Cited by 181HIV Research and TreatmentHIV/AIDS Research and InterventionsHIV, Drug Use, Sexual Risk

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Alcohol and HIV Disease Progression: Weighing the Evidence

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Hahn, Judith A., Samet, Jeffrey H.·2010·Current HIV/AIDS Reports

DOI 10.1007/s11904-010-0060-6PMC PMC2938419

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Abstract

Heavy alcohol use is commonplace among HIV-infected individuals; however, the extent that alcohol use adversely impacts HIV disease progression has not been fully elucidated. Fairly strong evidence suggests that heavy alcohol consumption results in behavioral and biological processes that likely increase HIV disease progression, and experimental evidence of the biological effect of heavy alcohol on simian immunodeficiency virus in macaques is quite suggestive. However, several observational studies of the effect of heavy alcohol consumption on HIV progression conducted in the 1990s found no association of heavy alcohol consumption with time to AIDS diagnosis, while some more recent studies showed associations of heavy alcohol consumption with declines of CD4 cell counts and nonsuppression of HIV viral load. We discuss several plausible biological and behavioral mechanisms by which alcohol may cause HIV disease progression, evidence from prospective observational human studies, and suggest future research to further illuminate this important issue.

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Fig. 1 Potential mechanisms of HIV disease progression. ART—antiretroviral therapyCC BY-NC · PubMed Central

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Authors: Hahn, J. A., & Samet, J. H.
Affiliations: San Francisco General Hospital (US)
Boston University (US)
Corresponding author: Hahn, Judith A.
ORCID: Hahn, Judith A.
Samet, Jeffrey H.
Venue: Current HIV/AIDS Reports
Publisher: Springer Science and Business Media LLC
Published: 2010-09-03
Volume: 7
Issue: 4
Pages: 226-233
ISSN: 1548-3568 (ISSN-L)
1548-3576
DOI: 10.1007/s11904-010-0060-6
PMC: PMC2938419
OpenAlex: W2166084084
Cited by: 181
References: 50
Citations by year: 2026: 3 · 2025: 5 · 2024: 9 · 2023: 5 · 2022: 5 · 2021: 18 · 2020: 9 · 2019: 15 · 2018: 18 · 2017: 18 · 2016: 17 · 2015: 11 · 2014: 18 · 2013: 18 · 2012: 8
FWCI: 1.03
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc
Locations: Current HIV/AIDS Reports (publishedVersion, cc-by-nc)
PubMed Central (publishedVersion, cc-by-nc)
PubMed (publishedVersion)
eScholarship (California Digital Library) (submittedVersion)
eScholarship (California Digital Library) (submittedVersion, cc-by-nc)
OpenBU (Boston University) (submittedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism (K24AA015674)
Topics: Life Sciences › Immunology and Microbiology › Virology › HIV Research and Treatment
Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords: alcohol consumption, HIV disease progression, heavy drinking, CD4 count decline, HIV viral load, AIDS diagnosis, simian immunodeficiency virus, macaque, behavioral mechanisms, biological mechanisms
MeSH terms: Acquired Immunodeficiency Syndrome, Alcohol Drinking, Alcoholism, Disease Susceptibility, HIV, Humans, Liver Diseases, Patient Compliance, Risk-Taking, Health Behavior, HIV Infections, Behavior, Addictive, Disease Progression, CD4 Lymphocyte Count, Anti-HIV Agents, Viral Load, Malnutrition

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Alcohol and HIV Disease Progression: Weighing the Evidence

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