Evidence map›Paper›PMID 31785536›Full record

Trial reportDrug and alcohol dependence2020

Patterns of alcohol use and associated characteristics and HIV-related outcomes among a sample of African-American women living with HIV.

Lauren Lipira, Deepa Rao, Paul E Nevin, Christopher G Kemp, Susan E Cohn, Janet M Turan, Jane M Simoni, Michele P Andrasik, Audrey L French, Joseph M Unger and 2 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Article
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  3. Review
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  17. Review
  18. Psychological and Clinical Risk Factors for Substance Use in People With and Without HIV.Journal of the International Association of Providers of AIDS Care
    Article
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

12 authors.

Lauren LipiraDepartment of Health Services, University of Washington, 1959 NE Pacific St, Magnuson Health Sciences Center, Room H-680, Seattle, WA, 98195-7660, United States; Department of Global Health, University of Washington, Harris Hydraulics Laboratory, Box 357965, Seattle, WA, 98195-7965, United States. Electronic address: lauren.e.lipira@dhsoha.state.or.us.
Deepa RaoDepartment of Global Health, University of Washington, Harris Hydraulics Laboratory, Box 357965, Seattle, WA, 98195-7965, United States; Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 NE Pacific Street, Box 356560, Room BB1644, Seattle, WA, 98195-6560, United States. Electronic address: deeparao@uw.edu.
Paul E NevinDepartment of Global Health, University of Washington, Harris Hydraulics Laboratory, Box 357965, Seattle, WA, 98195-7965, United States. Electronic address: penevin@uw.edu.
Christopher G KempDepartment of Global Health, University of Washington, Harris Hydraulics Laboratory, Box 357965, Seattle, WA, 98195-7965, United States. Electronic address: kempc@uw.edu.
Susan E CohnDepartment of Medicine, Northwestern University Feinberg School of Medicine, 645 North Michigan Avenue, Suite 926, Chicago, IL, 60611, United States. Electronic address: susan-cohn@northwestern.edu.
Janet M TuranDepartment of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Ryals Public Health Building (RPHB), 1665 University Boulevard, Birmingham, AL, 35294-0022, United States. Electronic address: jmturan@uab.edu.
Jane M SimoniDepartment of Psychology, University of Washington, 119A Guthrie Hall, Box 351525, Seattle, WA, 98195-1525, United States. Electronic address: jsimoni@uw.edu.
Michele P AndrasikVaccine and Infectious Disease Division, Fred Hutch, 1100 Fairview Ave N., Mail Stop E5-110, Seattle, WA, 98109, United States. Electronic address: mandrasik@fredhutch.org.
Audrey L FrenchStroger Hospital of Cook County, Ruth M. Rothstein CORE Center, 2020 W. Harrison St, Chicago, IL, 60612, United States. Electronic address: afrench@cookcountyhhs.org.
Joseph M UngerDepartment of Health Services, University of Washington, 1959 NE Pacific St, Magnuson Health Sciences Center, Room H-680, Seattle, WA, 98195-7660, United States; Public Health Sciences Division, Fred Hutch. 1100 Fairview Ave N., Mail Stop M3-C102, Seattle, WA, 98109, United States. Electronic address: junger@fredhutch.org.
Patrick HeagertyDepartment of Biostatistics, University of Washington, Box 357232, Seattle, WA, 98195-7232, United States. Electronic address: heagerty@uw.edu.
Emily C WilliamsDepartment of Health Services, University of Washington, 1959 NE Pacific St, Magnuson Health Sciences Center, Room H-680, Seattle, WA, 98195-7660, United States; Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System Health Services Research & Development, 1660 S. Columbian Way (S-152), Seattle, WA, 98108, United States. Electronic address: Emily.Williams3@va.gov.

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Kenneth Sherr · 1988 to 2026
$104.9M
University of Washington Health Services Research Training ProgramT32HS013853 · AHRQ · UNIVERSITY OF WASHINGTON · PI WEINER, BRYAN J., WILLIAMS, EMILY CATERINA · 2003 to 2024
$6.9M
Reducing HIV Stigma to Improve Health Outcomes for African-American WomenR01MH098675 · NIMH · UNIVERSITY OF WASHINGTON · PI RAO, DEEPA · 2012 to 2016
$2.6M
AHRQ HHS T32 HS013853NIAID NIH HHS P30 AI027757NIMH NIH HHS R01 MH098675
6 · The paper itself

Abstract

backgroundAlcohol use is common among people living with HIV and negatively impacts care and outcomes. African-American women living with HIV are subject to vulnerabilities that may increase risk for alcohol use and associated HIV-related outcomes.

methodsWe used baseline data from a randomized controlled trial of an HIV-related stigma-reduction intervention among African-American women living with HIV in Chicago and Birmingham (2013-2015). Patterns of alcohol use [any use, unhealthy alcohol use (UAU), heavy episodic drinking (HED)] were measured using the AUDIT-C. We assessed demographic, social, and clinical characteristics which may influence alcohol use and HIV-related outcomes which may be influenced by patterns of alcohol use in bivariate and multivariable analyses.

resultsAmong 220 African-American women living with HIV, 54 % reported any alcohol use, 24 % reported UAU, and 27 % reported HED. In bivariate analysis, greater depressive symptoms, lower religiosity, lower social support, marijuana, and crack/cocaine use were associated with patterns of alcohol use (p < 0.05). Marijuana and cocaine/crack use were associated with patterns of alcohol use in adjusted analysis (p < 0.05). In adjusted analysis, any alcohol use and HED were associated with lower likelihood of ART adherence (ARR = 0.72, 95 % CI: 0.53-0.97 and ARR = 0.65, 95 % CI: 0.44-0.96, respectively), and UAU was associated with lack of viral suppression (ARR = 0.78, 95 % CI: 0.63-0.96).

conclusionsFindings suggest any and unhealthy alcohol use is common and associated with poor HIV-related outcomes in this population. Regular alcohol screening and intervention should be offered, potentially targeted to subgroups (e.g., those with other substance use).

Indexed as

AdultAlabamaAlcohol DrinkingAlcoholismBlack or African AmericanChicagoCross-Sectional StudiesFemaleHIV InfectionsHumansMiddle AgedSocial StigmaAfrican-American womenAlcohol useDepressionReligiositySubstance use

Identifiers

PMID31785536
PMCPMC6980681

What OpenQuestion holds

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Registered trials

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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.