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Addressing alcohol use in HIV-infected persons
1The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Topics in Antiviral Medicine
|December 14, 2011
Summary
Hazardous alcohol use negatively impacts HIV treatment outcomes, reducing antiretroviral therapy receipt, adherence, and virologic suppression. Screening and intervention for alcohol use disorder are crucial for HIV patient care.
Area of Science:
- Public Health
- Infectious Diseases
- Addiction Medicine
Background:
- Alcohol use is prevalent in people with HIV (PLWH).
- Hazardous alcohol consumption is linked to poorer HIV treatment outcomes, including reduced antiretroviral therapy (ART) initiation, adherence, and virologic suppression.
- Effective management of alcohol use disorder (AUD) is essential for PLWH.
Purpose of the Study:
- To highlight the importance of screening, intervention, and referral for alcohol use disorder in individuals with HIV.
- To outline how brief screening can guide treatment decisions for AUD in HIV-positive patients.
- To emphasize the significance of addressing co-occurring mental health disorders in the context of AUD treatment for PLWH.
Main Methods:
- This article summarizes a presentation on managing alcohol use disorder in HIV-infected patients.
- It discusses the role of screening tools to assess the level of alcohol risk.
- It covers the spectrum of interventions, from brief counseling to behavioral therapy and pharmacologic treatment.
Main Results:
- Patients with hazardous alcohol use are less likely to receive ART, adhere to treatment, and achieve virologic suppression.
- Brief screening can effectively identify patients needing intervention for AUD.
- Integrated care addressing both AUD and mental health disorders is vital.
Conclusions:
- Screening for and intervening in alcohol use disorder are integral components of HIV clinical care.
- Tailored interventions based on screening results are necessary for optimal patient outcomes.
- Addressing co-occurring mental health conditions is critical for comprehensive AUD management in PLWH.
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