Behavioral Interventions Targeting Alcohol Use Among People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

The MASH Research Team; Scott-Sheldon, Lori A. J.; Carey, Kate B.; Johnson, Blair T.; Carey, Michael P.

doi:10.1007/s10461-017-1886-3

Cited by 133HIV, Drug Use, Sexual RiskSubstance Abuse Treatment and OutcomesHIV/AIDS Research and Interventions

Behavioral Interventions Targeting Alcohol Use Among People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

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The MASH Research Team, Scott-Sheldon, Lori A. J., Carey, Kate B., Johnson, Blair T., Carey, Michael P.·2017·AIDS and Behavior

DOI 10.1007/s10461-017-1886-3PMC PMC5660648

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Abstract

Alcohol use is often reported among people living with HIV/AIDS (PLWHA) and is associated with increased sexual risk and poor medication adherence. This meta-analysis evaluated the efficacy of behavioral interventions addressing alcohol use among PLWHA. Twenty-one studies (N = 8461 PLWHA) that evaluated an individual-level intervention addressing alcohol use alone or as part of a more comprehensive alcohol/HIV intervention, included a control condition, and were available through December 2016 were included. Independent raters coded study, sample, and intervention content. Weighted mean effect sizes, using random-effects models, were calculated. Results indicate that interventions reduced alcohol consumption, increased condom use, and improved medication adherence relative to controls (d +s = 0.10-0.24). Plasma viral load was also reduced in intervention versus control participants (d + = 0.14, 95% CI = 0.02, 0.26; k = 7). These findings show that behavioral interventions addressing alcohol use can successfully reduce alcohol consumption and also improve HIV-related outcomes among PLWHA.

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Randomized clinical trials of alcohol interventions for people with HIV have had mixed success.
“Randomized clinical trials (RCTs) of alcohol interventions for PWH have had mixed success.”
From A Randomized Feasibility/Acceptability Trial of Acceptance and Commitment Therapy for People with HIV Who Drink at Unhealthy Levels. (2026) · cites this paper as [12]

