The DOI matches its Crossref record; 167 of the 174 references it cites were found in a registry or an index.
Behavioral Interventions Targeting Alcohol Use Among People Living with HIV/AIDS: A Systematic Review and Meta-Analysis
Open accessAbstract
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 (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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“Although empirically supported behavioral interventions designed to reduce heavy drinking have been developed for PLWH (see Scott-Sheldon et al., 2017 [26]), including brief motivational intervention approaches [ 1, 27], there have been few behavioral pain management interventions for PLWH that…”
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“In addition, meta-analyses have suggested that behavioral interventions targeting alcohol use among people living with HIV may help to reduce alcohol use and improve HIV-related outcomes, such as medication adherence and viral load [8] .”
Woolf‐King, S. E., Presutti, E., McKenna, O., Hahn, J. A., Abar, B. W., Dahne, J., Gump, B. B., Bendinskas, K. G., & Maisto, S. A. (2025) · Contemporary Clinical Trials · doi:10.1016/j.cct.2025.108130
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“Existing alcohol interventions for young adults with HIV often fail to sustain behavior change beyond the intervention period, limiting their long-term effectiveness [10-17].”
Lauckner, C., Adatorwovor, R., Taylor, E. W., Sesenu, F., Tanner, T., Whitmire, A., Marconi, V. C., Kershaw, T., & Hansen, N. B. (2025) · Addiction Science & Clinical Practice · doi:10.1186/s13722-025-00631-5
“However, a 2017 meta-analysis found beneficial effects of behavioral interventions on reducing quantity of alcohol use and heavy drinking episodes, as well as on increasing medication adherence [18].”
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Reducing Alcohol Use Among Patients with Hepatitis C
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“This is consistent with the popularity of alcohol interventions integrated into general primary care (Babor et al., 2008) and HIV care (Scott-Sheldon et al., 2017), and other healthcare contexts.”
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“(3) PWH are 14-18 times more likely to develop TB, and TB is the leading cause of death among PWH.(4) Unhealthy alcohol use encompassing heavy use, heavy episodic (binge) drinking, and alcohol use disorders (AUD),(5) triples the risk of TB in the general population, increasing susceptibility to primary infection and r…”
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Unhealthy Alcohol Use in People Living with HIV: A Narrative Review
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“MI-informed CBT protocols can be particularly well suited to PLWH, who may experience competing priorities, stigma, and apprehension about stopping alcohol use, by both strengthening motivation and providing concrete tools to support behavior change [ 5 , 83, 102].”
Metadata
- 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)
- Venue
- AIDS and Behavior
- Published
- 2017-08-22
- Volume
- 21
- Issue
- S2
- Pages
- 126-143
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- 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
- 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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