abuse and Alcoholism (US)
University of California, San Francisco (US)
Kaiser Permanente (US)
University of California, Davis (US)
Corresponding author: Williams, Emily C.
ORCID: Williams, Emily C.
McGinnis, Kathleen A.
Edelman, E. Jennifer
Matson, Theresa E.
Gordon, Adam J.
Marshall, Brandon D. L.
Bryant, Kendall J.
Rubinsky, Anna D.
Lapham, Gwen T.
Satre, Derek D.
Catz, Sheryl L.
Fiellin, David A.
Justice, Amy C.
Bradley, Katharine A.
Venue: AIDS and Behavior
Publisher: Springer Science and Business Media LLC
Published: 2018-07-09
Volume: 23
Issue: 1
Pages: 140-151
ISSN: 1090-7165 (ISSN-L)
1573-3254
DOI: 10.1007/s10461-018-2210-6
PMC: PMC6344313
OpenAlex: W2836518291
Cited by: 97
References: 64
Citations by year: 2026: 5 · 2025: 10 · 2024: 15 · 2023: 15 · 2022: 13 · 2021: 16 · 2020: 14 · 2019: 8 · 2018: 1
FWCI: 7.38
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: AIDS and Behavior (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
eScholarship (California Digital Library) (submittedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism (R21AA022866-01, K24-AA022128)
COMpAAAS/Veterans Aging Cohort Study (U24-AA020794, U01-AA020790, U01-AA020795, U01-AA020799, U10 AA013566)
VA Health Services Research & Development (CDA 12-276)
Topics: Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords: alcohol consumption, HIV care continuum, HIV care engagement, antiretroviral therapy, viral suppression, CD4 count, veterans
MeSH terms: Assessment of Medication Adherence, Alcohol Drinking, Continuity of Patient Care, Female, Humans, Male, Middle Aged, Retrospective Studies, United States, Veterans, Health Behavior, HIV Infections, Drug Monitoring, Anti-HIV Agents, Viral Load, Medication Adherence

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Level of Alcohol Use Associated with HIV Care Continuum Targets in a National U.S. Sample of Persons Living with HIV Receiving Healthcare

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