TABLE II.

Associations between Level of Alcohol Use and Three HIV Care Continuum Targets in a Large National Sample of VA Patients Living with HIV from the Veterans Aging Cohort Study (n=33,224)

	Unadjusted				AdjustedϮ
Level of Alcohol Useϒ	RR	[95% CI]	p-value	Test for Linear Trend*	aRR	[95% CI]	p-value	Test for Linear Trend*
Engaged in HIV Medical Care
Non-drinking (0)	1.00	[1.00,1.00]	REF	<0.001	1.00	[1.00,1.00]	REF	<0.001
Low-Level (1–3; 1–2 women)	1.02	[1.01,1.03]	0.00		1.02	[1.01,1.03]	0.00
Medium-Level (4–5; 3–5 women)	0.97	[0.94,0.99]	0.01		0.96	[0.94,0.99]	0.00
High-Level (6–7)	0.96	[0.93,1.00]	0.07		0.95	[0.91,0.98]	0.01
Very High-Level (8–12)	0.91	[0.88,0.94]	0.00		0.89	[0.86,0.92]	0.00
Treated with ART
Non-drinking (0)	1.00	[1.00,1.00]	REF	<0.001	1.00	[1.00,1.00]	REF	<0.001
Low-Level (1–3; 1–2 women)	1.03	[1.02,1.04]	0.00		1.02	[1.00,1.03]	0.03
Medium-Level (4–5; 3–5 women)	0.96	[0.94,0.99]	0.00		0.95	[0.93,0.98]	0.00
High-Level (6–7)	0.92	[0.87,0.96]	0.00		0.91	[0.87,0.95]	0.00
Very High-Level (8–12)	0.81	[0.77,0.85]	0.00		0.81	[0.77,0.85]	0.00
Virally Suppressed
Non-drinking (0)	1.00	[1.00,1.00]	REF	<0.001	1.00	[1.00,1.00]	REF	<0.001
Low-Level (1–3; 1–2 women)	0.97	[0.95,0.99]	0.00		0.99	[0.97,1.01]	0.25
Medium-Level (4–5; 3–5 women)	0.86	[0.83,0.90]	0.00		0.88	[0.85,0.92]	0.00
High-Level (6–7)	0.80	[0.75,0.86]	0.00		0.82	[0.77,0.88]	0.00
Very High-Level (8–12)	0.64	[0.60,0.69]	0.00		0.67	[0.62,0.72]	0.00

^ϒNs = 15,446, 13,025, 1832, 2,019, and 902 for non-drinking, low-level drinking, and medium-, high-, and very high-level drinking, respectively.

^ϮAdjusted for race, ethnicity, gender, fiscal year of AUDIT-C screening, age, and any mental health and non-alcohol substance use disorders

^*linear trend tested using orthogonal polynomial contrasts