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A Cross-Sectional Study of Depressive Symptoms and Risky Alcohol Use Behaviors Among HIV Primary Care Patients in New York City

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Abstract

An association between problem drinking and depression among HIV-infected individuals has been previously demonstrated; however, which specific risky drinking behaviors are associated with higher levels of depression has not yet been investigated. Using an adult sample of HIV-infected primary care patients (78% male, 94% Black or Hispanic), we investigated whether depressive symptoms are associated with various risky drinking behaviors. Participants were administered the Beck Depression Inventory-II to assess depressive symptoms, and the Alcohol Use Disorders and Associated Disabilities Interview Schedule-IV to evaluate alcohol involvement. Participants with depressive symptoms (26%) were at higher risk for alcohol dependence [adjusted odds ratio (AOR) 3.8; 95% CI 2.0–7.2], regular binge drinking (AOR 2.0; 95% CI 1.1–3.8), and regular daytime drinking (AOR 2.1; 95% CI 1.2–3.8), in comparison with their non-depressed counterparts. Because both depression and unhealthy drinking negatively affect medication adherence and clinical outcomes, a better understanding of the association between depression and certain risky drinking behaviors among HIV-infected individuals is vital to improving their care and prognoses.

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Acknowledgements

We thank Derek Maloney, MD, and Erin Delker, MPH for their editorial and statistical guidance.

Funding

This work was supported by the National Institutes of Health (NIH) (Grant Nos. R01AA023163, R01AA014323, R01DA020647, K23AA023753) and the New York State Psychiatric Institute. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

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Authors and Affiliations

  1. New York State Psychiatric Institute, 1051 Riverside Drive #123, New York, NY, 10032, USA

    Yasemin Algur, Jennifer C. Elliott, Efrat Aharonovich & Deborah S. Hasin

  2. Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA

    Yasemin Algur & Deborah S. Hasin

  3. Department of Psychiatry, Columbia University Medical Center, New York, NY, USA

    Jennifer C. Elliott, Efrat Aharonovich & Deborah S. Hasin

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  1. Yasemin Algur
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  2. Jennifer C. Elliott
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Correspondence to Deborah S. Hasin.

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Algur, Y., Elliott, J.C., Aharonovich, E. et al. A Cross-Sectional Study of Depressive Symptoms and Risky Alcohol Use Behaviors Among HIV Primary Care Patients in New York City. AIDS Behav 22, 1423–1429 (2018). https://doi.org/10.1007/s10461-017-1986-0

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