Impact of a Structural Intervention to Address Alcohol Use Among Gay Bar Patrons in San Francisco: The PACE Study

Charlebois, Edwin D.; Plenty, Albert; Lin, Jess; Ayala, Alicia; Hecht, Jennifer

doi:10.1007/s10461-017-1891-6

Cited by 14 publications

(36 citation statements)

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“…Structural interventions aim to change the environments in which risk behavior occurs, such as limiting alcohol availability. Although no systematic reviews exist to date to assess their effect on alcohol consumption, an increasing number of intervention trials have demonstrated success in structural approaches at reducing alcohol consumption and related problems in diverse populations and contexts [17].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial interventions for reducing alcohol consumption in sub‐Saharan African settings: a systematic review and meta‐analysis

et al. 2020

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Background Harmful alcohol use is a leading cause of morbidity and mortality in sub‐Saharan Africa (sSA); however, the effects of non‐pharmacological alcohol interventions in this region are unknown. Design A systematic review and meta‐analysis of the available literature through 14 March 2019 was undertaken. Two authors extracted and reconciled relevant data and assessed risk of bias. Meta‐analyses were conducted. The review protocol is registered on International Prospective Register of Systematic Reviews (PROSPERO) (CRD42019094509). Setting Studies conducted in sSA were eligible for inclusion. Participants Individuals participating in interventions aimed at reducing alcohol use. Interventions Randomized and non‐randomized controlled trials testing non‐pharmacological interventions (psychosocial and structural) on alcohol consumption in sSA. Measurements Eligible outcomes included the Alcohol Use Disorders Identification Test (AUDIT) scores; alcohol abstinence; measures of drinking quantity and frequency; and biomarkers of alcohol consumption. Findings Nineteen intervention trials (18 reports) testing psychosocial interventions (no structural interventions included), judged of moderate quality, were included in meta‐analyses. A beneficial effect was identified for psychosocial interventions on alcohol abstinence at 3–6 months [odds ratio (OR) = 2.05, 95% confidence interval (CI) = 1.20–3.48, k = 5, n = 2312, I2 = 79%] and 12–60 months (OR = 1.91, 95% CI = 1.40–2.61, k = 6, n = 2737, I2 = 63%) follow‐up. There were no statistically significant effects found for AUDIT score [2–3 months: mean differences (MD) = −1.13, 95% CI = −2.60 to 0.34, k = 6, n = 992, I2 = 85%; 6 months: MD = −0.83, 95% CI = −1.92 to 0.26, k = 6, n = 1081, I2 = 69%; 12 months: MD = −0.15, 95% CI = −1.66 to 1.36, k = 4; n = 677; I2 = 75%], drinks per drinking day (3 months: MD = –0.22, 95% CI = −2.51 to 2.07, k = 2, n = 359, I2 = 82%; 6–36 months: MD = −0.09, 95% CI = −0.49 to 0.30, k = 3, n = 1450, I2 = 60%) or percentage of drinking days (3 months: MD = −4.60, 95% = −21.14 to 11.94; k = 2; n = 361; I2 = 90%; 6–9 months: MD = 1.96, 95% CI = −6.54 to 10.46; k = 2; n = 818; I2 = 88%). Conclusion Psychosocial interventions show promise at increasing self‐reported alcohol abstinence in sSA, but clinical, methodological and statistical heterogeneity across meta‐analytical outcomes suggests that results should be interpreted with caution.

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Section: Introductionmentioning

confidence: 99%

Psychosocial interventions for reducing alcohol consumption in sub‐Saharan African settings: a systematic review and meta‐analysis

et al. 2020

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“…Potential policies might emulate those in Australia, where free water availability is mandated in settings serving alcohol (http://www.rgl.wa.gov.au/docs/default-source/rgl/drinking_water.pdf?sfvrsn=0). In our parent study, the provision of free water coupled with a media campaign on pacing alcohol intake with water was significantly associated with a reduction in BAC and self-reported binge drinking among exiting gay bar patrons in San Francisco (Charlebois et al, 2017).…”

Section: Discussionmentioning

confidence: 85%

“…This qualitative study was part of a larger study in which we recruited four bars (two intervention bars and two control bars) to assess whether harm reduction messaging highlighting pacing alcohol consumption, increased access to free water, and normative feedback about alcohol intake would reduce blood alcohol concentration (BAC), binge drinking, and sexual HIV risk of bar patrons (Charlebois et al, 2017). This current study reported here focuses on bar patrons’ management strategies and how those strategies intersect with environmental factors that affect their ability to successfully implement those strategies.…”