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A Clinic-based Motivational Intervention Improves Condom Use Among Subgroups of Youth Living With HIV
Chen, X., Murphy, D. A., Naar‐King, S., & Parsons, J. T. (2011) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2010.11.252 · Cited by 65 · see citing works
Efficacy of a Group Medication Adherence Intervention Among HIV Positive Women: The SMART/EST Women’s Project
Jones, D. L., McPherson-Baker, S., Lydston, D., Camille, J., Brondolo, E. N., Tobin, J. N., & Weiss, S. M. (2006) · AIDS and Behavior · doi:10.1007/s10461-006-9165-8 · Cited by 63 · see citing works
Episodic homelessness and health care utilization in a prospective cohort of HIV-infected persons with alcohol problems
Kim, T. W., Kertesz, S. G., Horton, N. J., Tibbetts, N., & Samet, J. H. (2006) · BMC Health Services Research · doi:10.1186/1472-6963-6-19 · Cited by 62 · see citing works
Alcohol and marijuana use outcomes in the Healthy Choices motivational interviewing intervention for HIV-positive youth
Murphy, D. A., Chen, X., Naar-King, S., & Parsons for the Adolescent Trials N, J. T. (2012) · AIDS Patient Care and STDs · doi:10.1089/apc.2011.0157 · Cited by 62 · see citing works
Utilization of Medical Treatments and Adherence to Antiretroviral Therapy among HIV-Positive Adults with Histories of Childhood Sexual Abuse
Meade, C. S., Hansen, N. B., Kochman, A., & Sikkema, K. J. (2009) · AIDS Patient Care and STDs · doi:10.1089/apc.2008.0210 · Cited by 62 · see citing works
Efficacy of a single, brief alcohol reduction intervention among men and women living with HIV/AIDS and using alcohol in Kampala, Uganda: a randomized trial
Wandera, B., Tumwesigye, N. M., Nankabirwa, J. I., Mafigiri, D. K., Parkes-Ratanshi, R. M., Kapiga, S., Hahn, J., & Sethi, A. K. (2017) · Journal of the International Association of Providers of AIDS Care (JIAPAC) · doi:10.1177/2325957416649669 · Cited by 61 · cited 1× · see citing works
“Only four studies in this meta-analysis focused exclusively on alcohol use [16, 38, 42, 52], whereas the majority of the studies addressed alcohol use as part of a multiple HIV behavior change intervention.”
Background
Health literacy, antiretroviral adherence, and HIV-RNA suppression
Paasche-Orlow, M., Cheng, D., Palepu, A., Meli, S., Faber, V., & Samet, J. (2007) · Journal of general internal medicine · doi:10.1111/j.1525-1497.2006.00527.x · Cited by 58 · see citing works
Medication Adherence Mediates the Relationship between Adherence Self-efficacy and Biological Assessments of HIV Health among those with Alcohol Use Disorders
Parsons, J. T., Rosof, E., & Mustanski, B. S. (2007) · AIDS and Behavior · doi:10.1007/s10461-007-9241-8 · Cited by 58 · see citing works
Reductions in alcohol and cocaine use following a group coping intervention for HIV‐positive adults with childhood sexual abuse histories
Meade, C. S., Drabkin, A. S., Hansen, N. B., Wilson, P. A., Kochman, A., & Sikkema, K. J. (2010) · Addiction · doi:10.1111/j.1360-0443.2010.03075.x · Cited by 57 · see citing works
The Impact of Shame on Health-Related Quality of Life Among HIV-Positive Adults with a History of Childhood Sexual Abuse
Persons, E., Kershaw, T., Sikkema, K. J., & Hansen, N. B. (2010) · AIDS Patient Care and STDs · doi:10.1089/apc.2009.0209 · Cited by 57 · see citing works
Barriers to HIV Medication Adherence: Examining Distinct Anxiety and Depression Symptoms among Women Living with HIV Who Experienced Childhood Sexual Abuse
Willie, T. C., Overstreet, N. M., Sullivan, T. P., Sikkema, K. J., & Hansen, N. B. (2015) · Behavioral Medicine · doi:10.1080/08964289.2015.1045823 · Cited by 56 · see citing works
Interventions to Reduce Alcohol Use among HIV-Infected Individuals: A Review and Critique of the Literature
Brown, J. L., DeMartini, K. S., Sales, J. M., Swartzendruber, A. L., & DiClemente, R. J. (2013) · Current HIV/AIDS Reports · doi:10.1007/s11904-013-0174-8 · Cited by 53 · cited 2× · see citing works
“This meta-analysis differs from prior reviews of the literature [6, 8, 9] in four ways.”
Result
Brief Report: Maintenance of Effects of Motivational Enhancement Therapy to Improve Risk Behaviors and HIV-related Health in a Randomized Controlled Trial of Youth Living with HIV
Naar‐King, S., Lam, P. K., Wang, B., Wright, K., Parsons, J. T., & Frey, M. A. (2007) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsm087 · Cited by 52 · see citing works
The use of the mini-mental state examination in recruitment for substance abuse research studies
Smith, K. L., Horton, N. J., Saitz, R., & Samet, J. H. (2005) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2005.09.012 · Cited by 50 · see citing works
Acculturation, Coping Styles, and Health Risk Behaviors Among HIV Positive Latinas
Sánchez, M. D., Rice, E. R. W., Stein, J. A., Milburn, N. G., & Rotheram‐Borus, M. J. (2009) · AIDS and Behavior · doi:10.1007/s10461-009-9618-y · Cited by 48 · see citing works
Anxiety and Depressive Symptoms Among People Living with HIV and Childhood Sexual Abuse: The Role of Shame and Posttraumatic Growth
Willie, T. C., Overstreet, N. M., Bonner, C. P., Kershaw, T., Sikkema, K. J., & Hansen, N. B. (2016) · AIDS and Behavior · doi:10.1007/s10461-016-1298-9 · Cited by 46 · see citing works
Multiple Risk Behaviors Among Youth Living with Human Immunodeficiency Virus in Five U.S. Cities
Tanney, M. R., Naar‐King, S., Murphy, D. A., Parsons, J. T., & Janisse, H. C. (2009) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2009.05.017 · Cited by 44 · see citing works
Using Innovative Video Doctor Technology in Primary Care to Deliver Brief Smoking and Alcohol Intervention
Gerbert, B., Berg-Smith, S., Mancuso, M., Caspers, N., McPhee, S. J., Null, D., & Wofsy, J. (2003) · Health Promotion Practice · doi:10.1177/1524839903004003009 · Cited by 44 · see citing works
Differential Disclosure Across Social Network Ties Among Women Living with HIV
Rice, E. R. W., Comulada, S., Green, S. K. S., Arnold, E. M., & Rotheram‐Borus, M. J. (2009) · AIDS and Behavior · doi:10.1007/s10461-009-9554-x · Cited by 44 · see citing works
Reframing "Prevention with Positives": Incorporating Counseling Techniques That Improve the Health of HIV-Positive Patients
Gerbert, B., Danley, D. W., Herzig, K. E., Clanon, K., Ciccarone, D., Gilbert, P. A., & Allerton, M. W. (2006) · AIDS Patient Care and STDs · doi:10.1089/apc.2006.20.19 · Cited by 43 · see citing works
Enhancing the health of women living with HIV: the SMART/EST Women's Project
Weiss, S. M. (2011) · International Journal of Women s Health · doi:10.2147/ijwh.s5947 · Cited by 43 · see citing works
An Intervention for Adolescents whose Parents are Living with AIDS
Rotheram‐Borus, M. J., Murphy, D. A., Miller, S., & Draimin, B. (1997) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104597022003 · Cited by 42 · see citing works
Transtheoretical model and condom use in HIV-positive youths.
Naar-King, S., Wright, K., Parsons, J. T., Frey, M., Templin, T., & Ondersma, S. (2006) · Health Psychology · doi:10.1037/0278-6133.25.5.648 · Cited by 42 · see citing works
Alcohol use and its association with HIV risk behaviors among a cohort of patients attending HIV clinical care in Tanzania, Kenya, and Namibia
Medley, A., Seth, P., Pathak, S., Howard, A. A., DeLuca, N., Matiko, E., Mwinyi, A., Katuta, F., Sheriff, M., Makyao, N., et al. (2014) · AIDS Care · doi:10.1080/09540121.2014.911809 · Cited by 41 · see citing works
Pregnancy desire and dual method contraceptive use among people living with HIV attending clinical care in Kenya, Namibia and Tanzania
Antelman, G., Medley, A. M., Mbatia, R., Pals, S. L., Arthur, G., Haberlen, S., Ackers, M., Elul, B., Parent, J., Rwebembera, A. A., et al. (2014) · Journal of Family Planning and Reproductive Health Care · doi:10.1136/jfprhc-2013-100784 · Cited by 41 · see citing works
Effects of Behavioral Intervention Content on HIV Prevention Outcomes: A Meta-Review of Meta-Analyses
Johnson, B. T., Michie, S., & Snyder, L. B. (2014) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000000235 · Cited by 40 · cited 1× · see citing works
“Although somewhat counter-intuitive, this finding is consistent with the broader literature showing that brief interventions can be more effective than interventions of longer durations in some contexts [61].”
ResultSelf-citation
Interventions for families affected by HIV
Rotheram‐Borus, M. J., Swendeman, D. T., Lee, S., Li, L., Amani, B., & Nartey, M. (2011) · Translational Behavioral Medicine · doi:10.1007/s13142-011-0043-1 · Cited by 40 · see citing works
Substance abuse treatment and risk behaviors among HIV-infected persons with alcohol problems
Palepu, A., Raj, A., Horton, N. J., Tibbetts, N., Meli, S. M., & Samet, J. H. (2005) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2004.09.002 · Cited by 39 · see citing works
Motivational Interviewing Targeting Risk Behaviors for Youth Living with HIV in Thailand
Rongkavilit, C., Naar‐King, S., Wang, B., Panthong, A., Bunupuradah, T., Parsons, J. T., Phonphithak, S., Koken, J. A., Saengcharnchai, P., & Phanuphak, P. (2013) · AIDS and Behavior · doi:10.1007/s10461-013-0407-2 · Cited by 36 · cited 1× · see citing works
“05) a Two outliers were detected for the quantity of alcohol consumed [44, 46] and a single outlier was detected for self-reports of medication adherence [44].”
