Details

Autor(en) / Beteiligte

• Scott-Sheldon, Lori A. J.
• Carey, Kate B.
• Johnson, Blair T.
• Carey, Michael P.

Titel

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

Ist Teil von

• AIDS and behavior, 2017-11, Vol.21 (Suppl 2), p.126-143

Ort / Verlag

New York: Springer US

Erscheinungsjahr

2017

Quelle

MEDLINE

Beschreibungen/Notizen

• 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.