Factors associated with attendance in 12-step groups (Alcoholics Anonymous/Narcotics Anonymous) among adults with alcohol problems living with HIV/AIDS

John Orwat; Jeffrey H. Samet; Christopher P. Tompkins; Debbie M Cheng; Michael P. Dentato; Richard Saitz

doi:10.1016/j.drugalcdep.2010.07.021

Factors associated with attendance in 12-step groups (Alcoholics Anonymous/Narcotics Anonymous) among adults with alcohol problems living with HIV/AIDS

John Orwat, Jeffrey H. Samet, Christopher P. Tompkins, Debbie M Cheng, Michael P. Dentato, Richard Saitz

School of Social Work

Research output: Contribution to journal › Article › peer-review

Abstract

<div class="line" id="line-17"> <span style="font-family: Arial, Verdana, Helvetica, sans-serif; font-size: 11px;"> Background: Despite the value of 12-step meetings, few studies have examined factors associated with attendance among those living with HIV/AIDS, such as the impact of HIV disease severity and demographics. Objective: This study examines predisposing characteristics, enabling resources and need on attendance at Alcoholic Anonymous (AA) and Narcotics Anonymous (NA) meetings among those living with HIV/AIDS and alcohol problems. Methods: Secondary analysis of prospective data from the HIV-Longitudinal Interrelationships of Viruses And Ethanol study, a cohort of 400 adults living with HIV/AIDS and alcohol problems. Factors associated with AA/NA attendance were identi&filig;ed using the Anderson model for vulnerable populations. Generalized estimating equation logistic regression models were &filig;t to identify factors associated with self-reported AA/NA attendance. Results: At study entry, subjects were 75% male, 12% met diagnostic criteria for alcohol dependence, 43% had drug dependence and 56% reported attending one or more AA/NA meetings (past 6 months). In the adjusted model, female gender negatively associated with attendance, as were social support systems that use alcohol and/or drugs, while presence of HCV antibody, drug dependence diagnosis, and homelessness associated with higher odds of attendance. Conclusions: Non-substance abuse related barriers to AA/NA group attendance exist for those living with HIV/AIDS, including females and social support systems that use alcohol and/or drugs. Positive associations of homelessness, HCV infection and current drug dependence were identi&filig;ed. These &filig;ndings provide implications for policy makers and treatment professionals who wish to encourage attendance at 12-step meetings for those living with HIV/AIDS and alcohol or other substance use problems. </span></div>

Original language	American English
Journal	Drug and Alcohol Dependence
Volume	113
DOIs	https://doi.org/10.1016/j.drugalcdep.2010.07.021
State	Published - Sep 15 2010

Keywords

HIV-infection
alcohol addiction disorder
substance-related disorders
12 step groups
HIV/AIDS

Disciplines

Substance Abuse and Addiction
Public Health Education and Promotion
Social Work

Access to Document

10.1016/j.drugalcdep.2010.07.021License: Unspecified

Cite this

@article{9230cdd0878444a7a8e4280abea5902c,

title = "Factors associated with attendance in 12-step groups (Alcoholics Anonymous/Narcotics Anonymous) among adults with alcohol problems living with HIV/AIDS",

abstract = " Background: Despite the value of 12-step meetings, few studies have examined factors associated with attendance among those living with HIV/AIDS, such as the impact of HIV disease severity and demographics. Objective: This study examines predisposing characteristics, enabling resources and need on attendance at Alcoholic Anonymous (AA) and Narcotics Anonymous (NA) meetings among those living with HIV/AIDS and alcohol problems. Methods: Secondary analysis of prospective data from the HIV-Longitudinal Interrelationships of Viruses And Ethanol study, a cohort of 400 adults living with HIV/AIDS and alcohol problems. Factors associated with AA/NA attendance were identi&filig;ed using the Anderson model for vulnerable populations. Generalized estimating equation logistic regression models were &filig;t to identify factors associated with self-reported AA/NA attendance. Results: At study entry, subjects were 75% male, 12% met diagnostic criteria for alcohol dependence, 43% had drug dependence and 56% reported attending one or more AA/NA meetings (past 6 months). In the adjusted model, female gender negatively associated with attendance, as were social support systems that use alcohol and/or drugs, while presence of HCV antibody, drug dependence diagnosis, and homelessness associated with higher odds of attendance. Conclusions: Non-substance abuse related barriers to AA/NA group attendance exist for those living with HIV/AIDS, including females and social support systems that use alcohol and/or drugs. Positive associations of homelessness, HCV infection and current drug dependence were identi&filig;ed. These &filig;ndings provide implications for policy makers and treatment professionals who wish to encourage attendance at 12-step meetings for those living with HIV/AIDS and alcohol or other substance use problems. ",

