How Alcohol Influences Mechanisms of Sexual Risk Behavior Change: Contributions of Alcohol Challenge Research to the Development of HIV Prevention Interventions

This paper examines the contributions of laboratory-based alcohol challenge research (ACR) to the development of HIV prevention interventions. Following a brief overview of HIV prevention interventions and related health behavior change models, we discuss how alcohol may influence mechanisms of beha...

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Bibliographic Details
Published in:AIDS and behavior 2021-12, Vol.25 (Suppl 3), p.314-332
Main Authors: Palfai, Tibor P., Luehring-Jones, Peter
Format: Article
Language:English
Subjects:
Acquired Immunodeficiency Syndrome
Alcohol
Alcohols
Behavior modification
Disease prevention
Drinking behavior
Ethanol
Experimental research
Health behavior
Health Psychology
HIV
HIV Infections - prevention & control
Human immunodeficiency virus
Humans
Infectious Diseases
Intervention
Medicine
Medicine & Public Health
Moderators
Original Paper
Prevention
Public Health
Risk
Risk behavior
Risk taking
Sexual Behavior
Sexually transmitted diseases
STD
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Summary:This paper examines the contributions of laboratory-based alcohol challenge research (ACR) to the development of HIV prevention interventions. Following a brief overview of HIV prevention interventions and related health behavior change models, we discuss how alcohol may influence mechanisms of behavior change. The paper highlights the value of ACR for: (1) elucidating mechanisms of action through which alcohol affects sexual risk behavior, (2) testing how alcohol may influence mechanisms thought to underlie HIV prevention interventions, (3) clarifying moderators of the causal influences of alcohol, (4) identifying novel intervention targets, and (5) developing strategies to reduce sexual risk among those who consume alcohol. We conclude with a discussion of the importance of using experimental research to identify mechanisms of behavior change that are specific to populations at high risk for HIV and outline some key implications for developing HIV prevention interventions that integrate the role of alcohol.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-021-03346-1