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Meta-Analysis
. 2017 Nov;21(Suppl 2):126-143.
doi: 10.1007/s10461-017-1886-3.

Behavioral Interventions Targeting Alcohol Use Among People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

Lori A J Scott-Sheldon  1   2   3 , Kate B Carey  4 , Blair T Johnson  5 , Michael P Carey  6   7 ; MASH Research Team
Affiliations
Meta-Analysis

Behavioral Interventions Targeting Alcohol Use Among People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

Lori A J Scott-Sheldon et al. AIDS Behav. 2017 Nov.

Abstract

Alcohol use is often reported among people living with HIV/AIDS (PLWHA) and is associated with increased sexual risk and poor medication adherence. This meta-analysis evaluated the efficacy of behavioral interventions addressing alcohol use among PLWHA. Twenty-one studies (N = 8461 PLWHA) that evaluated an individual-level intervention addressing alcohol use alone or as part of a more comprehensive alcohol/HIV intervention, included a control condition, and were available through December 2016 were included. Independent raters coded study, sample, and intervention content. Weighted mean effect sizes, using random-effects models, were calculated. Results indicate that interventions reduced alcohol consumption, increased condom use, and improved medication adherence relative to controls (d +s = 0.10-0.24). Plasma viral load was also reduced in intervention versus control participants (d + = 0.14, 95% CI = 0.02, 0.26; k = 7). These findings show that behavioral interventions addressing alcohol use can successfully reduce alcohol consumption and also improve HIV-related outcomes among PLWHA.

Keywords: Alcohol; Intervention; Meta-analysis; People living with HIV.

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Conflict of interest statement

Conflict of Interest: All authors declare that they have no conflicts of interest.

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