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AIDS Behav. 2017 Sep;21(9):2609-2617. doi: 10.1007/s10461-017-1820-8.

HIV Stigma and Unhealthy Alcohol Use Among People Living with HIV in Russia.

Author information

1
Department of Medicine, Boston University School of Medicine, 801 Massachusetts Ave., CT 2079, Boston, MA, 02118, USA. lunze@bu.edu.
2
Section of General Internal Medicine, Boston Medical Center, Boston, MA, USA. lunze@bu.edu.
3
First St. Petersburg Pavlov State Medical University, Saint Petersburg, Russia.
4
Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA.
5
Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USA.
6
Section of General Internal Medicine, Boston Medical Center, Boston, MA, USA.
7
Bekhterev Research Psychoneurological Institute, Saint Petersburg, Russia.
8
Department of Medicine, Boston University School of Medicine, 801 Massachusetts Ave., CT 2079, Boston, MA, 02118, USA.

Abstract

Unhealthy alcohol use, highly prevalent in the Russian Federation (Russia), is associated with HIV risk behaviors among people living with HIV (PLWH). HIV stigma contributes to the HIV risk environment in Russia. To examine HIV stigma among Russian PLWH and to explore its association with unhealthy alcohol use, we conducted a longitudinal analysis of 700 PLWH in St. Petersburg, Russia. We assessed the association between alcohol dependence and HIV stigma measured at baseline and 12 months follow-up. Participants with alcohol dependence (n = 446) reported significantly higher HIV stigma scores over time than those without dependence (n = 254) (adjusted mean difference 0.60, 95% CI 0.03-1.17; p = 0.04). In secondary analyses, we examined recent risky alcohol use and did not detect an association with HIV stigma. Alcohol dependence is associated with high HIV stigma among Russian PLWH but the nature of the association is conjectural. HIV prevention efforts in Russia that address alcohol use disorders hold potential to mitigate HIV-related stigma and its possible adverse effects among PLWH.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT00483483.

KEYWORDS:

Alcohol use disorders; Discrimination; HIV prevention; Key populations; Russia; Stigmatization

PMID:
28600603
PMCID:
PMC5709173
DOI:
10.1007/s10461-017-1820-8
[Indexed for MEDLINE]
Free PMC Article

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