Background
Motivational Interviewing Targeting Risky Sex in HIV-Positive Young Thai Men Who Have Sex with Men
Rongkavilit, C., Wang, B., Naar‐King, S., Bunupuradah, T., Parsons, J. T., Panthong, A., Koken, J. A., Saengcharnchai, P., & Phanuphak, P. (2014) · Archives of Sexual Behavior · doi:10.1007/s10508-014-0274-6 · Cited by 36 · see citing works
HIV Prevention in Care and Treatment Settings: Baseline Risk Behaviors among HIV Patients in Kenya, Namibia, and Tanzania
Kidder, D. P., Bachanas, P. J., Medley, A. M., Pals, S. L., Nuwagaba‐Biribonwoha, H., Ackers, M., Howard, A. A., DeLuca, N., Mbatia, R., Sheriff, M., et al. (2013) · PLoS ONE · doi:10.1371/journal.pone.0057215 · Cited by 36 · see citing works
Interventions targeting HIV-infected risky drinkers: drops in the bottle.
Samet, J. H., & Walley, A. Y. (2010) · Europe PMC (PubMed Central) · Cited by 35 · see citing works
Transtheoretical Model and substance use in HIV-positive youth
Naar‐King, S., Wright, K., Parsons, J. T., Frey, M., Templin, T., & Ondersma, S. J. (2006) · AIDS Care · doi:10.1080/09540120500467075 · Cited by 35 · see citing works
Maintenance of safer sexual behaviours: evaluation of a theory‐based intervention for HIV seropositive men with haemophilia and their female partners
Parsons, J. T., Huszti, H. C., Crudder, S. O., Rich, L., & Mendoza, J. L. (2000) · Haemophilia · doi:10.1046/j.1365-2516.2000.00404.x · Cited by 35 · see citing works
Improving Dietary Habits in Disadvantaged Women With HIV/AIDS: The SMART/EST Women's Project
Segal-Isaacson, C. J., Tobin, J. N., Weiss, S. M., Brondolo, E. N., Vaughn, A., Wang, C., Camille, J., Gousse, Y., Ishii, M., Jones, D. L., et al. (2006) · AIDS and Behavior · doi:10.1007/s10461-006-9115-5 · Cited by 34 · see citing works
<scp>HERMITAGE</scp> —a randomized controlled trial to reduce sexually transmitted infections and <scp>HIV</scp> risk behaviors among <scp>HIV</scp> ‐infected <scp>R</scp> ussian drinkers
Samet, J. H., Raj, A., Cheng, D. M., Blokhina, E., Bridden, C., Chaisson, C. E., Walley, A. Y., Palfai, T. P., Quinn, E. K., Zvartau, E., et al. (2015) · Addiction · doi:10.1111/add.12716 · Cited by 33 · see citing works
Predicting Depression in Mothers With and Without HIV: The Role of Social Support and Family Dynamics
Dyer, T. V., Stein, J. A., Rice, E. R. W., & Rotheram‐Borus, M. J. (2012) · AIDS and Behavior · doi:10.1007/s10461-012-0149-6 · Cited by 33 · see citing works
Psychosocial factors and substance use in high-risk youth living with HIV: a multi-site study
Naar‐King, S., MacDonell, K. K., Parsons, J. T., Murphy, D. A., & Adolescent T ATN Protocol Team (2010) · AIDS Care · doi:10.1080/09540120903220279 · Cited by 32 · see citing works
Cognitive behavioral therapy group intervention for HIV transmission risk behavior in perinatally infected adolescents
Senyonyi, R. M., Underwood, L. A., Suárez, E. C., Musisi, S., & Grande, T. L. (2012) · Health · doi:10.4236/health.2012.412195 · Cited by 31 · see citing works
Randomized Controlled Trial of a Cognitive-Behavioral Intervention for HIV-Positive Persons: An Investigation of Treatment Effects on Psychosocial Adjustment
The NIMH Healthy Living Project Team, Carrico, A. W., Chesney, M. A., Johnson, M. O., Morin, S. F., Neilands, T. B., Remien, R. H., Rotheram‐Borus, M. J., & Wong, F. L. (2008) · AIDS and Behavior · doi:10.1007/s10461-008-9429-6 · Cited by 30 · see citing works
Self-citation
Intervention Outcomes Among HIV-Affected Families Over 18 Months
Rotheram‐Borus, M. J., Rice, E. R. W., Comulada, W. S., Best, K. M., Elia, C., Peters, K. W., Li, L., Green, S. K. S., & Valladares, E. S. (2011) · AIDS and Behavior · doi:10.1007/s10461-011-0075-z · Cited by 30 · see citing works
Family-based processes associated with adolescent distress, substance use and risky sexual behavior in families affected by maternal HIV
Lester, P., Stein, J. A., Bursch, B., Rice, E., Green, S., Penniman, T., & Rotheram-Borus, M. J. (2010) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374411003691677 · Cited by 29 · see citing works
Meta-Analysis of Research in Social and Personality Psychology
Johnson, B. T., & Eagly, A. H. (2014) · Cambridge University Press eBooks · doi:10.1017/cbo9780511996481.031 · Cited by 27 · cited 1× · see citing works
“, t tests) were used when means and standard deviations were not provided [27, 28].”
MethodSelf-citation
Effects of behavioral intervention on substance use among people living with HIV: the Healthy Living Project randomized controlled study
Wong, F. L., Rotheram‐Borus, M. J., Lightfoot, M. A., Pequegnat, W., Comulada, W. S., Cumberland, W. G., Weinhardt, L. S., Remien, R. H., Chesney, M. A., Johnson, M. O., et al. (2008) · Addiction · doi:10.1111/j.1360-0443.2008.02222.x · Cited by 27 · see citing works
Predictors of Condom Use in a Multisite Study of High-Risk Youth Living with HIV
Outlaw, A., Naar-King, S., Janisse, H., & Parsons, J. T. (2010) · AIDS Education and Prevention · doi:10.1521/aeap.2010.22.1.1 · Cited by 27 · see citing works
Nondisclosure of HIV Infection to Sex Partners and Alcohol’s Role: A Russian Experience
Lunze, K., Cheng, D. M., Quinn, E. K., Krupitsky, E. M., Raj, A., Walley, A. Y., Bridden, C. L., Chaisson, C. E., Lioznov, D. A., Blokhina, E. A., et al. (2012) · AIDS and Behavior · doi:10.1007/s10461-012-0216-z · Cited by 26 · see citing works
Pain is associated with risky drinking over time among HIV-infected persons in St. Petersburg, Russia
Tsui, J. I., Cheng, D. M., Coleman, S. M., Lira, M. C., Blokhina, E. A., Bridden, C. L., Krupitsky, E. M., & Samet, J. H. (2014) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2014.08.013 · Cited by 26 · see citing works
Youth Living With HIV and Problem Substance Use: Elevated Distress Is Associated With Nonadherence and Sexual Risk
Nugent, N. R., Brown, L. K., Belzer, M., Harper, G. W., Nachman, S., Naar-King, S., & Adolescent Trials Network for HIV/AIDS Interventions (2010) · Journal of the International Association of Physicians in AIDS Care · doi:10.1177/1545109709357472 · Cited by 26 · see citing works
Stress Biomarkers as Outcomes for HIV+ Prevention: Participation, Feasibility and Findings Among HIV+ Latina and African American Mothers
Glover, D. A., Garcia-Aracena, E. F., Lester, P. E., Rice, E. R. W., & Rothram-Borus, M. J. (2009) · AIDS and Behavior · doi:10.1007/s10461-009-9549-7 · Cited by 25 · see citing works
Association of Violence Victimization with Inconsistent Condom Use in HIV-Infected Persons
Chuang, C. H., Liebschutz, J., Horton, N. J., & Samet, J. (2006) · Aids and Behavior · doi:10.1007/s10461-005-9046-6 · Cited by 24 · see citing works
Physical and sexual violence and health care utilization in HIV-infected persons with alcohol problems
Liebschutz, J. M., Geier, J. L., Horton, N. J., Chuang, C.-H., & Samet, J. H. (2005) · AIDS Care · doi:10.1080/09540120512331314358 · Cited by 24 · see citing works
The development and feasibility of a brief risk reduction intervention for newly HIV‐diagnosed men who have sex with men
Sikkema, K. J., Hansen, N. B., Kochman, A., Santos, J. D., Watt, M. H., Wilson, P. A., DeLorenzo, A., Laudato, J., & Mayer, G. (2011) · Journal of Community Psychology · doi:10.1002/jcop.20463 · Cited by 23 · see citing works
Is cannabis use associated with HIV drug and sex risk behaviors among Russian HIV-infected risky drinkers?
Tyurina, A., Krupitsky, E., Cheng, D., Coleman, S., Walley, A. Y., Bridden, C., Gnatienko, N., Zvartau, E., Raj, A., & Samet, J. (2013) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2013.01.009 · Cited by 23 · see citing works
Drinking motives as prospective predictors of outcome in an intervention trial with heavily drinking HIV patients
Elliott, J. C., Aharonovich, E., O’Leary, A., Wainberg, M. L., & Hasin, D. S. (2013) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2013.10.026 · Cited by 23 · see citing works
Delivering Prevention Interventions to People Living with HIV in Clinical Care Settings: Results of a Cluster Randomized Trial in Kenya, Namibia, and Tanzania
Bachanas, P. J., Kidder, D. P., Medley, A. M., Pals, S. L., Carpenter, D., Howard, A. A., Antelman, G., DeLuca, N., Muhenje, O., Sheriff, M., et al. (2016) · AIDS and Behavior · doi:10.1007/s10461-016-1349-2 · Cited by 23 · see citing works
Ethical Issues in a Stage 1 Cognitive-Behavioral Therapy Feasibility Study and Trial to Reduce Alcohol Use Among HIV-Infected Outpatients in Western Kenya
Papas, R. K., Gakinya, B. N., Baliddawa, J. B., Martino, S., BRYANT, K. J., Meslin, E. M., & Sidle, J. E. (2012) · Journal of Empirical Research on Human Research Ethics · doi:10.1525/jer.2012.7.3.29 · Cited by 22 · see citing works
Preventing AIDS: Community-Science Collaborations
Bowser, B. P. (2004) · Medical Entomology and Zoology · Cited by 21 · see citing works
Sex Trade, Sexual Risk, and Nondisclosure of HIV Serostatus: Findings from HIV-Infected Persons with a History of Alcohol Problems
Raj, A., Cheng, D. M., Levison, R., Meli, S. M., & Samet, J. H. (2006) · AIDS and Behavior · doi:10.1007/s10461-005-9050-x · Cited by 21 · see citing works
Drinking Motives Among HIV Primary Care Patients
Elliott, J. C., Aharonovich, E., O’Leary, A., Wainberg, M. L., & Hasin, D. S. (2013) · AIDS and Behavior · doi:10.1007/s10461-013-0644-4 · Cited by 21 · see citing works
