{"doi":"10.17615/7wg4-jm04","title":"Not all non-drinkers with HIV are equal: demographic and clinical comparisons among current non-drinkers with and without a history of prior alcohol use disorders *","abstract":"Studies of persons living with HIV (PLWH) have compared current non-drinkers to at-risk drinkers without differentiating whether current non-drinkers had a prior alcohol use disorder (AUD). The purpose of this study was to compare current non-drinkers with and without a prior AUD on demographic and clinical characteristics to understand the impact of combining them. We included data from 6 sites across the US from 1/2013–3/2015. Patients completed tablet-based clinical assessments at routine clinic appointments using the most recent assessment. Current non-drinkers were identified by AUDIT-C scores of 0. We identified a prior probable AUD by a prior AUD diagnosis in the electronic medical record (EMR) or a report of attendance at alcohol treatment in the clinical assessment. We used multivariate logistic regression to examine factors associated with prior AUD. Among 2235 PLWH who were current non-drinkers, 36% had a prior AUD with more patients with an AUD identified by the clinical assessment than the EMR. Higher proportions with a prior AUD were male, depressed, and reported current drug use compared to non-drinkers without a prior AUD. Former cocaine/crack (70% vs. 25%), methamphetamine/crystal (49% vs. 16%) and opioid/heroin use (35% vs. 7%) were more commonly reported by those with a prior AUD. In adjusted analyses, male sex, past methamphetamine/crystal use, past marijuana use, past opioid/heroin use, past and current cocaine/crack use and cigarette use were associated with a prior AUD. In conclusion, this study found that among non-drinking PLWH in routine clinical care, 36% had a prior AUD. We found key differences between those with and without prior AUD in demographic and clinical characteristics including drug use and depression. These results suggest non-drinkers are heterogeneous and need further differentiation in studies and that prior alcohol misuse including alcohol treatment should be included in behavioral health assessments as part of clinical care.","journal":"eScholarship (California Digital Library)","year":2020,"id":116096,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9548,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":305156,"name":"Kenneth H. 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Delaney","orcid":"0000-0003-1771-1776","position":9,"is_corresponding":false},{"id":428433,"name":"Katerina Christopoulos","orcid":"0000-0002-8598-2191","position":10,"is_corresponding":false},{"id":428436,"name":"Rob J. Fredericksen","orcid":"0000-0003-3936-7048","position":11,"is_corresponding":false},{"id":499672,"name":"Karen L. Cropsey","orcid":"0000-0001-6921-3440","position":12,"is_corresponding":false},{"id":371005,"name":"Elvin Geng","orcid":"0000-0002-0825-1424","position":13,"is_corresponding":false},{"id":371694,"name":"Jane M. Simoni","orcid":"0000-0002-8711-1576","position":14,"is_corresponding":false},{"id":391317,"name":"Bryan Lau","orcid":"0000-0002-2355-612X","position":15,"is_corresponding":false},{"id":340159,"name":"Mari M. Kitahata","orcid":"0000-0002-5410-7175","position":16,"is_corresponding":false},{"id":340157,"name":"James H. Willig","orcid":"0000-0001-7462-368X","position":17,"is_corresponding":false},{"id":496105,"name":"H. Nina Kim","orcid":"0000-0001-6710-9666","position":18,"is_corresponding":false},{"id":270178,"name":"Matthew J. Mimiaga","orcid":"0000-0001-9256-2905","position":19,"is_corresponding":false},{"id":313570,"name":"Michael J. Mugavero","orcid":"0000-0001-6916-6701","position":20,"is_corresponding":false},{"id":422582,"name":"Robin M. Nance","orcid":"0000-0002-4412-4844","position":21,"is_corresponding":false},{"id":240253,"name":"Heidi M. Crane","orcid":"0000-0002-3308-7005","position":22,"is_corresponding":false},{"id":525496,"name":"Mary E. McCaul","orcid":"0000-0003-2009-4115","position":23,"is_corresponding":false},{"id":340146,"name":"Sonia Napravnik","orcid":"0000-0002-9032-3713","position":24,"is_corresponding":false},{"id":505631,"name":"Daniel R. 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