The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.
Randomized Trial of a Community-based Alcohol-related HIV Risk-reduction Intervention for Men and Women in Cape Town South Africa
Abstract
BACKGROUND: HIV is devastating southern Africa and alcohol use is closely related to HIV transmission risks. PURPOSE: The current study tested the efficacy of a brief single-session HIV-alcohol risk-reduction intervention for men and women who drink at informal alcohol serving establishments (i.e., shebeens) in South Africa. METHODS: A randomized community field trial recruited men (N = 117) and women (N = 236) through outreach and chain referrals. Participants received either: (a) 3-h theory-based behavioral HIV-alcohol risk-reduction intervention that focused on skills training for sexual negotiation and condom use or (b) 1-h HIV-alcohol information/education control group. Participants were followed up for 3 and 6 months post-intervention with 89% retention. RESULTS: The risk-reduction intervention demonstrated significantly less unprotected intercourse, alcohol use before sex, numbers of sex partners, partners met at drinking establishments and greater condom use relative to the control group. However, intervention effects were moderated by alcohol use; lighter drinkers demonstrated significantly more intervention gains than heavier drinkers in the risk-reduction condition. Intervention effects occurred at 3 months follow-up and dissipated by 6 months. CONCLUSIONS: A brief HIV risk-reduction intervention reduced sexual-risk behaviors among drinkers in South Africa. However, intervention effects were weakest for those who drink heaviest. Our results provide a basis for establishing HIV prevention in alcohol serving establishments in South Africa. Research is needed to identify multi-level intervention models that can reduce risks among heavier drinkers and sustain behavior changes over time.
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In the citing paper
“Several BIs were successfully delivered by lay-providers [45,53,59,71].”
From A scoping review of substance use brief interventions in Africa (2024) · cites this paper as [59]
In the citing paper
“Other studies reported no intervention effect on alcohol use at month 3 [44], month 5 [58], month 6 [59,64,68] and month 12 [58,64].”
From A scoping review of substance use brief interventions in Africa (2024) · cites this paper as [59]
In the citing paper
“For the studies that had indicated the duration of the BI, the time taken to deliver the session lasted from 5 minutes [70] to 3 hours [59].”
From A scoping review of substance use brief interventions in Africa (2024) · cites this paper as [59]
In the citing paper
“The majority of programs addressed alcohol use in the context of HIV/AIDS prevention and risk reduction [38–40,43,56,57,95].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [56]
In the citing paper
“About half (8 of 17) of the health promotion and education interventions were found to have positive results [25,26,38,39,54,56,57,65,66,84].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [56]
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Cited by
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The relation between different dimensions of alcohol consumption and burden of disease: an overview
Rehm, J., Baliunas, D., Borges, G. L. G., Graham, K., Irving, H., Kehoe, T., Parry, C. D., Patra, J., Popova, S., Poznyak, V., et al. (2010) · Addiction · doi:10.1111/j.1360-0443.2010.02899.x · Cited by 1,174
“As has been argued before [45], one way to settle the question concerning a true causal impact of alcohol would be to conduct trials in the tradition of Kalichman and colleagues [238,239], with populations with a high risk of HIV infection, such as clients in clinics for sexually transmitted disease in countries with…”
van Ginneken, N., Tharyan, P., Lewin, S., Rao, G. N., Meera, S., Pian, J., Chandrashekar, S., & Patel, V. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009149.pub2 · Cited by 575
Rehm, J., Shield, K. D., Joharchi, N., & Shuper, P. A. (2012) · Addiction · doi:10.1111/j.1360-0443.2011.03621.x · Cited by 344
Alcohol consumption and risk of incident human immunodeficiency virus infection: a meta-analysis
Baliunas, D., Rehm, J., Irving, H., & Shuper, P. (2010) · International Journal of Public Health · doi:10.1007/s00038-009-0095-x · Cited by 307
“Such a strategy has already been introduced by Kalichman et al. (2007b, 2008), albeit with mixed results.”
ResultCausal Considerations on Alcohol and HIV/AIDS -- A Systematic Review
Shuper, P. A., Neuman, M. G., Kanteres, F., Baliunas, D. O., Joharchi, N., & Rehm, J. T. (2010) · Alcohol and Alcoholism · doi:10.1093/alcalc/agp091 · Cited by 308
“…clearest line of evidence in our view regarding the establishment of a causal behavioral connection is through continuing the tradition started by Kalichman et al. (2007b, 2008) and using randomized clinical trials with proven effective interventions for reducing problem drinking (Babor et al.,…”
Method
Metadata
- Authors
- Kalichman, S. C., Simbayi, L. C., Vermaak, R., Cain, D., Smith, G., Mthebu, J., & Jooste, S.
- Affiliations
- University of Connecticut (US)
- Human Sciences Research Council (ZA)
- Corresponding author
- Kalichman, Seth C.
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-10-04
- Volume
- 36
- Issue
- 3
- Pages
- 270-279
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- OpenAlex
- W2104218863
- Cited by
- 142
- References
- 41
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 2 · 2022: 7 · 2021: 3 · 2020: 5 · 2019: 10 · 2018: 7 · 2017: 12 · 2016: 7 · 2015: 13 · 2014: 12 · 2013: 9 · 2012: 11
- FWCI
- 10.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R21AA014820, R01AA017399)
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- HIV risk reduction, alcohol consumption, sexual risk behavior, condom use, sexual negotiation, shebeens, brief intervention, community-based intervention, heavy drinking, intervention moderators, HIV prevention, Cape Town
- MeSH terms
- Adult, Alcohol Drinking, Community-Institutional Relations, Female, Health Education, Humans, Male, Sexual Behavior, South Africa, HIV Infections, Condoms, Risk Reduction Behavior
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