A Latent Class Analysis of the Social Determinants of Health Impacting Heavy Alcohol Consumption Among Women Living with HIV in Canada: The Canadian HIV Women's Sexual and Reproductive Health Cohort Study

被引：4

作者：

Shokoohi, Mostafa ^{[1
]}

Bauer, Greta R. ^{[1
]}

Kaida, Angela ^{[2
]}

Logie, Carmen H. ^{[3
,4
]}

Carter, Allison ^{[2
,5
,6
,17
,18
]}

Lacombe-Duncan, Ashley ^{[7
]}

Loutfy, Mona ^{[4
,8
,9
]}

Abdul-Noor, Rahma ^{[10
]}

Anema, Aranka ^{[11
]}

Angel, Jonathan ^{[12
]}

Baril, Jean-Guy ^{[13
]}

Barry, Fatimatou ^{[12
]}

Beaver, Kerrigan ^{[12
]}

Becker, Denise ^{[14
]}

Benoit, Anita ^{[10
]}

Brophy, Jason ^{[15
]}

Brotto, Lori ^{[11
]}

Burchell, Ann ^{[16
]}

Cardinal, Claudette ^{[17
]}

Carlson, Allison ^{[10
]}

Carter, Allison ^{[2
,5
,6
,17
,18
]}

Cescon, Angela ^{[18
]}

Cioppa, Lynne ^{[10
]}

Cohen, Jeffrey ^{[19
]}

Colley, Guillaume ^{[18
]}

Conway, Tracey ^{[10
]}

Cooper, Curtis ^{[20
]}

Cotnam, Jasmine ^{[10
]}

Cousineau, Janette ^{[10
]}

Dayle, Janice ^{[21
]}

Desbiens, Marisol ^{[10
]}

Dubinsky, Hania ^{[21
]}

Dubuc, Daniele ^{[21
]}

Duddy, Janice ^{[22
]}

Gagnier, Brenda ^{[10
]}

Gahagan, Jacqueline ^{[23
]}

Gasingirwa, Claudine ^{[10
]}

Gataric, Nada ^{[18
]}

Greene, Saara ^{[24
]}

Hart, Trevor ^{[25
]}

Hankins, Catherine ^{[26
]}

Hogg, Bob ^{[17
,18
]}

Howard, Terry ^{[14
]}

Islam, Shazia ^{[10
]}

Jones, Evin ^{[22
]}

Kaushic, Charu ^{[24
]}

Keating, Alexandria ^{[27
,28
]}

Kennedy, Logan ^{[10
]}

Kestler, Mary ^{[10
,29
]}

Kiboyogo, Maxime ^{[21
]}

机构：

[1] Univ Western Ontario, Schulich Sch Med & Dent, Epidemiol & Biostat, London, ON, Canada

[2] Simon Fraser Univ, Fac Hlth Sci, Burnaby, BC, Canada

[3] Univ Toronto, Factor Inwentash Fac Social Work, Toronto, ON, Canada

[4] Womens Coll Hosp, Womens Coll Res Inst, Toronto, ON, Canada

[5] Univ British Columbia, Epidemiol & Populat Hlth Program, British Columbia Ctr Excellence HIV AIDS, Vancouver, BC, Canada

