Evidence map›Paper›PMID 29995206›Full record

ArticleAIDS and behavior2019

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

Emily C Williams, Kathleen A McGinnis, E Jennifer Edelman, Theresa E Matson, Adam J Gordon, Brandon D L Marshall, Kendall J Bryant, Anna D Rubinsky, Gwen T Lapham, Derek D Satre and 5 more

Abstract read
In one paragraph

Article in AIDS and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

84 citing papers in PubMed, 1 synthesis or guideline pooled it, 98 citations in OpenAlex.

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24 more citing papers are in PubMed but not listed here.

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

15 authors at 9 institutions in 1 country.

Emily C WilliamsHealth Services Research & Development (HSR&D), Center of Innovation for Veteran-Centered Value-Driven Care, Veteran Affairs (VA) Puget Sound Health Care System, 1660 S. Columbian Way, S-152, Seattle, WA, 98108, USA. emily.williams3@va.gov.
Kathleen A McGinnisVeterans Aging Cohort Study Coordinating Center, VA Connecticut Healthcare System, West Haven, CT, USA.
E Jennifer EdelmanYale University School of Medicine and Public Health, New Haven, CT, USA.
Theresa E MatsonHealth Services Research & Development (HSR&D), Center of Innovation for Veteran-Centered Value-Driven Care, Veteran Affairs (VA) Puget Sound Health Care System, 1660 S. Columbian Way, S-152, Seattle, WA, 98108, USA.
Adam J GordonDivision of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Brandon D L MarshallDepartment of Epidemiology, Brown University School of Public Health, Providence, RI, USA.
Kendall J BryantNational Institute on Alcohol Abuse and Alcoholism, Bethesda, MD, USA.
Anna D RubinskyKidney Health Research Collaborative, University of California, San Francisco, and VA San Francisco Healthcare System, San Francisco, CA, USA.
Gwen T LaphamHealth Services Research & Development (HSR&D), Center of Innovation for Veteran-Centered Value-Driven Care, Veteran Affairs (VA) Puget Sound Health Care System, 1660 S. Columbian Way, S-152, Seattle, WA, 98108, USA.
Derek D SatreDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Julie E RichardsDepartment of Health Services, University of Washington, Seattle, WA, USA.
Sheryl L CatzBetty Irene Moore School of Nursing, University of California at Davis, Sacramento, CA, USA.
David A FiellinVeterans Aging Cohort Study Coordinating Center, VA Connecticut Healthcare System, West Haven, CT, USA.
Amy C JusticeVeterans Aging Cohort Study Coordinating Center, VA Connecticut Healthcare System, West Haven, CT, USA.
Katharine A BradleyHealth Services Research & Development (HSR&D), Center of Innovation for Veteran-Centered Value-Driven Care, Veteran Affairs (VA) Puget Sound Health Care System, 1660 S. Columbian Way, S-152, Seattle, WA, 98108, USA.
VA Puget Sound Health Care System · USKaiser Permanente Washington Health Research Institute · USUniversity of California, San Francisco · USVA Connecticut Healthcare System · USYale University · USBrown University · USNational Institute on Alcohol Abuse and Alcoholism · USUC Davis Health System · USVA Pittsburgh Healthcare System · US

Funding

Alcohol Associated Outcomes Among HIV+/- Aging VeteransU10AA013566 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2006 to 2010
$12.7M
Alcohol and Multisubstance Use in the Veterans Aging Cohort StudyU01AA020790 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2011 to 2020
$7.7M
Sex Disparities in Overall Response to ART Among HIV Infected IndividualsU24AA020794 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2011 to 2020
$5.5M
Integrated Stepped Care for Unhealthy Alcohol Use in HIVU01AA020795 · NIAAA · YALE UNIVERSITY · PI FIELLIN, DAVID · 2011 to 2020
$5.2M
Consortium to improve Outcomes in HIV/AIDS, Alcohol, Aging & multi-Substance useU01AA020799 · NIAAA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BRAITHWAITE, RONALD SCOTT · 2011 to 2020
$2.1M
Training Clinicians in Implementation Research to Improve Alcohol-related CareK24AA022128 · NIAAA · KAISER FOUNDATION RESEARCH INSTITUTE · PI BRADLEY, KATHARINE ANTHONY · 2016 to 2020
$876k
Alcohol-related Care & Outcomes for Outpatients with HIV in a National VA CohortR21AA022866 · NIAAA · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI BRADLEY, KATHARINE ANTHONY, WILLIAMS, EMILY CATERINA · 2015 to 2016
$434k
Implementation Research for Evidence-based Care for Alcohol DependenceIK2HX001161 · VA · VA PUGET SOUND HEALTHCARE SYSTEM · PI WILLIAMS, EMILY CATERINA · 2015 to 2015
–
COMpAAAS/Veterans Aging Cohort Study U01-AA020790COMpAAAS/Veterans Aging Cohort Study U01-AA020795COMpAAAS/Veterans Aging Cohort Study U01-AA020799COMpAAAS/Veterans Aging Cohort Study U10 AA013566COMpAAAS/Veterans Aging Cohort Study U24-AA020794HSRD VA IK2 HX001161National Institute on Alcohol Abuse and Alcoholism K24-AA022128National Institute on Alcohol Abuse and Alcoholism R21AA022866-01NIAAA NIH HHS K24 AA022128NIAAA NIH HHS R21 AA022866NIAAA NIH HHS U01 AA020790NIAAA NIH HHS U01 AA020795NIAAA NIH HHS U01 AA020799NIAAA NIH HHS U10 AA013566NIAAA NIH HHS U24 AA020794VA Health Services Research & Development CDA 12-276
6 · The paper itself

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.

Indexed as

Continuity of Patient CareDrug MonitoringAlcohol DrinkingAnti-HIV AgentsFemaleHealth BehaviorHIV InfectionsHumansMaleMiddle AgedRetrospective StudiesUnited StatesVeteransViral LoadAnti-HIV AgentsAlcoholAntiretroviral therapyCare continuumHIVTreatment cascadeViral suppression

Identifiers

PMID29995206
PMCPMC6344313
OpenAlexW2836518291

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.