Situational and motivational factors associated with unhealthy alcohol use among Russian women with HIV and hepatitis C Virus co-infection
Introduction: Alcohol use is prevalent among Russian women with HIV and hepatitis C Virus (HCV) co-infection despite alcohol's known harmful health effects for this population. Identifying factors that facilitate continued unhealthy alcohol use is critical to developing effective alcohol reduct...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-06-01
|
| Series: | Drug and Alcohol Dependence Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772724622000312 |
| _version_ | 1828847841232027648 |
|---|---|
| author | N.B. Khalezova A. Capasso E.V. Boeva L.V. Gutova V.V. Rassokhin N.G. Neznanov N.A. Belyakov J.L. Brown R.J. DiClemente |
| author_facet | N.B. Khalezova A. Capasso E.V. Boeva L.V. Gutova V.V. Rassokhin N.G. Neznanov N.A. Belyakov J.L. Brown R.J. DiClemente |
| author_sort | N.B. Khalezova |
| collection | DOAJ |
| description | Introduction: Alcohol use is prevalent among Russian women with HIV and hepatitis C Virus (HCV) co-infection despite alcohol's known harmful health effects for this population. Identifying factors that facilitate continued unhealthy alcohol use is critical to developing effective alcohol reduction interventions. This study assessed situational and motivational factors associated with unhealthy alcohol use among HIV/HCV co-infected women in clinical care in St. Petersburg, Russia. Methods: Guided by the motivational model for alcohol use, we conducted 30 semi-structured interviews with women living with HIV/HCV co-infection to identify situational and motivational factors associated with unhealthy drinking and barriers and facilitators to abstaining. Interviews were recorded and analyzed using a thematic analysis approach. Results: Despite awareness of the health risks associated with alcohol use, many women reported heavy episodic drinking, particularly in social situations. A key motive for drinking was coping with negative emotions triggered by stressful situations, such as work- and family-related conflicts. Key situational factors included drinking with family and friends and in social situations. Women who endorsed negative drinking coping motives were the most motivated to stop drinking. Health concerns were also cited as reasons to stop drinking; however, few women reported that their doctors recommended that they abstain. Conclusions: Several situational and motivational facilitators of alcohol use and barriers to alcohol reduction were identified, as well as some opportunities for prevention, among women in care for HIV in Russia. Awareness-raising and training regarding the adverse consequences of alcohol use among persons with HIV/HCV co-infection should include clinicians, patients and relatives. |
| first_indexed | 2024-12-12T22:18:19Z |
| format | Article |
| id | doaj.art-9beeda23d39748ad8acbb863126bd498 |
| institution | Directory Open Access Journal |
| issn | 2772-7246 |
| language | English |
| last_indexed | 2024-12-12T22:18:19Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Drug and Alcohol Dependence Reports |
| spelling | doaj.art-9beeda23d39748ad8acbb863126bd4982022-12-22T00:10:01ZengElsevierDrug and Alcohol Dependence Reports2772-72462022-06-013100053Situational and motivational factors associated with unhealthy alcohol use among Russian women with HIV and hepatitis C Virus co-infectionN.B. Khalezova0A. Capasso1E.V. Boeva2L.V. Gutova3V.V. Rassokhin4N.G. Neznanov5N.A. Belyakov6J.L. Brown7R.J. DiClemente8First Pavlov State Medical University, 6-8 L'va Tolstogo Street, St Petersburg 197022, RussiaNew York University School of Global Public Health, Department of Social and Behavioral Sciences, 708 Broadway, New York, NY 10023, USA; Corresponding author.First Pavlov State Medical University, 6-8 L'va Tolstogo Street, St Petersburg 197022, Russia; Pasteur Institute of Epidemiology and Microbiology, 14 Mira St, St. Petersburg 197101, Russia; North-West Regional Center for Control and Prevention of AIDS, 14 Mira St, St. Petersburg 197101, RussiaFirst Pavlov State Medical University, 6-8 L'va Tolstogo Street, St Petersburg 197022, RussiaFirst Pavlov State Medical University, 6-8 L'va Tolstogo Street, St Petersburg 197022, Russia; Pasteur Institute of Epidemiology and Microbiology, 14 Mira St, St. Petersburg 197101, Russia; North-West Regional Center for Control and Prevention of AIDS, 14 Mira St, St. Petersburg 197101, RussiaFirst Pavlov State Medical University, 6-8 L'va Tolstogo Street, St Petersburg 197022, RussiaFirst Pavlov State Medical University, 6-8 L'va Tolstogo Street, St Petersburg 197022, Russia; Pasteur Institute of Epidemiology and Microbiology, 14 Mira St, St. Petersburg 197101, Russia; North-West Regional Center for Control and Prevention of AIDS, 14 Mira St, St. Petersburg 197101, RussiaDepartment of Psychology, University of Cincinnati, 155 B McMicken Hall, Cincinnati, OH 45221, USA; Addiction Sciences Division, Department of Psychiatry & Behavioral Neuroscience, University of Cincinnati