The influence of alcohol use disorders on sex and mood in an HIV-infected population in the state of Ceará, Northeastern Brazil.

作者: E. M. Barros , F. G. de Matos e Souza , C. M. da F. Ribeiro , K. J. N. de Matos , W. de S. Gurgel

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摘要: Background: This study assesses among 200 HIV-infected outpatients the prevalence of positive alcohol use disorder (AUD) and its correlations with socio-demographic characteristics, life habits, sexual behavior (hypo) manic symptoms. Methods: Between December 2009 June 2011, patients were interviewed at specialized clinic for HIVcare located in Walter Cantidio’s University Hospital, Fortaleza, Ceara, Brazil. Screening AUD was performed Alcohol Use Disorders Identification Test (AUDIT). A questionnaire based on WHO’s Behavioral Surveillance Surveys used to track risky behaviors. The Mood Disorder Questionnaire (MDQ) screen symptoms mania hypomania. Results: One hundred thirty-three (66.5%) male, mean age 37.4 years (standard deviation, SD=10.9) 9.5(SD=3.5). Ninety nine (49.5%) had AUD: 80 (40%) hazardous drinking 19 (9.5%) dependence. higher rates male gender (OR=2.8; 95%CI=1.5, 5.2), living alone (OR=4.5; 95%CI=1.6, 12.7), tobacco (OR=3.0; 95%CI=1.4, 6.6), illicit drugs (OR=3.5; 95%CI=1.7, 7.1) (hypo)manic (OR=6.4; 95%CI=2.3, 17.7). Regarding behavior, associated lower first sex (OR=1.1; 95%CI=1.05, 1.2) commercial (OR=2.7; 95%CI=1.3, 5.8) non-regular partners (OR=4.3; 95%CI=2.1, 8.6). In multivariate analysis, independent associations between following variables found: (adjusted Odds Ratio [aOR]=10.1; 44.7), (aOR=7.8; 39.0), (aOR=3.9; 95%CI=1.2, 12.2), (aOR=3.4; 8.3), (aOR=2.7; 95%CI=1.1, education (aOR=1.1; 95%CI=1.03, (aOR=1.03; 95%CI=1.002, 1.076). Conclusion: Therefore, there is a significantly high patients. showed profile: young males, alone, education, drug risk better understanding comorbidity implications behavioral aspects HIV-positive individuals may help providing long term outcomes these

参考文章(40)
Luciano Nery Ferreira, José Patrício Bispo Júnior, Zenilda Nogueira Sales, Cezar Augusto Casotti, Antonio Carlos Ricardo Braga Junior, Prevalência e fatores associados ao consumo abusivo e à dependência de álcool Ciencia & Saude Coletiva. ,vol. 18, pp. 3409- 3418 ,(2013) , 10.1590/S1413-81232013001100030
Frank H Galvan, Eric G Bing, John A Fleishman, Andrew S London, Raul Caetano, M Audrey Burnam, Doug Longshore, Sally C Morton, Maria Orlando, Martin Shapiro, The prevalence of alcohol consumption and heavy drinking among people with HIV in the United States: results from the HIV Cost and Services Utilization Study. Journal of Studies on Alcohol and Drugs. ,vol. 63, pp. 179- 186 ,(2002) , 10.15288/JSA.2002.63.179
Wagner de Sousa Gurgel, Diego Barreto Rebouças, Karla Julianne Negreiros de Matos, Alexandre Henrique Silva Carneiro, Fábio Gomes de Matos e Souza, Brazilian Portuguese validation of Mood Disorder Questionnaire. Comprehensive Psychiatry. ,vol. 53, pp. 308- 312 ,(2012) , 10.1016/J.COMPPSYCH.2011.04.059
Kaysia T. Ludford, Panagiotis Vagenas, Javier R. Lama, Jesus Peinado, Pedro Gonzales, Rene Leiva, Monica Pun, Jorge Sanchez, Frederick L. Altice, , Screening for Drug and Alcohol Use Disorders and Their Association with HIV-Related Sexual Risk Behaviors among Men Who Have Sex with Men in Peru PLoS ONE. ,vol. 8, pp. e69966- ,(2013) , 10.1371/JOURNAL.PONE.0069966
Nicolas Bertholet, Debbie M. Cheng, Jeffrey H. Samet, Emily Quinn, Richard Saitz, Alcohol consumption patterns in HIV-infected adults with alcohol problems. Drug and Alcohol Dependence. ,vol. 112, pp. 160- 163 ,(2010) , 10.1016/J.DRUGALCDEP.2010.05.009
Emilene Reisdorfer, Fátima Büchele, Rodrigo Otávio Moretti Pires, Antonio Fernando Boing, Prevalence and associated factors with alcohol use disorders among adults: a population-based study in southern Brazil Revista Brasileira De Epidemiologia. ,vol. 15, pp. 582- 594 ,(2012) , 10.1590/S1415-790X2012000300012
Seth C. Kalichman, Leickness C. Simbayi, Michelle Kaufman, Demetria Cain, Sean Jooste, Alcohol Use and Sexual Risks for HIV/AIDS in Sub-Saharan Africa: Systematic Review of Empirical Findings Prevention Science. ,vol. 8, pp. 141- 151 ,(2007) , 10.1007/S11121-006-0061-2
A Mijch, P Burgess, F Judd, P Grech, A Komiti, J Hoy, JH Lloyd, T Gibbie, A Street, Increased health care utilization and increased antiretroviral use in HIV-infected individuals with mental health disorders Hiv Medicine. ,vol. 7, pp. 205- 212 ,(2006) , 10.1111/J.1468-1293.2006.00359.X