keywords = "HIV-infection, alcohol addiction disorder, substance-related disorders, 12 step groups, HIV/AIDS",

author = "John Orwat and Samet, {Jeffrey H.} and Tompkins, {Christopher P.} and Cheng, {Debbie M} and Dentato, {Michael P.} and Richard Saitz",

year = "2010",

month = sep,

day = "15",

doi = "10.1016/j.drugalcdep.2010.07.021",

language = "American English",

volume = "113",

journal = "Drug and Alcohol Dependence",

}

TY - JOUR

T1 - Factors associated with attendance in 12-step groups (Alcoholics Anonymous/Narcotics Anonymous) among adults with alcohol problems living with HIV/AIDS

AU - Orwat, John

AU - Samet, Jeffrey H.

AU - Tompkins, Christopher P.

AU - Cheng, Debbie M

AU - Dentato, Michael P.

AU - Saitz, Richard

PY - 2010/9/15

Y1 - 2010/9/15

N2 - Background: Despite the value of 12-step meetings, few studies have examined factors associated with attendance among those living with HIV/AIDS, such as the impact of HIV disease severity and demographics. Objective: This study examines predisposing characteristics, enabling resources and need on attendance at Alcoholic Anonymous (AA) and Narcotics Anonymous (NA) meetings among those living with HIV/AIDS and alcohol problems. Methods: Secondary analysis of prospective data from the HIV-Longitudinal Interrelationships of Viruses And Ethanol study, a cohort of 400 adults living with HIV/AIDS and alcohol problems. Factors associated with AA/NA attendance were identi&filig;ed using the Anderson model for vulnerable populations. Generalized estimating equation logistic regression models were &filig;t to identify factors associated with self-reported AA/NA attendance. Results: At study entry, subjects were 75% male, 12% met diagnostic criteria for alcohol dependence, 43% had drug dependence and 56% reported attending one or more AA/NA meetings (past 6 months). In the adjusted model, female gender negatively associated with attendance, as were social support systems that use alcohol and/or drugs, while presence of HCV antibody, drug dependence diagnosis, and homelessness associated with higher odds of attendance. Conclusions: Non-substance abuse related barriers to AA/NA group attendance exist for those living with HIV/AIDS, including females and social support systems that use alcohol and/or drugs. Positive associations of homelessness, HCV infection and current drug dependence were identi&filig;ed. These &filig;ndings provide implications for policy makers and treatment professionals who wish to encourage attendance at 12-step meetings for those living with HIV/AIDS and alcohol or other substance use problems.

AB - Background: Despite the value of 12-step meetings, few studies have examined factors associated with attendance among those living with HIV/AIDS, such as the impact of HIV disease severity and demographics. Objective: This study examines predisposing characteristics, enabling resources and need on attendance at Alcoholic Anonymous (AA) and Narcotics Anonymous (NA) meetings among those living with HIV/AIDS and alcohol problems. Methods: Secondary analysis of prospective data from the HIV-Longitudinal Interrelationships of Viruses And Ethanol study, a cohort of 400 adults living with HIV/AIDS and alcohol problems. Factors associated with AA/NA attendance were identi&filig;ed using the Anderson model for vulnerable populations. Generalized estimating equation logistic regression models were &filig;t to identify factors associated with self-reported AA/NA attendance. Results: At study entry, subjects were 75% male, 12% met diagnostic criteria for alcohol dependence, 43% had drug dependence and 56% reported attending one or more AA/NA meetings (past 6 months). In the adjusted model, female gender negatively associated with attendance, as were social support systems that use alcohol and/or drugs, while presence of HCV antibody, drug dependence diagnosis, and homelessness associated with higher odds of attendance. Conclusions: Non-substance abuse related barriers to AA/NA group attendance exist for those living with HIV/AIDS, including females and social support systems that use alcohol and/or drugs. Positive associations of homelessness, HCV infection and current drug dependence were identi&filig;ed. These &filig;ndings provide implications for policy makers and treatment professionals who wish to encourage attendance at 12-step meetings for those living with HIV/AIDS and alcohol or other substance use problems.

KW - HIV-infection

KW - alcohol addiction disorder

KW - substance-related disorders

KW - 12 step groups

KW - HIV/AIDS

U2 - 10.1016/j.drugalcdep.2010.07.021

DO - 10.1016/j.drugalcdep.2010.07.021

M3 - Article

VL - 113

JO - Drug and Alcohol Dependence

JF - Drug and Alcohol Dependence

ER -