Section: Introductionmentioning

confidence: 99%

Alcohol Consumption and Management Strategies Among Gay Bar Patrons in San Francisco and Oakland, CA

Lin

Hecht

Plenty

et al. 2018

Contemporary Drug Problems

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Despite significant attention on gay men's substance use, much remains unknown about how environmental factors may contribute to gay men's elevated drinking patterns. We undertook a qualitative study of 51 gay bar patrons in San Francisco and Oakland, CA, in an effort to better understand the context of drinking motivations and management within the gay community in San Francisco and Oakland and to identify areas for potential interventions to encourage drinking moderation. A thematic analysis framework guided the process used to identify overarching themes and organize data around the social ecological framework. A focus on drinking motivations and management strategies emerged as a recurring theme across interviews. In this article, we describe alcohol consumption and management strategies that suggest that gay bar patrons experience encouragement from the individual, interpersonal, community, and structural levels to drink and that environmental and internal motivators for drinking often override participant's intentions and individualized strategies for moderation. Our findings suggest an unmet need for assistance in helping men to create effective harm reduction strategies around drinking, as well as an opportunity for creating interventions that address community-and structural-level motivators for drinking and management.

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“…Multiple studies over the past decades suggest that MSM are likely to frequent bars and other social events such as house parties for socialization and meeting new sexual partners, suggesting a strong need for interventions to reduce alcohol consumption among MSM (Charlebois, Plenty, Lin, Ayala, & Hecht, 2017). This is especially necessary because a proliferation of studies have observed the strong link between alcohol consumption and unsafe sexual behavior.…”

Section: Are Virtual Interactions and Choices Predictive Of Real-lifementioning

confidence: 99%

“…Bruce, Kahana, Harper, Fernández, & ATN, 2013; Colfax et al, 2004; Gerbi, Habtemariam, Tameru, Nganwa, & Robnett, 2009; Santos, Jin, & Raymond, 2015). While extant interventions targeting alcohol consumption and its link to risky sexual behavior showed that altering the social environment (i.e., making the choice of water available in gay bars) could reduce alcohol intake (Charlebois et al, 2017), such interventions are still costly in terms of both time and effort. Such interventions must rely on (1) constantly providing messages that remind MSM of the availability and their desired choice of water, and (2) successfully negotiating with social venues (e.g., gay bars) to offer such messages.…”

Section: Are Virtual Interactions and Choices Predictive Of Real-lifementioning

confidence: 99%

Virtual prognostication: When virtual alcohol choices predict change in alcohol consumption over 6-months

Wang

Christensen

Jeong

et al. 2019

Computers in Human Behavior

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Narrative games, in which users interact with virtual agents, are increasingly being used in health interventions to change targeted behaviors. In virtual social interactions, based on similar real-life contextual cues, past behavior can predict virtual choices. Here, based on theories in learning and interactivity, we examined the whether following a virtual intervention, choices in social interactions may be particularly diagnostic of future behavior changes. To test this, we needed to: (1) leverage a contextualized risk (e.g., involving alcohol consumption) scenario (e.g., having one more drink with my partner) given a target audience (e.g., sexually risky young men who have sex with men (YMSM)), (2) include within this context an evidence-based virtual intervention (e.g., promoting alcohol reduction), (3) instantiate and record a virtual choice (water or alcohol) in a virtual dating game scenario intervention with IA for that target audience, and (4) assess pre and 6-months post-intervention YMSM’s alcohol use. Using a Socially Optimized Learning Environment (SOLVE) intervention game with IA and alcohol use measures, we found that virtual water choice (versus virtual alcohol choice) significantly predicted real-life alcohol consumption change. Furthermore, personality factors (e.g., Behavioral Approach System) predicted virtual choices and alcohol consumption change. Implications of these findings are discussed.

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Impact of a Structural Intervention to Address Alcohol Use Among Gay Bar Patrons in San Francisco: The PACE Study

Cited by 14 publications

References 45 publications

Psychosocial interventions for reducing alcohol consumption in sub‐Saharan African settings: a systematic review and meta‐analysis

Psychosocial interventions for reducing alcohol consumption in sub‐Saharan African settings: a systematic review and meta‐analysis

Alcohol Consumption and Management Strategies Among Gay Bar Patrons in San Francisco and Oakland, CA

Virtual prognostication: When virtual alcohol choices predict change in alcohol consumption over 6-months

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