Daily Associations Between Alcohol Consumption and Antiretroviral Therapy (ART) Adherence Among HIV-Positive Men Who Have Sex With Men

Alan Z. Sheinfil, Jacklyn D. Foley, Dezarie Moskal, Michelle R. Dalton, Madison Firkey, Jeremy Ramos, Stephen A. Maisto, Sarah E. Woolf-King

Research output: Contribution to journalArticlepeer-review

Abstract

Alcohol consumption is one of the strongest predictors of suboptimal adherence to antiretroviral therapy (ART), however, there is little research that has investigated both within- and between-person associations of alcohol consumption and ART adherence at the event-level. In this secondary data-analysis, (N = 22) HIV-positive MSM prospectively reported daily alcohol consumption and ART adherence for 42-days. Multilevel models demonstrated (1) days in which participants reported consuming any alcohol was associated with 2.48 increased odds of ART non-adherence, compared to days in which participants reported no alcohol consumption, and (2) there was a non-significant trend indicating days in which participants reported consuming greater than their own average levels of alcohol was associated with increased odds of ART non-adherence. Findings highlight the importance of combining intervention efforts that address alcohol consumption and suboptimal ART adherence, and indicate a need for future research to investigate the mechanisms by which alcohol influences ART adherence.

Original languageEnglish (US)
JournalAIDS and Behavior
DOIs
StateAccepted/In press - 2022

Keywords

  • Alcohol
  • Antiretroviral therapy adherence
  • HIV-positive
  • Men who have sex with men
  • Multilevel modeling

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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