Neighborhood‐Level Drinking Norms and Alcohol Intervention Outcomes in HIV Patients Who Are Heavy Drinkers
Open accessAbstract
Background: Heavy alcohol consumption can be harmful, particularly for individuals with HIV. There is substantial variability in response to interventions that aim to reduce drinking. Neighborhood drinking norms may explain some of this variability among HIV‐infected patients. Therefore, we investigated whether neighborhood‐level drinking norms modified response to alcohol intervention among HIV‐infected heavy drinkers. Methods: Heavily‐drinking HIV comprehensive care patients (n = 230) completed 1 of 3 brief alcohol interventions (an educational intervention, a motivational interviewing [MI] intervention, or an MI intervention with a technological enhancement called HealthCall). Drinking was reported at baseline and end of treatment (60 days). Neighborhood‐level drinking norms were obtained from a separate general population study. Results: Patients’ reductions in drinks per drinking day in response to MI (as compared with the educational control) were more pronounced in neighborhoods with more permissive drinking norms. In contrast, patients’ reductions in drinks per drinking day in response to MI plus HealthCall did not significantly vary between neighborhoods with different drinking norms. Norms did not evidence significant interactions with intervention condition for 3 other exploratory drinking outcomes (drinking frequency, binge frequency, and maximum quantity). Conclusions: Neighborhood‐level drinking norms help explain differential response to an alcohol MI intervention among HIV‐infected patients. This study suggests the utility of considering neighborhood context as an effect modifier of alcohol interventions.
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Not much is known about contextual influences, such as cross-cultural variability, and health system idiosyncrasies, or how existing evidence, primarily from HICs, may generalise to other healthcare settings.
“not much is known about contextual influences, such as cross-cultural variability, and health system idiosyncrasies, or indeed how existing evidence, primarily from HICs, may generalise to other healthcare settings [72, 73]”
From Brief interventions for alcohol use disorders in low- and middle-income countries: barriers and potential solutions (2022) · cites this paper as [72]
The Discussion and its limitations section describe neighborhood drinking norms as a contextual influence on alcohol-intervention outcomes and call for research on generalizability to other populations and treatments (page not provided). The paper does not address cross-cultural variability, health-system differences, or whether evidence primarily from high-income countries generalizes to other healthcare settings. (LLM, conf=0.86)
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“This is particularly important as not much is known about contextual influences, such as cross-cultural variability, and health system idiosyncrasies, or indeed how existing evidence, primarily from HICs, may generalise to other healthcare settings [72, 73].”
BackgroundNadkarni, A., Costa, S., Gupta, D., Fernandes, D. M., Catalano, A., Velleman, R. D. B., Sambari, S., Pednekar, S., Hussain, F. N., D’Souza, E., et al. (2021) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2021.108331 · Cited by 21 · see citing works
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- Authors
- Elliott, J. C., Delker, E., Wall, M. M., Feng, T., Aharonovich, E., Tracy, M., Galea, S., Ahern, J., Sarvet, A. L., & Hasin, D. S.
- Affiliations
- Columbia University Irving Medical Center (US)
- San Diego State University (US)
- New York State Psychiatric Institute (US)
- University at Albany, State University of New York (US)
- Boston University (US)
- University of California, Berkeley (US)
- Corresponding author
- Hasin, Deborah S.
- ORCID
- Venue
- Alcoholism: Clinical and Experimental Research
- Publisher
- Wiley
- Published
- 2016-08-20
- Volume
- 40
- Issue
- 10
- Pages
- 2240-2246
- ISSN
- 0145-6008 (ISSN-L)
- 1530-0277
- PMC
- PMC5592786
- OpenAlex
- W2512535904
- Cited by
- 7
- References
- 39
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2017: 3
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Alcoholism Clinical and Experimental Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (R01AA014323, R01DA024606, R01DA017642, K23AA023753, T32DA031099)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- HIV, heavy drinking, alcohol interventions, motivational interviewing, brief alcohol intervention, effect modification, binge drinking
- MeSH terms
- Adult, Alcohol Drinking, Female, Humans, Male, Middle Aged, Residence Characteristics, HIV Infections, Treatment Outcome, Motivational Interviewing, Social Norms
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