[6] Univ New South Wales, Kirby Inst, Sydney, NSW, Australia

[7] Univ Michigan, Sch Social Work, Ann Arbor, MI 48109 USA

[8] Univ Toronto, Fac Med, Toronto, ON, Canada

[9] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

[10] Womens Coll Res Inst, Toronto, ON, Canada

[11] Univ British Columbia, Vancouver, BC, Canada

[12] Ottawa Hosp Res Inst, Ottawa, ON, Canada

[13] Clin Quartier Latin, Montreal, PQ, Canada

[14] Posit Living Soc British Columbia, Vancouver, BC, Canada

[15] Childrens Hosp Eastern Ontario, Ottawa, ON, Canada

[16] Ontario HIV Treatment Network, Toronto, ON, Canada

[17] Simon Fraser Univ, Burnaby, BC, Canada

[18] British Columbia Ctr Excellence HIV AIDS, Vancouver, BC, Canada

[19] Windsor Reg Hosp, Windsor, ON, Canada

[20] Ottawa Hosp Res Inst, Ottawa, ON, Canada

[21] McGill Univ, Ctr Hlth, Montreal, PQ, Canada

[22] Pacific AIDS Network, Vancouver, BC, Canada

[23] Dalhousie Univ, Halifax, NS, Canada

[24] McMaster Univ, Hamilton, ON, Canada

[25] Ryerson Univ, Toronto, ON, Canada

[26] UNAIDS, Geneva, Switzerland

[27] ViVA, Vancouver, BC, Canada

[28] Southern Gulf Isl AIDS Soc, Vancouver, BC, Canada

[29] BC Womens Hosp & Hlth Ctr, Oak Tree Clin, Vancouver, BC, Canada

[30] CIHR Canadian HIV Trials Network, Vancouver, BC, Canada

[31] Univ Ottawa, Ottawa, ON, Canada

[32] Vancouver Coastal Hlth, Vancouver, BC, Canada

[33] Univ Toronto, Toronto, ON, Canada

[34] Native Womens Shelter Montreal, Montreal, PQ, Canada

[35] Canadian Aboriginal AIDS Network, Vancouver, BC, Canada

[36] Univ Quebec, Montreal, PQ, Canada

[37] Posit Womens Network, Vancouver, BC, Canada

[38] Womens Hlth Womens Hands, Toronto, ON, Canada

[39] British Columbia Ctr Dis Control, Vancouver, BC, Canada

[40] Publ Hlth Agcy Canada, Ottawa, ON, Canada

[41] Toronto East Gen Hosp, Toronto, ON, Canada

[42] Ontario HIV Treatment Network, Toronto, ON, Canada

[43] Sunnybrook Hlth Sci Ctr, Toronto, ON, Canada

[44] St Josephs Hlth Care, London, ON, Canada

[45] Univ Victoria, Victoria, BC, Canada

[46] Ctr Hosp Univ Montreal, Montreal, PQ, Canada

[47] Ctr Addict & Met Hlth, Toronto, ON, Canada

[48] Haven Clin, Sudbury, ON, Canada

[49] Clin Actuel, Montreal, PQ, Canada

[50] Toronto Gen Res Inst, Toronto, ON, Canada

来源：

AIDS AND BEHAVIOR | 2019年 / 23卷 / 12期

基金：

加拿大健康研究院;

关键词：

Women; HIV; Alcohol drinking; Social determinants; CHIWOS; HUMAN-IMMUNODEFICIENCY-VIRUS; SUBSTANCE USE; ASSOCIATION; PATTERNS; CARE; TRAJECTORIES; DISORDERS; ADHERENCE; SELECTION; BARRIERS;

D O I：

10.1007/s10461-019-02454-3

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

We used longitudinal data from the 2013-2017 Canadian HIV Women's Sexual and Reproductive Health Cohort Study (N = 1422) to assess the clustered impact of social determinants of health (SDoH) on hazardous drinking. Two measures of alcohol use were defined: (i) weekly alcohol use, with > 7 drinks/week as heavy drinking, and (ii) monthly binge drinking (>= 6 drinks at one sitting), with >= 1/month as frequent binging. Twelve SDoH indicators were classified using latent class analysis: no/least adversities, discrimination/stigma, economic hardship, and most SDoH adversities. Inverse-probability weighted multinomial logistic regression was used to report relative-risk ratio (RRR). Women living with HIV (WLWH) in no/least adversity class had a substantially lower likelihood of both heavy weekly alcohol use and frequent binging than those in discrimination/stigma, economic hardship, and most SDoH adversities classes, with RRR estimates ranging from 0.02 to 0.18. Findings indicate the need to address SDoH to reduce hazardous drinking among WLWH.

引用

页码：3226 / 3236

页数：11

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