Prevention of alcohol consumption and transmission of human immunodeficiency virus: randomized clinical trial

Mendez-Ruiz, Martha Dalila; Villegas-Pantoja, Miguel Ángel; Alarcón-Luna, Nohemí Selene; Villegas, Natalia; Cianelli, Rosina; Peragallo-Montano, Nilda

doi:10.1590/1518-8345.3393.3262

Cited by 10 publications

(5 citation statements)

References 30 publications

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“…Thus, nursing professionals, together with multidisciplinary teams, should prioritize public policies focused on psycho-emotional and social dimensions and intervene in environments in which these representations circulate since they may enable the interference in the reality of adolescents 5 . Some strategies, when incorporated into the preventive practices nursing performs in communities and appropriate to the needs and risk profile of this population, can positively impact public health and thus reduce HIV transmission and prevalence 6 - 7 .…”

Section: Introductionmentioning

confidence: 99%

Risk factors for HIV infection among adolescents and the youth: a systematic review

Bossonário

Ferreira

Andrade

et al. 2022

Rev. Latino-Am. Enfermagem

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Objective: to identify and analyze HIV infection risk factors among adolescents and the youth. Method: this is a systematic review whose guide question is: what are the risk factors for HIV infection among adolescents and the youth?” In total, five databases and Google Scholar were searched in December 2021 and the found publications between 2012-2022 were filtered without language restriction. Studies were selected by two independent reviewers. The included materials were subjected to methodological quality evaluation and narrative synthesis. Results: overall, we included seven studies out of the 26,191 retrieved. All studies were conducted in Africa. We found that the female gender, older age, low schooling, Black ethnicity, multiple sexual partners, inconsistent use of condoms, alcohol consumption, and early sexual onset constituted risk factors for HIV infection in adolescents and the youth. Conclusion: understanding risk factors underscores the provision of health policies and intervention strategies to strengthen the responsiveness of health services and nursing teams’ care to reduce HIV transmission among adolescents and the youth.

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Section: Introductionmentioning

confidence: 99%

Risk factors for HIV infection among adolescents and the youth: a systematic review

Bossonário

Ferreira

Andrade

et al. 2022

Rev. Latino-Am. Enfermagem

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“…About half (8 of 17) of the health promotion and education interventions were found to have positive results [ 25 , 26 , 38 , 39 , 54 , 56 , 57 , 65 , 66 , 84 ]. Some of these studies also had mixed results.…”

Section: Resultsmentioning

confidence: 99%

Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary

et al. 2022

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Background Disease and disability from alcohol use disproportionately impact people in low- and middle-income countries (LMICs). While varied interventions have been shown to reduce alcohol use in high-income countries, their efficacy in LMICs has not been assessed. This systematic review describes current published literature on patient-level alcohol interventions in LMICs and specifically describes clinical trials evaluating interventions to reduce alcohol use in LMICs. Methods and findings In accordance with PRISMA, we performed a systematic review using an electronic search strategy from January 1, 1995 to December 1, 2020. Title, abstract, as well as full-text screening and extraction were performed in duplicate. A meta-summary was performed on randomized controlled trials (RCTs) that evaluated alcohol-related outcomes. We searched the following electronic databases: PubMed, EMBASE, Scopus, Web of Science, Cochrane, WHO Global Health Library, and PsycINFO. Articles that evaluated patient-level interventions targeting alcohol use and alcohol-related harm in LMICs were eligible for inclusion. No studies were excluded based on language. After screening 5,036 articles, 117 articles fit our inclusion criteria, 75 of which were RCTs. Of these RCTs, 93% were performed in 13 middle-income countries, while 7% were from 2 low-income countries. These RCTs evaluated brief interventions (24, defined as any intervention ranging from advice to counseling, lasting less than 1 hour per session up to 4 sessions), psychotherapy or counseling (15, defined as an interaction with a counselor longer than a brief intervention or that included a psychotherapeutic component), health promotion and education (20, defined as an intervention encouraged individuals’ agency of taking care of their health), or biologic treatments (19, defined as interventions where the biological function of alcohol use disorder (AUD) as the main nexus of intervention) with 3 mixing categories of intervention types. Due to high heterogeneity of intervention types, outcome measures, and follow-up times, we did not conduct meta-analysis to compare and contrast studies, but created a meta-summary of all 75 RCT studies. The most commonly evaluated intervention with the most consistent positive effect was a brief intervention; similarly, motivational interviewing (MI) techniques were most commonly utilized among the diverse array of interventions evaluated. Conclusions Our review demonstrated numerous patient-level interventions that have the potential to be effective in LMICs, but further research to standardize interventions, populations, and outcome measures is necessary to accurately assess their effectiveness. Brief interventions and MI techniques were the most commonly evaluated and had the most consistent positive effect on alcohol-related outcomes. Trial registration Protocol Registry: PROSPERO CRD42017055549

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“…In particular, our findings highlight the importance of examining sexual behaviors of young women who present harmful drinking patterns. We consider these assessments—conducted by nursing in a community level—may contribute to the preventive strategies currently being tested in Mexican young college women (e.g., the SEPA program; Mendez-Ruiz et al, 2020). On the other hand, future research could include measurements of the three main categories of alcohol-related sex expectancies (Cottonham et al, 2017): enhancement expectancies (beliefs that alcohol will make sexual experience more enjoyable), sexual risk-taking expectancies (beliefs that alcohol will increase the likelihood of engaging in risky sexual behaviors), and disinhibition expectancies (beliefs that alcohol will reduce awareness in sexual responses).…”

Section: Discussionmentioning

confidence: 99%

Harmful Use of Alcohol as Predictor of Presex Drinking in Mexican Young College Women

Villegas-Pantoja

Mendez-Ruiz

Sánchez-López

et al. 2022

UJAN

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Alcohol use presents a serious risk to women's health. Of particular interest is the association of harmful alcohol consumption and risky behaviors, such as drinking before sexual intercourse, an understudied phenomenon in the Mexican population. Aim: The aim of this study was to identify whether the harmful use of alcohol is associated with an increased probability of presex drinking in Mexican young women. Method: This was a study with a predictive design. Multiple logistic regressions were performed in a random sample of 304 young college women (between the ages of 18 and 24 years) from Guanajuato and Tamaulipas, Mexico. Participants completed a sociodemographic data survey and the Alcohol Use Disorders Identification Test questionnaire. Results: Women with a pattern of harmful use of alcohol were more likely to report drinking before sex (adjusted odds ratio = 4.679, 95% confidence interval [1.619, 13.520], McFadden's pseudo R 2 = 25.5%). Further analyses revealed that presex drinking by partners was an even stronger predictor of alcohol use before sexual intercourse in women (adjusted odds ratio = 12.749, 95% confidence interval [4.714, 34.483], McFadden's pseudo R 2 = 34.7%). Conclusions:The findings demand additional nursing studies to corroborate-and to better understand-the relationship between harmful use of alcohol in Mexican women, their partners' drinking behavior, and unhealthy behaviors like drinking before sexual intercourse.

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Prevention of alcohol consumption and transmission of human immunodeficiency virus: randomized clinical trial

Cited by 10 publications

References 30 publications

Risk factors for HIV infection among adolescents and the youth: a systematic review

Risk factors for HIV infection among adolescents and the youth: a systematic review

Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary

Harmful Use of Alcohol as Predictor of Presex Drinking in Mexican Young College Women

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