This prospective, cohort study analyzed the prevalence of alcoholism a
nd patterns of alcohol intake over time in a cohort of HIV-infected pa
tients, predominantly homosexual/bisexual men, One hundred eleven HIV-
positive subjects were recruited from a comprehensive HIV clinic assoc
iated with a large Midwestern university hospital. Each participant co
mpleted the Michigan Alcoholism Screening Test (MAST) survey and a sta
ndardized quantity-frequency questionnaire on alcohol intake at enroll
ment, The quantity-frequency scale was repeated every six months for a
total of 30 months. Forty-five of the ill subjects (41%) met the crit
eria for alcoholism, as defined by a MAST score 5 or higher. There was
a significant decrease in alcohol consumption over time, from 6.4 dri
nks/week in the initial time period to 3.9 drinks/week by the final ti
me period (p < 0.001).