Alcohol Use Severity and HIV Sexual Risk Among Juvenile Offenders

Malow, Robert M.; Dévieux, Jessy G.; Rosenberg, Rhonda; Samuels, Deanne; Jean‐Gilles, Michèle

doi:10.1080/10826080601006474

Cited by 39 publications

(33 citation statements)

References 57 publications

(33 reference statements)

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“…In a population sample of PLWH, over half reported alcohol use in the previous month and nearly 20% reported "heavy" or "frequent heavy" alcohol use [56] . Regarding adherence to safe sex practices, recent literature [54,[57][58][59] indicates that current or recent alcohol use is associated with (1) Behaviorally high levels of sexual impulsivity and frequent unsafe sexual activity; (2) Deficits in self-management, social skills and problem solving; (3) Risk-producing social interaction that invite relapse, transient sexual relationships and coerced or survival-oriented sex; (4) Residence in the inner-city where HIV and AOD abuse and related activities are pervasive.…”

Section: Resultsmentioning

confidence: 99%

Cognitive-Behavioral Stress Management Interventions for Ethnic-Minority HIV-Positive Alcohol/Drug Abusers in Resource Limited and Culturally Diverse Communities

Malow¹,

Rosenberg²,

Dévieux³

2009

American J. of Infectious Diseases

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Abstract:The article reports our intervention work with Alcohol and Other Drug Abusing (AOD) People Living With HIV (PLWH). Present research has involved adapting Cognitive Behavioral Stress Management (CBSM) and other strategies to improve quality of life and health outcomes for PLWH. Historically, CBSM has used relaxation and coping skills training to reduce negative mood and improve coping behaviors. The efficacy of CBSM interventions to improve functioning has been demonstrated in many disease groups and, more recently, in ethnic-minority HIV+ samples in the US CBSM HIV risk reduction interventions are similar to other cognitive-behavioral therapies in emphasizing skills training and stress reduction. Among the most precarious and challenging clinical populations are HIV infected individuals with a history of alcohol and/or drug abuse. Compared to their counterparts with no history of alcohol or drug abuse, not only are they more likely to transmit the virus to others, but they are also at risk for problems in adhering to antiretroviral regimens. A main focus of this article is to report on our intervention work with very resource-limited, ethnicminority PLWH with substance abuse problems, particularly our NIH funded projects in Miami and Haiti and the opportunities presented by the emerging science of biological vulnerability and genomic factors.

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Section: Resultsmentioning

confidence: 99%

Cognitive-Behavioral Stress Management Interventions for Ethnic-Minority HIV-Positive Alcohol/Drug Abusers in Resource Limited and Culturally Diverse Communities

Malow¹,

Rosenberg²,

Dévieux³

2009

American J. of Infectious Diseases

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“…Alcohol dependence has been associated with high risk sexual behaviors and alcohol use can diminish or eliminate the effectiveness of many HIV prevention efforts such as condom use and cause significant morbidity and mortality. Unlike the opioids and stimulants, withdrawal from alcohol can lead to seizure and death [72,73,74].…”

Section: Alcoholmentioning

confidence: 99%

Clinical Care of the HIV-Infected Drug User

Bruce¹,

Altice²

2007

Infectious Disease Clinics of North America

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“…Diversas sustancias, entre ellas el alcohol, pueden actuar como modificadores de la conducta sexual, haciendo que los consumidores tengan mayores niveles de relaciones sexuales no protegidas muy próximas al uso de la sustancia 5,6 .…”

Section: Introductionunclassified

Asociación entre el consumo de alcohol y la infección por virus de inmunodeficiencia humana

Bernabé‐Ortiz

et al. 2008

Rev. chil. infectol.

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Association between alcohol consumption and human immunodeficiency virus infectionSeveral factors have been associated with HIV infection, but alcohol consumption has not been studied completely. The purpose of this study is to evaluate the association between alcohol consumption and HIV infection. A case-control study was undertaken with HIV-positive and HIV-negative patients, matched by sex and age (± 2 years). Latin-American Alcoholism Test (long version) was used to evaluate alcoholism diagnosis. A total of 198 cases were matched with 198 controls: 38.9% of cases were diagnosed as alcoholics, and only 22.7% of controls (p < 0.001). The multivariate model showed that economic income (p < 0.001), sexual orientation (p < 0.001), and alcoholism diagnosis (p < 0.001) were associated with HIV infection. This study demonstrates an association between alcohol consumption, homosexual practices between men and economic income with the prevalence of HIV infection.Key words: HIV infection, alcoholism, homosexuality, case-control study. Palabras clave: VIH, alcoholismo, homosexualidad, casos y controles. Introducciónl Instituto Nacional de Abuso de Alcohol y Alcoholismo (NIAAA) de los Estados Unidos de América reporta que las personas con desórdenes de consumo de alcohol tienen mayor probabilidad de contraer infección por VIH y otras enfermedades de transmisión sexual que la población general 1 , debido a su asociación con conductas sexuales de riesgo, tales como múltiples parejas sexuales, relaciones sexuales sin protección, relaciones con trabajadoras sexuales y sexo a cambio de alcohol o drogas 2 .Asimismo, personas con la infección por VIH son más propensas a consumir mayores cantidades de alcohol 1 , lo que puede dificultar la adherencia para la terapia anti-retroviral 3,4 .Diversas sustancias, entre ellas el alcohol, pueden actuar como modificadores de la conducta sexual, haciendo que los consumidores tengan mayores niveles de relaciones sexuales no protegidas muy próximas al uso de la sustancia 5,6 .Siendo en nuestro país la relación entre el consumo de alcohol y la infección por VIH aún poco conocida, se realiza el presente estudio con el propósito de evaluar la asociación entre el consumo de alcohol y la infección por VIH, buscando ampliar los conocimientos acerca de un factor asociado importante para la transmisión. Pacientes y MétodosDiseño. Estudio observacional analítico, de tipo caso-control, empleando casos de infección por VIH, reportados en el Departamento de Enfermedades Infecciosas, Tropicales y Dermatológicas del Hospital Nacional Cayetano Heredia (Lima, Perú), durante el lapso entre agosto del 2003 y diciembre del 2004, de manera constante e ininterrumpida.Tamaño de muestra. Para el cálculo del tamaño de muestra se consideró que la proporción de consumo de alcohol en la población no infectada por VIH en Perú fue de 21% 7 y que la proporción del consumo de alcohol en el grupo infectado por VIH fue del 35% 1,8 . Además, utilizando un nivel de confianza del 95% y un poder del 80%, se obtuvo el número d...

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Alcohol Use Severity and HIV Sexual Risk Among Juvenile Offenders

Cited by 39 publications

References 57 publications

Cognitive-Behavioral Stress Management Interventions for Ethnic-Minority HIV-Positive Alcohol/Drug Abusers in Resource Limited and Culturally Diverse Communities

Cognitive-Behavioral Stress Management Interventions for Ethnic-Minority HIV-Positive Alcohol/Drug Abusers in Resource Limited and Culturally Diverse Communities

Clinical Care of the HIV-Infected Drug User

Asociación entre el consumo de alcohol y la infección por virus de inmunodeficiencia humana

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