261501 Weekending Phenomenon: Alcohol use, HAART non-adherence, and provider communication among people living with HIV

Tuesday, October 30, 2012

Sonjia Kenya, EdD, MS , MA , Department of Family Medicine and Community Health, University of Miami Miller School of Medicine, Miami, FL
Natasha Chida, MD , Jackson Memorial Hospital/University of Miami, University of Miami Miller School of Medicine, Miami, FL
Jamal Jones, BA , Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, FL
Grace Alvarez Alvarez, MD , Jay Weiss Center for Social Medicine and Health Equity, University Miller School of Medicine, Miami, FL
Little is understood about determinants of alcohol use and/or drinking patterns among people living with HIV (PLWH). We conducted a cross-sectional study to examine patterns of alcohol use among our population of PLWH and their effects on highly active antiretrovial therapy (HAART) adherence. In addition, we assessed provider knowledge of alcohol use behaviors. An alcohol use questionnaire was administered to 50 alcohol-using PLWH in Miami, Florida, and medical records were reviewed to assess provider's awareness of alcohol use. Data was analyzed to describe population demographics and explore potential associations between patterns of alcohol use and HIV outcomes. Thirty-eight percent of the sample met the National Institute on Alcohol Abuse and Alcoholism's criteria for hazardous drinking and 20% reported “weekending,” a behavioral phenomenon we described as drinking more on the weekends and intentionally skipping HAART due to planned alcohol use. Seventy-three percent of providers' notes indicated participants abstained from alcohol, yet 100% of our sample used alcohol. We concluded that HIV providers' lack of knowledge regarding alcohol use patterns may contribute to the high prevalence of weekending and other hazardous drinking behaviors linked to HAART non-adherence. Larger studies are warranted to determine if our findings can be generalized to other populations and to better understand the impact of provider communication on alcohol use among PLWH.

Learning Areas:
Diversity and culture
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Define the term "weekending." Describe patterns of hazardous alcohol use among people living with HIV in Miami, FL. Compare and contrast patient reported alcohol use with provider documentation on alcohol use patterns among people living with HIV. Determine areas for improved provider counseling for people living with HIV.

Keywords: Alcohol Use, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked on HIV/AIDS community-based research projects focusing on barriers to adherence and access to care. Among my scientific interests has been exploring alcohol use among people living with HIV and developing intervention programs to reduce hazardous alcohol use in this population.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.