Perceived Medical Risks of Drinking, Alcohol Consumption, and Hepatitis C Status Among Heavily Drinking HIV Primary Care Patients
Elliott, J. C., Aharonovich, E., O’Leary, A., Johnston, B. E., & Hasin, D. S. (2014) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.12570 · Cited by 20 · see citing works
HIV Medication Adherence and Substance Use: The Smartest Women’s Project
Lopez, E. J., Jones, D. L., Ishii, M., Tobin, J. N., & Weiss, S. M. (2007) · American Journal of Infectious Diseases · doi:10.3844/ajidsp.2007.240.247 · Cited by 20 · see citing works
Gender moderates the influence of psychosocial factors and drug use on HAART adherence in the context of HIV and childhood sexual abuse
Wilson, S. M., Sikkema, K. J., & Ranby, K. W. (2014) · AIDS Care · doi:10.1080/09540121.2013.873765 · Cited by 19 · see citing works
Substance Abuse Treatment and Hospitalization among a Cohort of HIV‐Infected Individuals with Alcohol Problems
Palepu, A., Horton, N. J., Tibbetts, N., Meli, S. M., & Samet, J. H. (2005) · Alcoholism Clinical and Experimental Research · doi:10.1097/01.alc.0000156101.84780.45 · Cited by 18 · see citing works
Substance abuse treatment and emergency department utilization among a cohort of HIV-infected persons with alcohol problems
Palepu, A., Horton, N. J., Tibbetts, N., Dukes, K., Meli, S. M., & Samet, J. H. (2003) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(03)00064-3 · Cited by 17 · see citing works
Depressive Symptoms and Antiretroviral Therapy (ART) Initiation Among HIV-Infected Russian Drinkers
Goodness, T. M., Palfai, T. P., Cheng, D. M., Coleman, S. M., Bridden, C. L., Blokhina, E. A., Krupitsky, E. M., & Samet, J. H. (2013) · AIDS and Behavior · doi:10.1007/s10461-013-0674-y · Cited by 17 · see citing works
Associations between partner violence perpetration and history of STI among HIV-infected substance using men in Russia
Raj, A., Kidd, J. D., Cheng, D. M., Coleman, S. M., Bridden, C. L., Blokhina, E. A., Krupitsky, E. M., & Samet, J. H. (2012) · AIDS Care · doi:10.1080/09540121.2012.722188 · Cited by 16 · see citing works
Association between change in self-efficacy to resist drinking and drinking behaviors among an HIV-infected sample: Results from a large randomized controlled trial
Gause, N. K., Elliott, J. C., Delker, E., Stohl, M., Hasin, D. S., & Aharonovich, E. (2016) · Journal of Health Psychology · doi:10.1177/1359105316664127 · Cited by 16 · see citing works
The influence of depressive symptoms on alcohol use among HIV-infected Russian drinkers
Palfai, T. P., Cheng, D. M., Coleman, S. M., Bridden, C. L., Krupitsky, E. M., & Samet, J. H. (2013) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2013.09.014 · Cited by 15 · see citing works
Risk factors for recent nonfatal overdose among HIV-infected Russians who inject drugs
Walley, A. Y., Cheng, D. M., Coleman, S. M., Krupitsky, E. M., Raj, A., Blokhina, E. A., Bridden, C. L., Chaisson, C. E., Lira, M. C., & Samet, J. H. (2014) · AIDS Care · doi:10.1080/09540121.2013.871218 · Cited by 12 · see citing works
Sexually transmitted infections among HIV-infected heavy drinkers in St Petersburg, Russia
Pace, C. A., Lioznov, D. A., Cheng, D. M., Wakeman, S. E., Raj, A., Walley, A. Y., Coleman, S. M., Bridden, C. L., Krupitsky, E. M., & Samet, J. H. (2012) · International Journal of STD & AIDS · doi:10.1258/ijsa.2012.012004 · Cited by 12 · see citing works
Alcohol and Substance Use Disorder Screening, Brief Intervention, and Referral to Treatment Among People Living With HIV/AIDS
Savage, C. L., & Sanchez, M. A. (2016) · Journal of Addictions Nursing · doi:10.1097/jan.0000000000000137 · Cited by 12 · cited 1× · see citing works
“screening and brief interventions among clinic patients can reduce alcohol consumption and avert adverse health consequences associated with alcohol use among PLWHA as well as the broader population in primary care [59, 60]; and (b) Interventions delivered over longer durations were less effective in increasing condom…”
Background
Comparisons of HIV-affected and non-HIV-affected families over time
Rotheram‐Borus, M. J., Rice, E. R. W., Comulada, W. S., Best, K. M., & Li, L. (2012) · Vulnerable Children and Youth Studies · doi:10.1080/17450128.2012.713532 · Cited by 11 · see citing works
Reasons for Limiting Drinking in an HIV Primary Care Sample
Elliott, J. C., Aharonovich, E., & Hasin, D. S. (2014) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.12401 · Cited by 11 · see citing works
Self-Reevaluation as a Critical Component in Sustained Viral Load Change for HIV+ Adults with Alcohol Problems
Longmire-Avital, B., Golub, S. A., & Parsons, J. T. (2010) · Annals of Behavioral Medicine · doi:10.1007/s12160-010-9194-4 · Cited by 11 · see citing works
Commitment strength, alcohol dependence and HealthCall participation: Effects on drinking reduction in HIV patients
Aharonovich, E., Stohl, M., Ellis, J., Amrhein, P. C., & Hasin, D. S. (2013) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2013.11.015 · Cited by 10 · see citing works
Risk Factors for Drinking among HIV-Positive African American Adults: The Depression–Gender Interaction
Longmire-Avital, B., Holder, C. A., Golub, S. A., & Parsons, J. T. (2012) · The American Journal of Drug and Alcohol Abuse · doi:10.3109/00952990.2011.653425 · Cited by 10 · see citing works
Case management of substance abusers with HIV disease.
Schwartz, B., Dilley, J., & Sorensen, J. L. (1994) · PubMed · Cited by 9 · see citing works
Heroin Use and HIV Disease Progression: Results from a Pilot Study of a Russian Cohort
Edelman, E. J., Cheng, D. M., Krupitsky, E. M., Bridden, C. L., Quinn, E. K., Walley, A. Y., Lioznov, D. A., Blokhina, E. A., Zvartau, E. E., & Samet, J. H. (2014) · AIDS and Behavior · doi:10.1007/s10461-014-0948-z · Cited by 9 · see citing works
History of intimate partner violence is associated with sex work but not sexually transmitted infection among HIV-positive female drinkers in Russia
Urada, L. A., Raj, A., Cheng, D. M., Quinn, E. K., Bridden, C. L., Blokhina, E. A., Krupitsky, E. M., & Samet, J. H. (2013) · International Journal of STD & AIDS · doi:10.1177/0956462412472809 · Cited by 9 · see citing works
A Health Promotion Intervention for Prison Inmates with HIV
Shelby, R. D., Bowser, B., Mishra, S., & Reback, C. (2012) · Routledge eBooks · doi:10.4324/9780203048306-10 · Cited by 8 · see citing works
Lessons Learned from “Integrating” Intensive Family-based Interventions into Medical Care Settings for Mothers Living with HIV/AIDS and their Adolescent Children
Rice, E. R. W., Lester, P. E., Flook, L., Green, S. K. S., Valladares, E. S., & Rotheram‐Borus, M. J. (2008) · AIDS and Behavior · doi:10.1007/s10461-008-9417-x · Cited by 8 · see citing works
Neighborhood‐Level Drinking Norms and Alcohol Intervention Outcomes in <scp>HIV</scp> Patients Who Are Heavy Drinkers
Elliott, J. C., Delker, E., Wall, M. M., Feng, T., Aharonovich, E., Tracy, M., Galea, S., Ahern, J., Sarvet, A. L., & Hasin, D. S. (2016) · Alcoholism: Clinical and Experimental Research · doi:10.1111/acer.13198 · Cited by 7 · see citing works
Reasons for drinking as predictors of alcohol involvement one year later among HIV-infected individuals with and without hepatitis C
Elliott, J. C., Stohl, M., Aharonovich, E., O’Leary, A., & Hasin, D. S. (2016) · Annals of Medicine · doi:10.1080/07853890.2016.1206668 · Cited by 6 · see citing works
The Importance of Context
Elliott, J. C., Delker, E., Wall, M. M., Feng, T., Aharonovich, E., Tracy, M., Galea, S., Ahern, J., & Hasin, D. S. (2016) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000000982 · Cited by 4 · see citing works
Factors Associated With Study Attrition Among HIV-Infected Risky Drinkers in St. Petersburg, Russia
Kiriazova, T. K., Cheng, D. M., Coleman, S. M., Blokhina, E. A., Krupitsky, E. M., Lira, M. C., Bridden, C. L., Raj, A., & Samet, J. H. (2014) · HIV Clinical Trials · doi:10.1310/hct1503-116 · Cited by 3 · see citing works
Substance Use During Sexual and Physical Assault in HIV-Infected Persons
Chuang, C. H., Liebschutz, J. M., Cheng, D. M., Raj, A., & Samet, J. H. (2007) · Violence and Victims · doi:10.1891/088667007780477311 · Cited by 3 · see citing works
Post-treatment drinking among HIV patients: Relationship to pre-treatment marijuana and cocaine use
Elliott, J. C., Aharonovich, E., & Hasin, D. S. (2015) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2015.03.012 · Cited by 2 · see citing works
The Influence of Psychological Predictors and Cognitive Behavioral Stress Management Intervention on Antiretroviral Therapy (ART) Adherence Among HIV-Positive Female Haitian Alcohol Users
Jean, P. C. (2015) · doi:10.25148/etd.fi15032139 · Cited by 1 · see citing works
P.6.013 Polysubstance use among HIV-infected drinkers in Russia
Blokhina, E. A., Krupitsky, E. M., Cheng, D. M., Raj, A., Walley, A. Y., Bridden, C. L., Samet, J. H., Coleman, S. M., & Chaisson, C. E. (2011) · European Neuropsychopharmacology · doi:10.1016/s0924-977x(11)70214-0 · Cited by 1 · see citing works
HIV-related stigma and substance use in a Russian cohort of HIV+ risky drinkers
Samet, J. H., Lunze, K., Cheng, D. M., Lioznov, D. A., Quinn, E. K., Bridden, C. L., Chaisson, C. E., Walley, A. Y., Krupitsky, E. M., Raj, A., et al. (2015) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2015.07.530 · Cited by 1 · see citing works

