Chunk #32 — RESULTS — CHRONIC AND INFECTIOUS DISEASE CONDITIONS WHERE ALCOHOL IS A COMPONENT CAUSE — HUMAN IMMUNODEFICIENCY VIRUS / ACQUIRED IMMUNE DEFICIENCY SYNDROME (HIV/AIDS)
However, there is enough evidence to conclude a causal impact of alcohol on the course of the disease [32], Similarly, as with TB, alcohol consumption was shown to disrupt HIV treatment, with markedly higher drop-outs and more treatment failures associated with this exposure [57]. There is also an indication of a dose-response relationship, where problem drinking or alcohol use disorders interfere more strongly than does alcohol exposure per se [57]. A conservative quantification of this impact is possible based on the effect of alcohol consumption on antiretroviral treatment adherence [57] combined with the impact of failed adherence on survival [58].