Causal Considerations on Alcohol and HIV/AIDS -- A Systematic Review
| Autor: | Juergen Rehm, Paul A. Shuper, Fotis Kanteres, Dolly Baliunas, Manuela G. Neuman, Narges Joharchi |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Cross-sectional study
media_common.quotation_subject HIV Infections Comorbidity Medication Adherence Social support Acquired immunodeficiency syndrome (AIDS) Risk Factors Humans Personality Medicine Sensation seeking media_common Acquired Immunodeficiency Syndrome Unsafe Sex business.industry Incidence Mental Disorders Antisocial personality disorder Social Support General Medicine medicine.disease Causality Alcoholism Cross-Sectional Studies Systematic review Diagnosis Dual (Psychiatry) Immunology Disease Progression Exploratory Behavior business Clinical psychology |
| Zdroj: | Alcohol and Alcoholism. 45:159-166 |
| ISSN: | 1464-3502 0735-0414 |
| DOI: | 10.1093/alcalc/agp091 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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