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[166]Babor TF Higgins-Biddle JC Saunders JB Moneiro MG AUDIT: The Alcohol Use Disorders Identification Test World Health Organization 2001 [Available from: http://www.talkingalcohol.com/files/pdfs/WHO_audit.pdf

Sorted by citations

Alcohol Use and Antiretroviral Therapy Non-Adherence Among Adults Living with HIV/AIDS in Sub-Saharan Africa: A Systematic Review and Meta-Analysis
Velloza, J., Kemp, C. G., Aunon, F. M., Ramaiya, M., Creegan, E., & Simoni, J. M. (2019) · AIDS and Behavior · doi:10.1007/s10461-019-02716-0 · Cited by 144 · see citing works
A Review of Chronic Comorbidities in Adults Living With HIV: State of the Science
Webel, A. R., Schexnayder, J. K., Cioe, P. A., & Zuniga, J. A. (2021) · Journal of the Association of Nurses in AIDS Care · doi:10.1097/jnc.0000000000000240 · Cited by 102 · see citing works
“The effectiveness of abstinence can be enhanced with behavioral interventions that can be delivered by nurses, social workers, and other members of theHIV care team (Addolorato et al., 2016; Scott-Sheldon et al., 2017; Singal et al., 2018).”
Background
Motivational interviewing with personalized feedback to reduce alcohol use in HIV-infected men who have sex with men: A randomized controlled trial.
Kahler, C. W., Pantalone, D. W., Mastroleo, N. R., Liu, T., Bove, G., Ramratnam, B., Monti, P. M., & Mayer, K. H. (2018) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000322 · Cited by 88 · see citing works
Alcohol Use and the Risk of Communicable Diseases
Morojele, N. K., Shenoi, S., Shuper, P. A., Braithwaite, R. S., & Rehm, J. T. (2021) · Nutrients · doi:10.3390/nu13103317 · Cited by 69 · see citing works
“HIV preventionand treatment-related outcomes can be improved by addressing alcohol use through behavioral [90], pharmacological [91], and policy/structural-level interventions [92,93].”
BackgroundResult
Integrated stepped alcohol treatment for patients with HIV and alcohol use disorder: a randomised controlled trial
Edelman, E. J., Maisto, S. A., Hansen, N. B., Cutter, C. J., Dziura, J. D., Deng, Y., Fiellin, L. E., O’Connor, P. G., Bedimo, R. G., Gibert, C. L., et al. (2019) · The Lancet HIV · doi:10.1016/s2352-3018(19)30076-1 · Cited by 62 · see citing works
Psychological interventions for alcohol use disorders in people living with HIV/AIDS: a systematic review
Madhombiro, M., Musekiwa, A., January, J., Chingono, A., Abas, M., & Seedat, S. (2019) · Systematic Reviews · doi:10.1186/s13643-019-1176-4 · Cited by 57 · see citing works
Effectiveness of a psychological intervention delivered by general nurses for alcohol use disorders in people living with HIV in Zimbabwe: a cluster randomized controlled trial
Madhombiro, M., Kidd, M., Dube, B., Dube, M., Mutsvuke, W., Muronzie, T., Zhou, D. T., Derveeuw, S., Chibanda, D., Chingono, A., et al. (2020) · Journal of the International AIDS Society · doi:10.1002/jia2.25641 · Cited by 49 · see citing works
“Our findings are in keeping with a systematic review from 2017 assessing the effect of behavioural interventions on alcohol use in PLWH, which found a reduction in drinking behaviour [46].”
Result
High prevalence of binge drinking among people living with HIV in four African countries
Nouaman, M., Vinikoor, M. J., Seydi, M., Ekouévi, D. K., Coffie, P. A., Mulenga, L., Tanon, A., Egger, M., Dabis, F., Jaquet, A., et al. (2018) · Journal of the International AIDS Society · doi:10.1002/jia2.25202 · Cited by 48 · see citing works
Interventions to Reduce Unhealthy Alcohol Use among Primary Care Patients with HIV: the Health and Motivation Randomized Clinical Trial
Satre, D. D., Leibowitz, A., Leyden, W. A., Catz, S. L., Hare, C. B., Jang, H. J., Lam, J. O., BRYANT, K. J., Weisner, C. M., Sterling, S., et al. (2019) · Journal of General Internal Medicine · doi:10.1007/s11606-019-05065-9 · Cited by 45 · see citing works
Effect of 2 Integrated Interventions on Alcohol Abstinence and Viral Suppression Among Vietnamese Adults With Hazardous Alcohol Use and HIV
Go, V. F.-L., Hutton, H. E., Hà, T. V., Chander, G., Latkin, C. A., Mai, N. V. T., Quynh, B. X., Nguyen, V. Q. C., Sripaipan, T., Lancaster, K. E., et al. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.17115 · Cited by 41 · see citing works
The implementation and sustainment facilitation strategy improved implementation effectiveness and intervention effectiveness: Results from a cluster-randomized, type 2 hybrid trial
Garner, B. R., Gotham, H. J., Chaple, M., Martino, S., Ford, J. H., Roosa, M. R., Speck, K. J., Vandersloot, D., Bradshaw, M., Ball, E. L., et al. (2020) · Implementation Research and Practice · doi:10.1177/2633489520948073 · Cited by 39 · see citing works
“…Liddy et al., 2015; Seers et al., 2018) and the effectiveness of MIBIs for SUD within HIV service settings (Aharonovich et al., 2012, 2017; Haldane et al., 2018; Hasin et al., 2014; Kahler et al., 2018; Scott-Sheldon et al., 2017; Wray et al., 2016), we found at least two findings of significance.”
Overview of systematic reviews on strategies to improve treatment initiation, adherence to antiretroviral therapy and retention in care for people living with HIV: part 1
Mbuagbaw, L. C. E., Hajizadeh, A., Wang, A. R., Mertz, D., Lawson, D. O., Smieja, M., Benoit, A. C., Álvarez, E., Ritchie, L. M. P., Rachlis, B., et al. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-034793 · Cited by 38 · see citing works
Video-Counseling Intervention to Address HIV Care Engagement, Mental Health, and Substance Use Challenges: A Pilot Randomized Clinical Trial for Youth and Young Adults Living with HIV
Saberi, P., McCuistian, C., Agnew, E., Wootton, A. R., Legnitto Packard, D. A., Dawson-Rose, C., Johnson, M. O., Gruber, V. A., & Neilands, T. B. (2021) · Telemedicine Reports · doi:10.1089/tmr.2020.0014 · Cited by 30 · see citing works
Targeting cancer prevention and screening interventions to LGBTQ communities: A scoping review
Drysdale, K., Cama, E. J., Botfield, J. R., Bear, B., Cerio, R., & Newman, C. E. (2020) · Health & Social Care in the Community · doi:10.1111/hsc.13257 · Cited by 30 · see citing works
Effect of two counseling interventions on self-reported alcohol consumption, alcohol biomarker phosphatidylethanol (PEth), and viral suppression among persons living with HIV (PWH) with unhealthy alcohol use in Uganda: A randomized controlled trial
Hahn, J. A., Fatch, R., Emenyonu, N. I., Sanyu, N., Katusiime, A., Levine, B., John Boscardin, W., Chander, G., Hutton, H., Camlin, C. S., et al. (2023) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2023.109783 · Cited by 22 · see citing works
Substance use service availability in HIV treatment programs: data from the global IeDEA consortium, 2014-2015 and 2017
Parcesepe, A. M., Lancaster, K., Edelman, E. J., DeBoni, R., Ross, J., Atwoli, L., Tlali, M., Althoff, K., Tine, J., Duda, S. N., et al. (2020) · PLoS ONE · doi:10.1371/journal.pone.0237772 · Cited by 24 · see citing works
“A meta-analysis of behavioral interventions targeting alcohol use among PLWH (many of which were implemented in HIV clinics) found that such interventions reduced alcohol consumption and improved HIV-related outcomes [51].”
Patterns of alcohol use and associated characteristics and HIV-related outcomes among a sample of African-American women living with HIV
Lipira, L., Rao, D., Nevin, P. E., Kemp, C. G., Cohn, S. E., Turan, J. M., Simoni, J. M., Andrasik, M. P., French, A. L., Unger, J. M., et al. (2020) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2019.107753 · Cited by 23 · see citing works
“Furthermore, a meta-analysis of behavioral interventions, the majority of which addressed alcohol use as a part of comprehensive HIV-related behavior change, found that interventions were associated with reduced alcohol consumption, improved medication adherence, and decreased viral load (Scott-Sheldon et al., 2017).”
Background
The Unaddressed Needs of Alcohol-Using Couples on Antiretroviral Therapy in Malawi: Formative Research on Multilevel Interventions
Conroy, A. A., Ruark, A. H., McKenna, S. A., Tan, J. Y., Darbes, L. A., Hahn, J. A., & Mkandawire, J. (2019) · AIDS and Behavior · doi:10.1007/s10461-019-02653-y · Cited by 25 · see citing works
Perceived influence of alcohol consumption, substance use, and mental health on PrEP adherence and condom use among PrEP-prescribed gay, bisexual, and other men-who-have-sex-with-men: a qualitative investigation
