{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T07:43:48Z","timestamp":1785224628586,"version":"3.55.0"},"reference-count":53,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,8,11]],"date-time":"2022-08-11T00:00:00Z","timestamp":1660176000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alcoholism Clin &amp;amp; Exp Res"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Both human immunodeficiency virus (HIV) infection and alcohol use predispose to autonomic\/sensory neuropathy, imbalance symptoms, and cognitive impairment\u2014conditions associated with a greater risk of falls\u2014yet it is unclear how to identify people with HIV (PWH) whose drinking is associated with falls. Research on alcohol and falls using the same instruments in different countries could help to specify the level of alcohol use associated with fall risk. We examined whether a consumption\u2010based measure (the Alcohol Use Disorders Identification Test\u2010Consumption [AUDIT\u2010C]) and\/or a symptom\u2010based measure (DSM\u20105 criteria for alcohol use disorder [AUD]) are associated with sustaining a fall among PWH in St Petersburg, Russia and Boston, Massachusetts in the United States.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Separate multivariate logistic regressions were used for each cohort to examine cross\u2010sectional associations for each alcohol measure predicting fall. Potential confounders included physical functioning, depressive symptoms, and other substance use (measured with the Addiction Severity Index).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A fall was reported by 35% (87\/251) of the sample in Boston and 12% (46\/400) in St Petersburg. Each additional AUD criterion\u2014but not higher AUDIT\u2010C score\u2014was significantly associated with a fall in both Boston (odds ratio [OR]\u00a0=\u00a01.10; 95% confidence interval [CI] 1.02, 1.18) and St Petersburg (adjusted OR AOR\u00a0=\u00a01.10; 95% CI 1.02, 1.18). Heavy alcohol use (&gt;6 drinks\/occasion, any vs. none) was associated with more than twice the odds of a fall (AOR\u00a0=\u00a02.24; 95% CI 1.21, 4.13) in Boston.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings suggest that while fall risk may vary by setting and population, heavy alcohol use and AUD symptom severity are potential targets for interventions to prevent falls. Studies in diverse global settings advance our understanding of the relationship between alcohol and falls in PWH.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acer.14915","type":"journal-article","created":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T05:08:16Z","timestamp":1659416896000},"page":"1742-1752","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Alcohol and falls among people with HIV infection: A view from Russia and the United States"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6043-0721","authenticated-orcid":false,"given":"Theresa W.","family":"Kim","sequence":"first","affiliation":[{"name":"Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine Boston University School of Medicine and Boston Medical Center  Boston Massachusetts 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Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine Boston University School of Medicine and Boston Medical Center  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendall","family":"Bryant","sequence":"additional","affiliation":[{"name":"HIV\/AIDS Research National Institute on Alcohol Abuse and Alcoholism, NIH  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsey J.","family":"Rateau","sequence":"additional","affiliation":[{"name":"Biostatistics and Epidemiology Data Analytics Center (BEDAC) Boston University School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Winnie R.","family":"Muyindike","sequence":"additional","affiliation":[{"name":"Department of Medicine Mbarara Regional Referral Hospital  Mbarara 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