The Role of Alcohol-Related Behavioral Research in the Design of HIV Secondary Prevention Interventions in the Era of Antiretroviral Therapy: Targeted Research Priorities Moving Forward

HIV secondary prevention focuses on averting onward HIV transmission, which can be realized when people living with HIV enact requisite HIV care continuum-related behaviors to achieve viral suppression, and engage in condom-protected sex when virally unsuppressed. Alcohol has been detrimentally link...

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Bibliographic Details
Published in:AIDS and behavior 2021-12, Vol.25 (Suppl 3), p.365-380
Main Author: Shuper, Paul A.
Format: Article
Language:English
Subjects:
Alcohol
Alcohols
Antiretroviral agents
Antiretroviral drugs
Antiretroviral therapy
Behavior modification
Disease transmission
Health behavior
Health Psychology
HIV
Human immunodeficiency virus
Infectious Diseases
Intervention
Medicine
Medicine & Public Health
Original Paper
Prevention
Priorities
Public Health
Research design
Sexually transmitted diseases
STD
Technology
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Summary:HIV secondary prevention focuses on averting onward HIV transmission, which can be realized when people living with HIV enact requisite HIV care continuum-related behaviors to achieve viral suppression, and engage in condom-protected sex when virally unsuppressed. Alcohol has been detrimentally linked to all aspects of HIV secondary prevention, and although a growing number of behavioral interventions account for and address alcohol use within this realm, further efforts are needed to fully realize the potential of such initiatives. The present article proposes a series of targeted priorities to inform the future design, implementation, and evaluation of alcohol-related behavioral intervention research within the scope of HIV secondary prevention. These priorities and corresponding approaches account for the challenges of resource-constrained clinic environments; capitalize on technology; and address key comorbidities. This framework provides the foundation for a range of alcohol-related behavioral interventions that could potentially enhance global HIV secondary prevention efforts in the years ahead.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-021-03302-z