Evidence map›Paper›PMID 29660593›Full record

ArticleAddictive behaviors2018

Factors associated with hazardous alcohol use and motivation to reduce drinking among HIV primary care patients: Baseline findings from the Health & Motivation study.

Michael J Silverberg, Wendy A Leyden, Amy Leibowitz, C Bradley Hare, Hannah J Jang, Stacy Sterling, Sheryl L Catz, Sujaya Parthasarathy, Michael A Horberg, Derek D Satre

Abstract read
In one paragraph

Article in Addictive behaviors, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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  17. Mental and Physical Quality of Life by Age Groups in People Living With HIV.The Journal of the Association of Nurses in AIDS Care : JANAC
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Michael J SilverbergDivision of Research, Kaiser Permanente Northern California, Oakland, CA, United States. Electronic address: Michael.J.Silverberg@kp.org.
Wendy A LeydenDivision of Research, Kaiser Permanente Northern California, Oakland, CA, United States.
Amy LeibowitzDivision of Research, Kaiser Permanente Northern California, Oakland, CA, United States.
C Bradley HareDepartment of Adult and Family Medicine, Kaiser Permanente San Francisco Medical Center, San Francisco, CA, United States.
Hannah J JangDivision of Research, Kaiser Permanente Northern California, Oakland, CA, United States; UCSF Medical Center Institute for Nursing Excellence, United States.
Stacy SterlingDivision of Research, Kaiser Permanente Northern California, Oakland, CA, United States.
Sheryl L CatzBetty Irene Moore School of Nursing, University of California at Davis, Sacramento, CA, United States.
Sujaya ParthasarathyDivision of Research, Kaiser Permanente Northern California, Oakland, CA, United States.
Michael A HorbergMid-Atlantic Permanente Research Institute, Kaiser Permanente Mid-Atlantic States, Rockville, MD, United States.
Derek D SatreDivision of Research, Kaiser Permanente Northern California, Oakland, CA, United States; UCSF Weill Institute for Neurosciences, Department of Psychiatry, University of California, San Francisco, CA, United States.
Kaiser Permanente · USKaiser Permanente San Francisco Medical Center · USUC Davis Health System · US

Funding

Primary Care-Based Interventions to Reduce Alcohol Use Among HIV Patients, U01AA021997 Admin SupplementU01AA021997 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SATRE, DEREK D, SILVERBERG, MICHAEL J · 2012 to 2017
$2.9M
Population-based Screening and Brief Intervention in Primary Care: Health and Drinking Outcomes, Cost and UtilizationR01AA025902 · NIAAA · KAISER FOUNDATION RESEARCH INSTITUTE · PI STERLING, STACY ANN · 2017 to 2020
$1.6M
NIAAA NIH HHS R01 AA025902NIAAA NIH HHS U01 AA021997
6 · The paper itself

Abstract

backgroundLimited primary care-based research has examined hazardous drinking risk factors and motivation to reduce use in persons with HIV (PWH).

methodsWe computed prevalence ratios (PR) for factors associated with recent (<30 days) hazardous alcohol use (i.e., 4+/5+ drinks in a single day for women/men), elevated Alcohol Use Disorders Identification Test (AUDIT) scores, and importance and confidence (1-10 Likert scales) to reduce drinking among PWH in primary care.

resultsOf 614 participants, 48% reported recent hazardous drinking and 12% reported high alcohol use severity (i.e., AUDIT zone 3 or higher). Factors associated with greater alcohol severity included moderate/severe anxiety (PR: 2.07; 95% CI: 1.18, 3.63), tobacco use (PR: 1.79; 1.11, 2.88), and other substance use (PR: 1.72; 1.04, 2.83). Factors associated with lower alcohol severity included age 50-59 years (PR: 0.46; 0.22, 2.00) compared with age 20-39 years, and having some college/college degree (PR: 0.61; 0.38, 0.97) compared with ≤high school. Factors associated with greater importance to reduce drinking (scores >5) included: moderate/severe depression (PR: 1.43; 1.03, 2.00) and other substance use (PR: 1.49; 1.11, 2.01). Lower importance was associated with incomes above $50,000 (PR: 0.65; 0.46, 0.91) and marijuana use (PR: 0.65; 0.49, 0.87). HIV-specific factors (e.g., CD4 and HIV RNA levels) were not associated with alcohol outcomes.

conclusionsThis study identified modifiable participant characteristics associated with alcohol outcomes in PWH, including anxiety and depression severity, tobacco use, and other substance use.

Indexed as

MotivationAdultAlcohol-Related DisordersAnxietyBinge DrinkingDepressionFemaleHIV InfectionsHumansMaleMarijuana UseMiddle AgedPrimary Health CareYoung AdultAnxietyDepressionHazardous alcohol useHIVInterventionsMarijuana

Identifiers

PMID29660593
PMCPMC5975127
OpenAlexW2794737016

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.