Elevated risk of alcohol use disorder in Japanese men living with HIV: Psychosocial determinants and protective role of sense of coherence

This cross-sectional study of 883 Japanese men living with HIV found that 53.2% engaged in at-risk or suspected alcohol use disorder, with heterosexual orientation, higher education, and older age associated with lower risk. Higher sense of coherence—the ability to cope with stress—emerged as a significant protective psychosocial factor against both at-risk drinking and suspected AUD.