Quality of Life, Functioning, and Coping in HCV Patients Continuing Versus Ceasing Alcohol Use
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Published on: November 13, 2017
Omar T Sims1,2, Hyejung Oh3, David E Pollio1
1University of Alabama at Birmingham, Birmingham, AL, USA.
Insights
Hepatitis C virus (HCV) patients who continued alcohol use reported lower quality of life and functioning compared to those who ceased drinking. This highlights the impact of alcohol on well-being for HCV patients.
Area of Science:
- Hepatology
- Infectious Diseases
- Public Health
Background:
- Hepatitis C virus (HCV) infection poses significant health challenges.
- Clinicians strongly advise HCV patients to abstain from alcohol due to its detrimental effects on liver health.
- Despite medical advice, a substantial number of HCV patients continue to consume alcohol.
Purpose of the Study:
- To compare the quality of life, functioning, and coping mechanisms between HCV patients who continued alcohol use and those who ceased in the past year.
- To provide evidence-based insights for clinicians advising HCV patients on alcohol cessation.
Main Methods:
- A cohort of 291 HCV patients was recruited from liver and infectious disease clinics.
- Student's t-tests were employed to compare outcomes between active and former alcohol users.
- Data collection focused on self-reported quality of life, functioning, and coping strategies.
Main Results:
- Active alcohol users reported significantly lower quality of life in home life, personal leisure, and overall well-being compared to former users.
- Active alcohol users also reported diminished functioning across home life, close relationships, and sexual life.
- No significant differences in coping strategies were observed between the two groups.
Conclusions:
- Continued alcohol consumption is strongly associated with poorer quality of life and impaired functioning in HCV patients.
- Clinicians should emphasize these negative impacts on quality of life and functioning to reinforce alcohol avoidance or cessation treatment recommendations.
- Further research may explore tailored interventions for HCV patients struggling with alcohol cessation.
Abstract:
The purpose of this study was to compare quality of life, functioning, and coping among hepatitis C virus (HCV) patients who continued versus ceased alcohol use in the past year. HCV patients (n = 291) were recruited from three liver and infectious disease clinics. Student's t test was used to compare HCV patients who were former and active users of alcohol. The majority of HCV patients were male, African American, and without a high school degree. Compared to former users of alcohol, active users of alcohol self-reported lower ratings on home life, personal leisure, and overall quality of life. In the area of functioning, active users of alcohol self-reported lower ratings on home life, close relationships, sex life, and overall functioning. The two groups did not differ on coping. Most HCV clinicians advise HCV patients to avoid alcohol completely because of its adverse biological effects on the liver. Despite this important advice by their HCV clinicians, most HCV patients continue to use alcohol. HCV clinicians can additionally consider advising these patients that continued alcohol use is associated with lower quality of life and functioning as further evidence to convince these patients to avoid alcohol or to participate in alcohol cessation treatment.
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