The Impact of Alcohol Use on Antiretroviral Therapy Adherence in Koreans Living with HIV.
10.1016/j.anr.2018.10.002
- Author:
Ji Young KIM
1
;
Youngran YANG
;
Hyun Kyung KIM
;
Ji Young KIM
Author Information
1. School of Nursing, Chonbuk National University, Jeonju, Republic of Korea.
- Publication Type:Original Article
- Keywords:
acquired immunodeficiency syndrome;
alcoholism;
HIV;
Korea;
medication adherence
- MeSH:
Acquired Immunodeficiency Syndrome;
Alcoholism;
Counseling;
HIV*;
Korea;
Logistic Models;
Medication Adherence;
Motivation;
Negotiating;
Odds Ratio
- From:Asian Nursing Research
2018;12(4):258-264
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: This study aimed to examine the impact of alcohol use on the antiretroviral therapy (ART) adherence of Koreans living with human immunodeficiency virus (HIV). METHODS: A total of 144 HIV-infected Koreans older than the age of 19 years who had been receiving antiretroviral drugs for at least 3 months were surveyed. Alcohol use was identified as nonhazardous, binge, hazardous, and alcohol dependent as determined by the Alchol Use Disorder Identification Test-Korea (AUDIT-K). ART adherence was defined according to the components of adherence motivation, adherence knowledge, and 95% medication adherence using the modified Morisky scale. Collected data were analyzed using logistic regression analysis for each component of therapy adherence. RESULTS: Of all participants, 13.9% were binge drinkers, 17.4% were hazardous drinkers, and 4.2% were alcohol dependent. For low adherence motivation, the odds ratio for the hazardous drinkers was 7.47 [95% confidence interval (CI): 1.72–32.41; p = .007] and for the alcohol dependent, it was 12.61 (95% CI: 1.38–115.38; p = .025) when compared with the nonhazardous drinkers. For medication adherence under 95%, the odds ratio for binge drinkers was 4.65 (95% CI: 1.15–18.92; p = .032), for hazardous drinkers was 8.05 (95% CI: 2.08–31.20; p = .003), and for the alcohol dependent was 27.67 (95% CI: 2.12–360.51; p = .011). CONCLUSION: It is recommended that Korean institutions and governments develop specific mediation and counseling programs that include alcohol useerelated monitoring for the improvement of the ART adherence of people living with HIV.
