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Problematic alcohol use among individuals with HIV: relations with everyday memory functioning and HIV symptom
Adrienne J Heinz1, Kethera A Fogler, Michael E Newcomb
1Center for Health Care Evaluation, VA Palo Alto Health Care System, 795 Willow Rd (MPD-152), Menlo Park, CA, 94025, USA, aheinz@stanford.edu.
Problematic alcohol use impairs memory and worsens HIV symptoms. Integrated care and screenings for alcohol and cognitive function are crucial for better health outcomes in people with HIV.
Area of Science:
- Neuroscience
- Public Health
- Infectious Disease
Background:
- Problematic alcohol use negatively affects cognitive functions essential for managing HIV.
- Everyday memory functioning is critical for adherence to treatment and overall health in individuals with HIV.
Purpose of the Study:
- To examine the impact of problematic alcohol use on everyday memory functioning in HIV-infected individuals.
- To investigate whether self-reported memory functioning mediates the relationship between problematic alcohol use and HIV symptom severity.
Main Methods:
- Secondary data analysis of 172 HIV-infected individuals.
- Assessment of problematic alcohol use, everyday memory functioning, and HIV symptom severity.
- Mediation analysis to explore the relationship between these variables.
Main Results:
- Problematic alcohol use was associated with poorer overall memory functioning, including recall difficulties and memory for activities.
- Problematic alcohol use correlated with increased HIV symptom severity.
- Memory functioning partially mediated the link between alcohol use and HIV symptoms, though the causal direction was complex.
Conclusions:
- Findings underscore the need for integrated care models addressing both HIV and alcohol use disorders.
- Routine screening for alcohol use and cognitive function, particularly memory, may improve health outcomes for people living with HIV.
- Addressing problematic alcohol use is vital for cognitive health and symptom management in the HIV-infected population.
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