Shuper, P. A., Varatharajan, T., Kinitz, D. J., Gesink, D., Joharchi, N., Bogoch, I. I., Loutfy, M. R., & Rehm, J. T. (2022) · BMC Public Health · doi:10.1186/s12889-022-14279-2 · Cited by 25 · see citing works
Cultural Adaptation of 2 Evidence-Based Alcohol Interventions for Antiretroviral Treatment Clinic Patients in Vietnam
Hutton, H. E., Lancaster, K. E., Zuskov, D., Mai, N. V. T., Quynh, B. X., Chander, G., Latkin, C. A., Vu, P. T., Sripaipan, T., Hà, T. V., et al. (2019) · Journal of the International Association of Providers of AIDS Care (JIAPAC) · doi:10.1177/2325958219854368 · Cited by 24 · see citing works
“As MET, CBT, and BI were developed in high-income countries and are increasingly exported for alcohol treatment, it is critical to understand how they have been adapted for use in other cultural settings.(25,26) This is particularly critical as it appears that cultural adaptation may increase the efficacy of AUD inter…”
Background
Alcohol Use Patterns and Subsequent Sexual Behaviors Among Women, Men who have Sex with Men and Men who have Sex with Women Engaged in Routine HIV Care in the United States
Hutton, H. E., Lesko, C. R., Li, X., Thompson, C. B., Lau, B. M., Napravnik, S., Mayer, K. H., Mathews, W. C., McCaul, M. E., Crane, H. M., et al. (2018) · AIDS and Behavior · doi:10.1007/s10461-018-2337-5 · Cited by 23 · see citing works
“Whether alcohol and drug use are optimally addressed simultaneously or sequentially will be determined in additional comparative efficacy research [19].”
Low levels of initiation, engagement, and retention in substance use disorder treatment including pharmacotherapy among HIV-infected and uninfected veterans
Kraemer, K. L., McGinnis, K. A., Fiellin, D. A., Skanderson, M., Gordon, A. J., Robbins, J. L., Zickmund, S. L., BRYANT, K. J., & Korthuis, P. T. (2019) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2019.05.007 · Cited by 23 · see citing works
Motivational interviewing and problem-solving therapy intervention for patients on antiretroviral therapy for HIV in Tshwane, South Africa: A randomized controlled trial to assess the impact on alcohol consumption
Parry, C. D. H., Myers, B., Londani, M., Shuper, P. A., Janse van Rensburg, C., Manda, S. O. M., Nkosi, S., Kekwaletswe, C. T., Hahn, J. A., Rehm, J., et al. (2023) · Addiction · doi:10.1111/add.16278 · Cited by 22 · see citing works
“’ s systematic review and meta-analysis [27], which found that behavioural interventions targeting alcohol use among PLHIV reduced alcohol consumption and improved medication adherence relative to controls, the current study did not find an intervention effect for ART adherence.”
Background
A conceptual model of alcohol use and adherence to antiretroviral therapy: systematic review and theoretical implications for mechanisms of action
Woolf-King, S. E., Sheinfil, A. Z., Ramos, J., Foley, J. D., Moskal, D., Firkey, M., Kellen, D., & Maisto, S. A. (2022) · Health Psychology Review · doi:10.1080/17437199.2020.1806722 · Cited by 23 · see citing works
“While there are, at present, few efficacious interventions for alcohol use among PWH (Madhombiro et al., 2019; Scott-Sheldon et al., 2017), there is some evidence that screening, brief intervention, and self-monitoring via daily cell-phone based assessments can significantly reduce quantity and…”
Background
Pilot Trial Results of Mlambe: An Economic and Relationship-Strengthening Intervention to Address Heavy Drinking and Adherence to Antiretroviral Therapy in Malawi
Conroy, A. A., Hahn, J. A., Neilands, T. B., Darbes, L. A., Tebbetts, S., Mulauzi, N., Mkandawire, J., & Ssewamala, F. M. (2024) · AIDS and Behavior · doi:10.1007/s10461-024-04326-x · Cited by 22 · see citing works
“Despite the importance of multi-level determinants of heavy alcohol use, most alcohol interventions have inter - vened with individuals using approaches such as cognitive behavioral therapy or motivational interviewing [15] and found mixed results in sub-Saharan Africa [ 16 ].”
A Preliminary Randomized Controlled Trial of Game Plan, A Web Application to Help Men Who Have Sex with Men Reduce Their HIV Risk and Alcohol Use
Wray, T. B., Kahler, C. W., Simpanen, E. M., & Operario, D. (2019) · AIDS and Behavior · doi:10.1007/s10461-019-02396-w · Cited by 22 · see citing works
Changes in Days of Unhealthy Alcohol Use and Antiretroviral Therapy Adherence, HIV RNA Levels, and Condomless Sex: A Secondary Analysis of Clinical Trial Data
Satre, D. D., Sarovar, V., Leyden, W. A., Hare, C. B., Catz, S. L., BRYANT, K. J., Williams, E. C., Hojilla, J. C., Horberg, M. A., & Silverberg, M. J. (2019) · AIDS and Behavior · doi:10.1007/s10461-019-02742-y · Cited by 21 · see citing works
The feasibility of using smartphones and mobile breathalyzers to monitor alcohol consumption among people living with HIV/AIDS
Lauckner, C., Taylor, E. W., Patel, D., & Whitmire, A. (2019) · Addiction Science & Clinical Practice · doi:10.1186/s13722-019-0174-0 · Cited by 21 · see citing works
Implementation and evaluation of SBIRT training in a Community Health nursing course
Bremner, M. N., Maguire, M. B. R., Keen, D. L., Blake, B. J., Santa, H., & Nowalk, A. (2019) · Public Health Nursing · doi:10.1111/phn.12696 · Cited by 19 · see citing works
Mlambe economic and relationship-strengthening intervention for alcohol use decreases violence and improves relationship quality in couples living with HIV in Malawi
Conroy, A. A., Ruark, A. H., Mulauzi, N., Mkandawire, J., Darbes, L. A., Hahn, J. A., Neilands, T. B., Tebbetts, S., & Ssewamala, F. M. (2024) · Social Science & Medicine · doi:10.1016/j.socscimed.2024.117407 · Cited by 18 · see citing works
A Randomized Trial Comparing Brief Advice and Motivational Interviewing for Persons with HIV–HCV Co-infection Who Drink Alcohol
Stein, M. D., Herman, D. S., Kim, H. N., Howell, A., Lambert, A. M., Madden, S., Moitra, E., Blevins, C. E., Anderson, B. J., Taylor, L. E., et al. (2020) · AIDS and Behavior · doi:10.1007/s10461-020-03062-2 · Cited by 18 · see citing works
Integrated stepped alcohol treatment for patients with HIV and at-risk alcohol use: a randomized trial
Edelman, E. J., Maisto, S. A., Hansen, N. B., Cutter, C. J., Dziura, J. D., Deng, Y., Fiellin, L. E., O’Connor, P. G., Bedimo, R. G., Gibert, C. L., et al. (2020) · Addiction Science & Clinical Practice · doi:10.1186/s13722-020-00200-y · Cited by 17 · see citing works
Outcomes of implementing in the real world the women’s health CoOp intervention in Cape Town, South Africa
Wechsberg, W. M., Browne, F. A., Ndirangu, J., Bonner, C. P., Kline, T. L., Gichane, M., & Zule, W. A. (2021) · AIDS and Behavior · doi:10.1007/s10461-021-03251-7 · Cited by 16 · see citing works
“Efficacious interventions that address the intersection of HIV and alcohol use may help improve HIV treatment adherence [21, 22].”
Background
Contribution of behavioral health factors to non-AIDS-related comorbidities: an updated review
Chichetto, N. E., Polanka, B. M., So-Armah, K. A., Sung, M., Stewart, J. C., Koethe, J. R., Edelman, E. J., Tindle, H. A., & Freiberg, M. S. (2020) · Current HIV/AIDS Reports · doi:10.1007/s11904-020-00498-y · Cited by 17 · see citing works
Development of an Economic and Relationship-Strengthening Intervention for Alcohol Drinkers Living with HIV in Malawi
Conroy, A. A., Tebbetts, S., Darbes, L. A., Hahn, J. A., Neilands, T. B., McKenna, S. A., Mulauzi, N., Mkandawire, J., & Ssewamala, F. M. (2022) · AIDS and Behavior · doi:10.1007/s10461-022-03956-3 · Cited by 16 · see citing works
“Moving Forward with Life”: Acceptability of a Brief Alcohol Reduction Intervention for People Receiving Antiretroviral Therapy in South Africa
Myers, B., Parry, C. D. H., Morojele, N. K., Nkosi, S., Shuper, P. A., Kekwaletswe, C. T., & Sorsdahl, K. R. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17165706 · Cited by 16 · see citing works
Spatial Analysis of the Alcohol, Intimate Partner Violence, and HIV Syndemic Among Women in South Africa
Sileo, K. M., Sparks, C. S., & Luttinen, R. L. (2022) · AIDS and Behavior · doi:10.1007/s10461-022-03870-8 · Cited by 15 · see citing works
How Alcohol Influences Mechanisms of Sexual Risk Behavior Change: Contributions of Alcohol Challenge Research to the Development of HIV Prevention Interventions
Palfai, T. P., & Luehring‐Jones, P. (2021) · AIDS and Behavior · doi:10.1007/s10461-021-03346-1 · Cited by 15 · see citing works