College of Medicine, 3131 Harvey Avenue, Suite 104. Cincinnati, OH 45229, USA; Center for Addiction Research, University of Cincinnati, CARE/Crawley Building, Suite E-870 3230 Eden Avenue Cincinnati, OH 45267, USANew York University School of Global Public Health, Department of Social and Behavioral Sciences, 708 Broadway, New York, NY 10023, USAIntroduction: Alcohol use is prevalent among Russian women with HIV and hepatitis C Virus (HCV) co-infection despite alcohol's known harmful health effects for this population. Identifying factors that facilitate continued unhealthy alcohol use is critical to developing effective alcohol reduction interventions. This study assessed situational and motivational factors associated with unhealthy alcohol use among HIV/HCV co-infected women in clinical care in St. Petersburg, Russia. Methods: Guided by the motivational model for alcohol use, we conducted 30 semi-structured interviews with women living with HIV/HCV co-infection to identify situational and motivational factors associated with unhealthy drinking and barriers and facilitators to abstaining. Interviews were recorded and analyzed using a thematic analysis approach. Results: Despite awareness of the health risks associated with alcohol use, many women reported heavy episodic drinking, particularly in social situations. A key motive for drinking was coping with negative emotions triggered by stressful situations, such as work- and family-related conflicts. Key situational factors included drinking with family and friends and in social situations. Women who endorsed negative drinking coping motives were the most motivated to stop drinking. Health concerns were also cited as reasons to stop drinking; however, few women reported that their doctors recommended that they abstain. Conclusions: Several situational and motivational facilitators of alcohol use and barriers to alcohol reduction were identified, as well as some opportunities for prevention, among women in care for HIV in Russia. Awareness-raising and training regarding the adverse consequences of alcohol use among persons with HIV/HCV co-infection should include clinicians, patients and relatives.http://www.sciencedirect.com/science/article/pii/S2772724622000312HIVHepatitis C virusMotivational model of alcohol useAlcohol use disorderMental health |
| spellingShingle | N.B. Khalezova A. Capasso E.V. Boeva L.V. Gutova V.V. Rassokhin N.G. Neznanov N.A. Belyakov J.L. Brown R.J. DiClemente Situational and motivational factors associated with unhealthy alcohol use among Russian women with HIV and hepatitis C Virus co-infection Drug and Alcohol Dependence Reports HIV Hepatitis C virus Motivational model of alcohol use Alcohol use disorder Mental health |
| title | Situational and motivational factors associated with unhealthy alcohol use among Russian women with HIV and hepatitis C Virus co-infection |
| title_full | Situational and motivational factors associated with unhealthy alcohol use among Russian women with HIV and hepatitis C Virus co-infection |
| title_fullStr | Situational and motivational factors associated with unhealthy alcohol use among Russian women with HIV and hepatitis C Virus co-infection |
| title_full_unstemmed | Situational and motivational factors associated with unhealthy alcohol use among Russian women with HIV and hepatitis C Virus co-infection |
| title_short | Situational and motivational factors associated with unhealthy alcohol use among Russian women with HIV and hepatitis C Virus co-infection |
| title_sort | situational and motivational factors associated with unhealthy alcohol use among russian women with hiv and hepatitis c virus co infection |
| topic | HIV Hepatitis C virus Motivational model of alcohol use Alcohol use disorder Mental health |
| url | http://www.sciencedirect.com/science/article/pii/S2772724622000312 |
| work_keys_str_mv | AT nbkhalezova situationalandmotivationalfactorsassociatedwithunhealthyalcoholuseamongrussianwomenwithhivandhepatitiscviruscoinfection AT acapasso situationalandmotivationalfactorsassociatedwithunhealthyalcoholuseamongrussianwomenwithhivandhepatitiscviruscoinfection AT evboeva situationalandmotivationalfactorsassociatedwithunhealthyalcoholuseamongrussianwomenwithhivandhepatitiscviruscoinfection AT lvgutova situationalandmotivationalfactorsassociatedwithunhealthyalcoholuseamongrussianwomenwithhivandhepatitiscviruscoinfection AT vvrassokhin situationalandmotivationalfactorsassociatedwithunhealthyalcoholuseamongrussianwomenwithhivandhepatitiscviruscoinfection AT ngneznanov situationalandmotivationalfactorsassociatedwithunhealthyalcoholuseamongrussianwomenwithhivandhepatitiscviruscoinfection AT nabelyakov situationalandmotivationalfactorsassociatedwithunhealthyalcoholuseamongrussianwomenwithhivandhepatitiscviruscoinfection AT jlbrown situationalandmotivationalfactorsassociatedwithunhealthyalcoholuseamongrussianwomenwithhivandhepatitiscviruscoinfection AT rjdiclemente situationalandmotivationalfactorsassociatedwithunhealthyalcoholuseamongrussianwomenwithhivandhepatitiscviruscoinfection |