How Common Is Alcohol Use Disorder Among People With HIV?

Poz.com ^ | February 14, 2020 | Benjamin Ryan

[fwdude]

Article lead: Problematic use of alcohol is likely far more common among HIV-positive people than in the general population.

Worldwide, alcohol use disorder (AUD) is apparently much more common among people with HIV compared with the general population. This is the signature finding of the first-ever systematic review and meta-analysis to estimate the prevalence of problematic use of alcohol among HIV-positive individuals around the globe.

AUD, otherwise known as alcoholism, refers to the continuous use of alcohol despite its causing harm and despite repeated attempts to cut back on drinking.

Problematic drinking is of particular concern for people with HIV because research has indicated that heavy alcohol use is associated with poorer adherence to daily antiretrovirals as well as harmful immune activity. AUD may also exacerbate HIV’s negative impact on cognitive function and overall quality of life.

[fwdude]

So now alcoholism is referred to as AUD? How PC of them.

[fwdude]

Or, perhaps the same homosexual pathology that causes them to catch AIDS also induces them to drink.

[traderrob6]

Alcoholism crosses ALL barriers.....Sex, race, socio economic class, education, intelligence, personality type, you name it.

It one of the most powerful and sneakiest of addictions.

[null and void]

A person who engages in one high risk behavior is apt to engage in others as well.

[Blood of Tyrants]

We used to just call them alcoholics and drunks.

[FormerFRLurker]

Maybe alcoholics are more likely to engage in risky sexual behavior while drunk? I think the authors of this study have cause and effect reversed, although if I were diagnosed with HIV I’d probably want to drown my sorrows in booze too.

[gibsonguy]

AUD? PC is the tyranny of language and l am sick of it.

[doorgunner69]

Bingo! Along with all the other drugs their “lifestyle” consumes.

[Dilbert San Diego]

I’ve heard about that. I heard of a sad case recently, of an alcoholic, who overcame alcoholism, but, then became a problem gambler.

I don’t pretend to know all the ins and outs of such afflictions, but, would not be surprised, if there is a certain mindset or personality type, which can fall prone to excesses which cause them problems.

[traderrob6]

I’m sorry but that is an ignorant analogy.

Alcoholism and it’s correlation to “risky behavior” is strictly after the fact.

Alcoholism is related to a number of personality “circumstances” but proclivity to risk taking is NOT one of them.

[traderrob6]

It’s commonly referred to as “addictive personality”.

It has never been proven or quantified only speculated upon. One thing has been proven.....A person who has succumbed to one addiction is far more likely to succumb to another.

[Truthoverpower]

Alcohol use disorder???? Wah ha ha ha ha ha ha ha ha!!!

What idiots came up with this nonsensical term?

My wife tried to use the alcoholic word with me for years at the beginning of our relationship and now she’s excepted the fact that we like to drink!

Two things about alcohol

First a little is good a lot is not necessarily better

Second drinking too much is its own punishment!

[NobleFree]

previous studies have estimated that the AUD prevalence in the general population in the United States, Europe and Australia is 14%, 11% and 12%, respectively.

We need to ban this dangerous addictive drug.

[Mr Ramsbotham]

Or, perhaps the same homosexual pathology that causes them to catch AIDS also induces them to drink.

By George, I think you've got it!

[Harmless Teddy Bear]

People who over indulge in alcohol also engage in other risky behaviors.

This surprises anyone?

[miss marmelstein]

Nonetheless, homosexuals have a high rate of alcoholism.

As Gertrude Stein said, it was because the acts they perform are so repulsive, they must take refuge in drink and drugs. And that lady was rarely wrong about anything.

[null and void]

Not the first time I’ve been wrong...

[MinuteGal]

Writer Gertrude Stein and author Alice B. Toklas were the most famous lesbian couple of their time.

Leni

[Missouri gal]

Alcohol use disorder has been more broadly defined than was alcoholism in the past. 11 symptoms for which any 2 puts a user in the AUD category:
https://www.psychologytoday.com/us/blog/the-athletes-way/201506/what-are-the-eleven-symptoms-alcohol-use-disorder

Recently saw a NIDA bulletin on alcohol (referenced) showing that what most of us consider mild to moderate alcohol use has negative health effects, especially for people with bipolar disorder and elderly.

[spintreebob]

HIV treatment and prevention among those with AIDS is expensive. It is mostly paid for by Medicaid administered by the states. The rules vary by state. Those with HIV (and AIDS) have a tendency to flock to the states where the Medicaid (and other welfare) regs favor them.

It is possible to do a FOIA and request the raw numbers on each ICD-10 CODE you wish, and on number of people and spending and receive that raw data in just a few days.

You can also request FOIA reports that request the correlation between various ICD10 codes, number of people, spending, etc. These reports will take a little longer to produce.

It is recommended you think long and hard on how you phrase requests for correlations of data. You’d be amazed at the number of poorly worded requests that result is reports that don’t provide the information the requestor really wanted.

Maybe getting the raw data first would help in forming the more difficult requests for meaningful data.

Medicaid is by far the best source of data. Outside of Medicaid, studies have been limited and are often focused on a University centered population that may, or may not, be typical for extrapolation.