HIV and Substance Use in Latin America: A Scoping Review
Huff, H. V., Cárcamo, P. M., Diaz, M. M., Conklin, J., Salvatierra, J., Aponte, R., & Garcia, P. J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19127198 · Cited by 14 · see citing works
Associations Between Alcohol Use, Antiretroviral Therapy Use, and Viral Load Suppression Among People Living with HIV in Rural Central Uganda
Wynn, A., Sileo, K. M., Schmarje, K. A., Naigino, R., Ediau, M., Menzies, N. A., Kalichman, S. C., Wanyenze, R. K., Martin, N. K., & Kiene, S. M. (2024) · AIDS and Behavior · doi:10.1007/s10461-024-04299-x · Cited by 14 · see citing works
“A systematic review and meta-analysis identified 21 studies that evaluated behavioral interventions to address alcohol use among PWH and found they were overall successful at reducing alcohol and increasing ART adherence [38].”
Background
Multilevel and Multifactorial Interventions to Reduce Alcohol Consumption and Improve ART Adherence and Related Factors Among HIV Positive Men in Mumbai, India
Schensul, S. L., Ha, T., Schensul, J. J., Grady, J. J., Burleson, J. A., Gaikwad, S., Joshi, K., Malye, R., & Sarna, A. (2021) · AIDS and Behavior · doi:10.1007/s10461-021-03303-y · Cited by 14 · see citing works
The Cost-Effectiveness of Adapting and Implementing a Brief Intervention to Target Frequent Alcohol Use Among Persons with HIV in Vietnam
Blackburn, N. A., Go, V. F.-L., Bui, Q., Hutton, H. E., Tampi, R. P., Sripaipan, T., Hà, T. V., Latkin, C. A., Golden, S. D., Golin, C. E., et al. (2021) · AIDS and Behavior · doi:10.1007/s10461-020-03139-y · Cited by 13 · see citing works
Decreased Alcohol Consumption in an Implementation Study of Computerized Brief Intervention among HIV Patients in Clinical Care
McCaul, M. E., Hutton, H. E., Cropsey, K. L., Crane, H. M., Lesko, C. R., Chander, G., Mugavero, M. J., Kitahata, M. M., Lau, B. M., & Saag, M. S. (2021) · AIDS and Behavior · doi:10.1007/s10461-021-03295-9 · Cited by 13 · see citing works
Changing Patterns of Alcohol Use and Probability of Unsuppressed Viral Load Among Treated Patients with HIV Engaged in Routine Care in the United States
Lesko, C. R., Nance, R. M., Lau, B. M., Fojo, A. T., Hutton, H. E., Delaney, J. A., Crane, H. M., Cropsey, K. L., Mayer, K. H., Napravnik, S., et al. (2020) · AIDS and Behavior · doi:10.1007/s10461-020-03065-z · Cited by 13 · see citing works
“In particular, interventions that prompt decreases in alcohol consumption may have greater effects on viral suppression than we observed in our cohort in the absence of a specific intervention aimed at alcohol use [59].”
Background
Effect of a brief alcohol counselling intervention on HIV viral suppression and alcohol use among persons with HIV and unhealthy alcohol use in Uganda and Kenya: a randomized controlled trial
Puryear, S. B., Mwangwa, F., Opel, F., Chamie, G., Balzer, L. B., Kabami, J., Ayieko, J., Owaraganise, A., Kakande, E., Agengo, G., et al. (2023) · Journal of the International AIDS Society · doi:10.1002/jia2.26187 · Cited by 12 · see citing works
Discrimination and alcohol problems among heavy drinking HIV-positive men who have sex with men: The buffering effect of a brief Motivational Intervention to reduce alcohol use
Guy, A. A., Zelaya, D. G., Surace, A., Mastroleo, N. R., Pantalone, D. W., Monti, P. M., Mayer, K. H., & Kahler, C. W. (2022) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2022.109384 · Cited by 12 · see citing works
Undisclosed HIV Status to Sex Partners and Its Unintended Consequences in the Era of Undetectable = Untransmittable
Kalichman, S. C., Kalichman, M. O., & Eaton, L. A. (2021) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000002762 · Cited by 12 · see citing works
Development of a Telephone-Delivered Acceptance and Commitment Therapy Intervention for People Living with HIV who are Hazardous Drinkers
Woolf-King, S. E., Firkey, M., Foley, J. D., Bricker, J., Hahn, J. A., Asiago-Reddy, E., Wikier, J., Moskal, D., Sheinfil, A. Z., Ramos, J., et al. (2022) · AIDS and Behavior · doi:10.1007/s10461-022-03649-x · Cited by 10 · see citing works
“24), there were no significant differences between intervention and control groups on frequency of alcohol consumption [13].”
Background
Brief interventions for alcohol misuse among people living with HIV: a meta-analysis
Ghosh, A., Singh, G. K., Yadav, N., Singh, P., & Kathiravan, S. (2023) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990.2023.2248647 · Cited by 10 · see citing works
Current Interventions for People Living with HIV Who Use Alcohol: Why Gender Matters
Wechsberg, W. M., Browne, F. A., Bonner, C. P., Washio, Y., Howard, B. N., & van der Drift, I. (2021) · Current HIV/AIDS Reports · doi:10.1007/s11904-021-00558-x · Cited by 10 · see citing works
“Research is growing to address the intersection of alcohol misuse among PLWH [15].”
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Pornography, identification, alcohol, and condomless sex
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‘What will it take’: addressing alcohol use among people living with HIV in South Africa
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The CARES Program: Improving Viral Suppression and Retention in Care Through a Comprehensive Team-Based Approach to Care for People with HIV and Complex Psychosocial Needs
Sweitzer, S., Giegold, M., Chen, Y., Farber, E. W., Sumitani, J., Henderson, A., Easley, K. A., Armstrong, W. S., Colasanti, J. A., Ammirati, R. J., et al. (2023) · AIDS Patient Care and STDs · doi:10.1089/apc.2023.0061 · Cited by 7 · see citing works
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Believing That It Is Hazardous to Mix Alcohol With Medicines Predicts Intentional Nonadherence to Antiretrovirals
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The effect of an economic empowerment and relationship strengthening intervention on food insecurity among couples living with HIV in Malawi
Kiyingi, J., Ssewamala, F. M., Neilands, T. B., Tebbetts, S., Mulauzi, N., Mkandawire, J., & Conroy, A. A. (2025) · BMC Public Health · doi:10.1186/s12889-025-23911-w · Cited by 6 · see citing works
Executive summary of the consensus document on the shared care of patients with HIV infection between primary and hospital care
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Effects of Two Alcohol Reduction Interventions on Depression and Anxiety Symptoms of ART Clients in Vietnam
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“Alcohol reduction interventions drawing on both MET/MI and CBT have successfully reduced alcohol consumption, increased condom use, and improved ART adherence among PWH [32, 34, 37].”
Background
Integrating Depression and Alcohol Use Care Into Primary Care in Low- and Middle-Income Countries: A Meta-Analysis
Park, S., Cubillos, L., Martínez‐Camblor, P., Bartels, S. M., Torrey, W. C., John, D. T., Cepeda, M., Bell, K. R., Castro, S., Suárez‐Obando, F., et al. (2023) · Psychiatric Services · doi:10.1176/appi.ps.20220267 · Cited by 6 · see citing works
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Perspectives on contingency management for alcohol use and alcohol‐associated conditions among people in care with HIV
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ReACH2Gether: Iterative Development of a Couples-Based Intervention to Reduce Alcohol use Among Sexual Minority Men Living with HIV and Their Partners
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“As a result, there have been several individual-level behavioral interventions developed to reduce unhealthy alcohol use among people living with HIV [10, 11], including sexual minority men [12–14].”
The Role of Alcohol-Related Behavioral Research in the Design of HIV Secondary Prevention Interventions in the Era of Antiretroviral Therapy: Targeted Research Priorities Moving Forward
Shuper, P. A. (2021) · AIDS and Behavior · doi:10.1007/s10461-021-03302-z · Cited by 6 · see citing works
“’s meta-analysis [34] found that the delivery of alcohol-focused interventions among PLWH populations led to significant reductions in alcohol consumption, as well as improvements in ART adherence and HIV viral suppression.”
Background
Concordance Between Point-of-Care Urine Ethyl Glucuronide Alcohol Tests and Self-Reported Alcohol Use in Persons with HIV in Uganda
