Psychosocial factors associated with problem drinking among substance users with poorly controlled HIV infection

Jennifer C. Elliott, Ahnalee M. Brincks, Daniel J. Feaster, Deborah S. Hasin, Carlos Del Rio, Gregory M. Lucas, Allan E. Rodriguez, Ank E Nijhawan, Lisa R. Metsch

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Aims: We aimed to identify psychosocial factors related to problem drinking among patients with poorly controlled human immunodeficiency virus (HIV) infection. Short Summary: We aimed to identify psychosocial factors related to problem drinking among those with poorly controlled HIV infection. Increased levels of interpersonal conflict were associated with greater severity of alcohol problems. Poorer mental health, medical mistrust and less satisfaction with one's physician related to excessive drinking. Methods: This secondary analysis used baseline data from a large multisite randomized controlled trial of substance users whose HIV infection was currently poorly controlled, from 11 urban hospitals across the USA. Participants were HIV-infected adult inpatients (n = 801; 67% male, 75% African American) with substance use histories. Participants self-reported on their drinking, perceived health, mental health, social relationships and patient-provider relationship. Structural equation models examined psychosocial factors associated with problem drinking, controlling for demographic covariates. Results: Increased levels of interpersonal conflict were associated with greater severity of alcohol problems. Poorer mental health, medical mistrust and less satisfaction with one's physician were associated with excessive drinking. Conclusions: Several psychosocial factors, including interpersonal conflict, poor mental health (i.e. anxiety, depression and somatization), medical mistrust and less satisfaction with one's provider, were associated with problem drinking among HIV-infected substance users with poorly controlled HIV infection. The co-occurrence of these concerns highlights the need for comprehensive services (including attention to problem drinking, social services, mental health and quality medical care) in this at-risk group.

Original languageEnglish (US)
Pages (from-to)603-610
Number of pages8
JournalAlcohol and Alcoholism
Volume53
Issue number5
DOIs
StatePublished - Jan 1 2018

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Virus Diseases
Viruses
Drinking
Health
HIV
Psychology
Mental Health
Alcohols
Controlled Substances
Physicians
Health care
Quality of Health Care
Structural Models
Urban Hospitals
Social Work
African Americans
Inpatients
Anxiety
Randomized Controlled Trials
Demography

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Toxicology
  • Psychiatry and Mental health

Cite this

Elliott, J. C., Brincks, A. M., Feaster, D. J., Hasin, D. S., Del Rio, C., Lucas, G. M., ... Metsch, L. R. (2018). Psychosocial factors associated with problem drinking among substance users with poorly controlled HIV infection. Alcohol and Alcoholism, 53(5), 603-610. https://doi.org/10.1093/alcalc/agy021

Psychosocial factors associated with problem drinking among substance users with poorly controlled HIV infection. / Elliott, Jennifer C.; Brincks, Ahnalee M.; Feaster, Daniel J.; Hasin, Deborah S.; Del Rio, Carlos; Lucas, Gregory M.; Rodriguez, Allan E.; Nijhawan, Ank E; Metsch, Lisa R.

In: Alcohol and Alcoholism, Vol. 53, No. 5, 01.01.2018, p. 603-610.

Research output: Contribution to journalArticle

Elliott, JC, Brincks, AM, Feaster, DJ, Hasin, DS, Del Rio, C, Lucas, GM, Rodriguez, AE, Nijhawan, AE & Metsch, LR 2018, 'Psychosocial factors associated with problem drinking among substance users with poorly controlled HIV infection', Alcohol and Alcoholism, vol. 53, no. 5, pp. 603-610. https://doi.org/10.1093/alcalc/agy021
Elliott, Jennifer C. ; Brincks, Ahnalee M. ; Feaster, Daniel J. ; Hasin, Deborah S. ; Del Rio, Carlos ; Lucas, Gregory M. ; Rodriguez, Allan E. ; Nijhawan, Ank E ; Metsch, Lisa R. / Psychosocial factors associated with problem drinking among substance users with poorly controlled HIV infection. In: Alcohol and Alcoholism. 2018 ; Vol. 53, No. 5. pp. 603-610.
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