Addressing unhealthy alcohol use among people living with HIV: recent advances and research directions

被引:30
作者
Edelman, E. Jennifer [1 ,2 ]
Williams, Emily C. [3 ,4 ]
Marshall, Brandon D. L. [5 ]
机构
[1] Yale Univ, Sch Med, New Haven, CT USA
[2] Yale Univ, Sch Publ Hlth, Ctr Interdisciplinary Res AIDS, New Haven, CT USA
[3] Univ Washington, Veteran Affairs VA Puget Sound Healthcare Syst, HSR&D, Ctr Innovat Veteran Ctr Value Driven Care, Seattle, WA 98195 USA
[4] Univ Washington, Dept Hlth Serv, Seattle, WA 98195 USA
[5] Brown Univ, Sch Publ Hlth, Dept Epidemiol, 121 South Main St,Box G-S-121-2, Providence, RI 02912 USA
关键词
alcohol; HIV; naltrexone; referral and consultation; screening; PRIMARY-CARE; BRIEF INTERVENTION; BUPRENORPHINE/NALOXONE TREATMENT; TREATMENT OUTCOMES; RANDOMIZED-TRIAL; HEAVY DRINKING; RELEASED PRISONERS; INFECTED PATIENTS; SUBSTANCE USE; STEPPED CARE;
D O I
10.1097/QCO.0000000000000422
中图分类号
R51 [传染病];
学科分类号
100201 [内科学];
摘要
Purpose of review Unhealthy alcohol use is prevalent among people living with HIV (PLWH). We sought to identify the most current literature examining the impact of unhealthy alcohol on health outcomes and latest developments on how to best intervene. Recent findings New research shows that PLWH have heightened morbidity and mortality at lower levels of alcohol consumption compared with HIV-uninfected persons. Studies published since 2016 have further elucidated the effects of persistent unhealthy alcohol use on HIV treatment outcomes over time. Screening and brief interventions, as well as pharmacologic treatment, can reduce unhealthy alcohol use among PLWH. Summary Unhealthy alcohol use is an important and modifiable risk factor for poor health and HIV treatment outcomes among PLWH. More research is needed to encourage and maintain engagement in alcohol-related interventions and improve implementation.
引用
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页码:1 / 7
页数:7
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