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Motivation to Quit Drinking in Individuals Coinfected with HIV and Hepatitis C

Jumi Hayaki1, Bradley J Anderson2, Debra S Herman2,3

  • 1Department of Psychology, College of the Holy Cross, P.O. Box 217A, Worcester, MA, 01610, USA. jhayaki@holycross.edu.

AIDS and Behavior
|October 24, 2019
PubMed

Insights

For HIV/HCV coinfected patients who drink alcohol, experiencing alcohol-related problems and having reasons to quit drinking increases motivation to stop. Drinking for enhancement decreases this motivation.

Area of Science:

  • Medical Research
  • Public Health
  • Addiction Science

Background:

  • Alcohol consumption is prevalent in individuals coinfected with Human Immunodeficiency Virus (HIV) and Hepatitis C Virus (HCV).
  • This coinfection poses unique health risks, yet factors influencing alcohol reduction or cessation remain understudied.
  • Understanding motivation to quit drinking is crucial for intervention development in this vulnerable population.

Purpose of the Study:

  • To investigate factors associated with motivation to quit drinking among alcohol-consuming patients coinfected with HIV and HCV.
  • To identify specific reasons for drinking and quitting that influence an individual's motivation to reduce alcohol intake.

Main Methods:

  • A cross-sectional study involving 110 alcohol-consuming HIV/HCV coinfected patients recruited from medical clinics.
  • Data collection included self-reported 90-day drinking frequency and intensity, alcohol-related problems, reasons to quit, reasons to drink, and motivation to quit.
  • Multivariate regression analysis was used to identify factors associated with motivation to quit, controlling for demographic variables.

Main Results:

  • Motivation to quit drinking was positively associated with experiencing alcohol-related problems (β=0.35, p=0.007) and having reasons to quit (β=0.23, p=0.021).
  • Conversely, motivation to quit was negatively associated with drinking alcohol for enhancement purposes (β=-0.36, p=0.004).
  • Participants reported consuming alcohol on an average of 54.1 days in the past 90 days.

Conclusions:

  • Alcohol-related problems and a desire to quit are key drivers of motivation to reduce alcohol consumption in HIV/HCV coinfected individuals.
  • Using alcohol for enhancement purposes may impede motivation to quit.
  • These findings can inform targeted interventions to support alcohol cessation in this patient group.

Keywords:
Alcohol consumptionHIV/HCV coinfectionMotivation to quit

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