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Alcohol use is prevalent among HIV-infected patients, but little is known about how it affects HIV disease progression. To address this gap, Boston researchers conducted a prospective study among 595 HIV-infected adults (75% male; 66% nonwhite), all of whom had a history of alcohol-related problems. Recent alcohol use (during the past 30 days), CD4-cell count, and viral load were assessed every 6 months for up to 7 years. The median number of assessments per participant was 9.
At baseline, about one quarter of study participants had been intermittently homeless, and about one half had a history of injection drug use. Sixty percent of participants reported no recent alcohol use, 10% reported recent moderate use, and 30% reported recent heavy …