Causal considerations on alcohol and HIV/AIDS--a systematic review

Article

Shuper, Paul A. S, Neuman, Manuela, Kanteres, Fotis, Baliunas, Dolly, Joharchi, Narges and Rehm, Jürgen. 2010. "Causal considerations on alcohol and HIV/AIDS--a systematic review." Alcohol and Alcoholism. 45 (2), pp. 159-166. https://doi.org/10.1093/alcalc/agp091
Article Title

Causal considerations on alcohol and HIV/AIDS--a systematic review

ERA Journal ID13386
Article CategoryArticle
AuthorsShuper, Paul A. S, Neuman, Manuela, Kanteres, Fotis, Baliunas, Dolly, Joharchi, Narges and Rehm, Jürgen
Journal TitleAlcohol and Alcoholism
Journal Citation45 (2), pp. 159-166
Number of Pages8
Year2010
PublisherOxford University Press
Place of PublicationUnited Kingdom
ISSN0735-0414
1464-3502
Digital Object Identifier (DOI)https://doi.org/10.1093/alcalc/agp091
Web Address (URL)https://academic.oup.com/alcalc/article/45/2/159/135050
Abstract

Aim: The study aimed to explore the possible causal nature of the association between alcohol consumption and HIV/AIDS.

Methods: A review based on meta-analyses and reviews was conducted according to standard epidemiological criteria to distinguish causality from association, examining (i) the potential impact of alcohol on the incidence of HIV and (ii) alcohol's impact on worsening the disease course.

Results: In terms of incidence of HIV, although we found a consistent and strong association with consumption, there was not enough evidence for a causal connection. In particular, it is not clear whether personality traits such as sensation seeking or sexual compulsivity and psychiatric disorders such as antisocial personality disorder impact both alcohol consumption and risky sex, subsequently creating an association between both behaviors. In terms of worsening the disease course of HIV/AIDS, we found enough evidence for a causal impact of alcohol. Alcohol affects the immune system, thus contributing to a worsened course of HIV/AIDS. In addition, alcohol negatively impacts on behaviors that include support seeking and medication adherence.

Conclusions: A randomized controlled clinical trial targeted toward at-risk HIV-negative individuals who live in areas with high HIV prevalence is suggested to test the effects of proven effective alcohol interventions on HIV incidence.

KeywordsAcquired Immunodeficiency Syndrome/epidemiology/psychology/transmission
ANZSRC Field of Research 2020420201. Behavioural epidemiology
Public NotesFiles associated with this item cannot be displayed due to copyright restrictions.
Byline AffiliationsCentre for Addiction and Mental Health, Canada
University of Toronto, Canada
Maastricht University, Netherlands
Dresden University of Technology, Germany
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