Interventions to Reduce Alcohol Use among HIV-Infected Individuals: A Review and Critique of the Literature

• Authors: Jennifer L. Brown, Texas Tech University; Kelly S. DeMartini, Yale University; Jessica Sales, Emory University; Andrea Swartzendruber, Emory University; Ralph Joseph Diclemente, Emory University
• Journal Title: Current HIV/AIDS Reports
• Volume: Volume 10, Number 4
• Publisher: Springer (part of Springer Nature): Springer Open Choice Hybrid Journals | 2013-12-01, Pages 356-370
• Type of Work: Article | Post-print: After Peer Review
• Publisher DOI: http://doi.org/10.1007/s11904-013-0174-8
• Subjects: Health Sciences, Public Health; Psychology, Behavioral
• Keywords: Science & Technology; Life Sciences & Biomedicine; Infectious Diseases; Alcohol; Alcohol interventions; Behavioral aspects of HIV management; HIV; HIV-infected; HIV-positive; RANDOMIZED CONTROLLED-TRIAL; HEALTH-CARE UTILIZATION; SEXUAL RISK BEHAVIOR; MOTIVATIONAL ENHANCEMENT THERAPY; ACTIVE ANTIRETROVIRAL THERAPY; SUBSTANCE USE; HUMAN IMMUNODEFICIENCY; CLINICAL-SIGNIFICANCE; MEDICATION ADHERENCE; SERVICES UTILIZATION

Abstract

Alcohol use disorders are common among HIV-infected individuals and are associated with adverse physiological complications and increased engagement in other health risk behaviors. This paper provides a review and critique of interventions to reduce alcohol use among HIV-infected individuals, including a: (a) synthesis of core intervention components and trial designs; (b) summary of intervention efficacy to reduce alcohol use outcomes; and (c) methodological critique and guidance for future research. We reviewed 14 behavioral interventions that reported on alcohol use outcomes among HIV-infected individuals. Findings were mixed for intervention efficacy to reduce alcohol frequency and quantity. There was limited evidence that interventions reduced binge drinking frequency or alcohol abuse or dependence symptoms. Despite the prevalence of disordered alcohol use among HIV-infected individuals, there is lack of efficacious intervention approaches. Efficacious intervention approaches to reduce alcohol use among HIV-infected individuals are urgently needed.