Alcover, K. C., Emenyonu, N. I., Fatch, R., Kekibiina, A., Marson, K. G., Chamie, G., Muyindike, W. R., Beesiga, B., Kamya, M. R., Lodi, S., et al. (2022) · AIDS and Behavior · doi:10.1007/s10461-022-03597-6 · Cited by 6 · see citing works
Fresh Perspectives on the Alcohol and HIV Nexus: A Call for Action in an Era of Increased Opportunities and Challenges
Parry, C. D. H., Tomlinson, M., BRYANT, K. J., & Rotherham-Borus, M. J. (2017) · AIDS and Behavior · doi:10.1007/s10461-017-1917-0 · Cited by 6 · see citing works
Costs of a Brief Alcohol Consumption Reduction Intervention for Persons Living with HIV in Southwestern Uganda: Comparisons of Live Versus Automated Cell Phone-Based Booster Components
Hahn, J. A., Kevany, S., Emenyonu, N. I., Sanyu, N., Katusiime, A., Muyindike, W. R., Fatch, R., & Shade, S. B. (2023) · AIDS and Behavior · doi:10.1007/s10461-023-04010-6 · Cited by 4 · see citing works
Efficacy of Behavioral Intervention, Text Messaging, and Extended Intervention to Address Alcohol Misuse in Sexual Minority Men with HIV: A Factorial Randomized Clinical Trial
Kahler, C. W., Surace, A., Liu, T., Pantalone, D. W., Mastroleo, N. R., Yan, Y., Wray, T. B., Mayer, K. H., & Monti, P. M. (2024) · AIDS and Behavior · doi:10.1007/s10461-024-04493-x · Cited by 4 · see citing works
Leveraging U = U in Interventions for Black Women Living With HIV: A Scoping Review and Call To Action
Jones, M. A., Sawyer, S., Bowman, I., Habib, M. A., Wassertzug, D., & Taggart, T. (2025) · AIDS and Behavior · doi:10.1007/s10461-025-04670-6 · Cited by 4 · see citing works
Alcohol interventions for persons with HIV: Meta-analysis of randomized controlled trials using phosphatidylethanol and self-report
Hahn, J. A., Kane, J. C., Fatch, R., da Silva, C. E., Emenyonu, N. I., Scheffler, A., Chirayil, P., So‐Armah, K., Kahler, C. W., Conroy, A. A., et al. (2025) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2025.112879 · Cited by 4 · see citing works
Development and Cultural Adaptation of a Computer-Delivered and Multi-Component Alcohol Reduction Intervention for Russian Women Living with HIV and HCV
Brown, J. L., Anastasakis, I., Revzina, N., Capasso, A., Boeva, E. V., Рассохин, В. В., Crusey, A., Sales, J. M., Hitch, A. E., Renfro, T. L., et al. (2021) · Journal of the International Association of Providers of AIDS Care (JIAPAC) · doi:10.1177/23259582211044920 · Cited by 4 · see citing works
Integrated Stepped Alcohol Treatment With Contingency Management for Unhealthy Alcohol Use Among People With HIV: A Randomized Controlled Trial
Edelman, E. J., Dziura, J. D., Deng, Y., DePhilippis, D., Ferguson, T. F., Brown, S. T., Marconi, V. C., Goetz, M. B., Rodriguez‐Barradas, M. C., Simberkoff, M. S., et al. (2024) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000003534 · Cited by 6 · see citing works
Telemedicine for unhealthy alcohol use in adults living with HIV in Alabama using common elements treatment approach: A hybrid clinical efficacy-implementation trial protocol
Gagnon, K. W., Levy, S. M., Figge, C. J., Wolford‐Clevenger, C., Murray, L. K., Kane, J. C., Bosomprah, S., Sharma, A., Nghiem, V. T. H., Chitambi, C., et al. (2023) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2023.101123 · Cited by 4 · see citing works
Examining Alcohol Interventions Across the Lifespan among the African Diaspora: A Systematic Review
Marshall, V. J., Vieira, D. L., McLaurin-Jones, T. L., & Lashley, M.-B. (2022) · Journal of the National Medical Association · doi:10.1016/j.jnma.2022.06.001 · Cited by 3 · see citing works
Predictors of Viral Suppression Among People Living with HIV in Rural Oregon
Menza, T. W., Jensen, A., & Hixson, L. K. (2023) · AIDS and Behavior · doi:10.1007/s10461-023-04145-6 · Cited by 3 · see citing works
Economic and relationship-strengthening intervention to reduce alcohol use in couples living with HIV in Malawi: a study protocol for a randomised controlled trial of Mlambe
Mkandawire, J., Ssewamala, F. M., Hahn, J. A., Mulauzi, N., Neilands, T. B., Tebbetts, S., Darbes, L. A., Brown, D. S., & Conroy, A. A. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-097247 · Cited by 3 · see citing works
Antiretroviral Therapy Adherence and Clinic Attendance Over Time Among People in Argentina Living with HIV and Lost to Care
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“Studies assessing the efficacy of interventions for PLWH found that those with a strong focus on alcohol not only reduced alcohol consumption, but also increased adherence and condom use, which may reduce HIV and STD transmission [8].”
A pilot randomized controlled trial of Kisoboka, a behavioral economic and motivational interviewing intervention to reduce high‐risk alcohol use and improve antiretroviral therapy adherence for men in Uganda
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Universal HIV Testing and Treatment With Patient-Centered Care Improves ART Uptake and Viral Suppression Among Adults Reporting Hazardous Alcohol Use in Uganda and Kenya
Puryear, S. B., Ayieko, J., Hahn, J. A., Atukunda, M., Owaraganise, A., Schwab, J., Balzer, L. B., Kwarisiima, D., Charlebois, E. D., Cohen, C. R., et al. (2023) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000003226 · Cited by 3 · see citing works
Acceptability, Adaptability, and Feasibility of a Novel Computer-Based Virtual Counselor–Delivered Alcohol Intervention: Focus Group and In-depth Interview Study Among Adults With HIV or Tuberculosis in Indian Clinical Settings
Suryavanshi, N., Dhumal, G., Cox, S. R., Sangle, S. A., DeLuca, A. N., Santre, M., Gupta, A., Chander, G., & Hutton, H. E. (2022) · JMIR Formative Research · doi:10.2196/35835 · Cited by 4 · see citing works
“Moving forward with life’: Perceived acceptability and benefits of a brief alcohol-focused intervention for people receiving antiretroviral therapy in South Africa.Preprint
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The Role of Self-Regulation Strategies in Recovery from Alcohol Use Disorder
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The Feasibility and Acceptability of a Clinical Pharmacist-delivered Intervention to Reduce Bothersome Health Symptoms from Polypharmacy and Alcohol Use and Communicate Risk among People with HIV: Pilot Study Protocol
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“Of particular relevance to the current study, several IMB-based interventions have decreased alcohol use in individuals with HIV [54 ].”
HIV treatment satisfaction: HIVTSQ-12 factor analysis and associated factors in Türkiye
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Substance Use Classes Among YMSM in an HIV Digital Health Intervention Program: Implications for Acceptability, Engagement, and Health Outcomes
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“Our findings align with existing studies, showing that participants with differing substance use profiles at baseline exhibit varied sexual risk behaviors, as well as their impact on follow-up outcomes [6 , 13 ].”
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Authors: The MASH Research Team, Scott-Sheldon, L. A. J., Carey, K. B., Johnson, B. T., & Carey, M. P.
Affiliations: Brown University (US)
University of Connecticut (US)
ORCID: Scott-Sheldon, Lori A. J.
Carey, Kate B.
Johnson, Blair T.
Carey, Michael P.
Venue: AIDS and Behavior
Publisher: Springer Science and Business Media LLC
Published: 2017-08-22
Volume: 21
Issue: S2
Pages: 126-143
ISSN: 1090-7165 (ISSN-L)
1573-3254
DOI: 10.1007/s10461-017-1886-3
PMC: PMC5660648
OpenAlex: W2748537629
Cited by: 133
References: 174
Citations by year: 2026: 5 · 2025: 19 · 2024: 15 · 2023: 22 · 2022: 14 · 2021: 16 · 2020: 20 · 2019: 16 · 2018: 5 · 2017: 1
FWCI: 1.52
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: AIDS and Behavior (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism
Topics: Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords: alcohol consumption, people living with HIV, behavioral interventions, alcohol consumption reduction, condom use, medication adherence, viral load, HIV prevention, sexual risk behavior
MeSH terms: Acquired Immunodeficiency Syndrome, Alcohol Drinking, Behavior Therapy, Female, Humans, Male, Sexual Behavior, HIV Infections, Treatment Outcome, Viral Load, Alcohol-Related Disorders, Safe Sex, Medication Adherence

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Behavioral Interventions Targeting Alcohol Use Among People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

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