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2038-08-30
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- INI - Artigos de Periódicos [3392]
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"I WASN'T IN MY RIGHT MIND": QUALITATIVE FINDINGS ON THE IMPACT OF ALCOHOL ON CONDOM USE IN PATIENTS LIVING WITH HIV/AIDS IN BRAZIL, THAILAND, AND ZAMBIA (HPTN 063)
International research
Qualitative research
Sexual HIV transmission
Substance abuse
Treatment as prevention (TasP)
HPTN 063 Study Team
Author
Affilliation
University of Miami. Department of Psychology. Coral Gables, FL, USA.
University of Miami. Department of Psychology. Coral Gables, FL, USA.
Brown University. School of Public Health. Providence, RI, USA./ The Fenway Institute, Fenway Health. Boston, MA, USA.
Johns Hopkins Bloomberg. School of Public Health. Baltimore, MD, USA.
The Fenway Institute, Fenway Health. Boston, MA, USA./ London School of Hygiene & Tropical Medicine. London, UK.
Chiang Mai University. Chiang Mai, Thailand.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Centre for Infectious Disease Research in Zambia. Lusaka, Zambia.
FHI 360. Durham, NC, USA.
Chiang Mai University. Chiang Mai, Thailand.
The Fenway Institute, Fenway Health. Boston, MA, USA./ Harvard Medical School. Department of Medicine. Beth Israel Deaconess Medical Center. Boston, MA, USA.
University of Miami. Department of Psychology. Coral Gables, FL, USA./ The Fenway Institute. Fenway Health. Boston, MA, USA.
University of Miami. Department of Psychology. Coral Gables, FL, USA.
Brown University. School of Public Health. Providence, RI, USA./ The Fenway Institute, Fenway Health. Boston, MA, USA.
Johns Hopkins Bloomberg. School of Public Health. Baltimore, MD, USA.
The Fenway Institute, Fenway Health. Boston, MA, USA./ London School of Hygiene & Tropical Medicine. London, UK.
Chiang Mai University. Chiang Mai, Thailand.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Centre for Infectious Disease Research in Zambia. Lusaka, Zambia.
FHI 360. Durham, NC, USA.
Chiang Mai University. Chiang Mai, Thailand.
The Fenway Institute, Fenway Health. Boston, MA, USA./ Harvard Medical School. Department of Medicine. Beth Israel Deaconess Medical Center. Boston, MA, USA.
University of Miami. Department of Psychology. Coral Gables, FL, USA./ The Fenway Institute. Fenway Health. Boston, MA, USA.
Abstract
Purpose There have been significant biomedical improvements in the treatment and prevention of HIVover the past few decades. However, new transmissions continue to occur. Alcohol use is a known barrier to medication adherence and consistent condom use and therefore may affect treatment as prevention (TasP) efforts. The purpose of this study was to further explore how alcohol is associated with condom use and sexual transmission behavior in three international cities. Method HIV Prevention Trials Network 063 was an observational mixed-methods study of HIV-infected patients currently in care in Rio de Janeiro, Brazil; Chiang Mai, Thailand; and Lusaka, Zambia. Across these three global cities, 80 qualitative interviews were conducted from 2010 to 2012. From these interviews, quotes related to substance use, almost all of which were alcohol, were analyzed using thematic analysis to identify how the use was related to sexual transmission behaviors. Results Overall, the theme that alcohol impairs cognitive abilities emerged from the data and included the following subthemes: expectancies, impaired decision-making, loss of control, and less concern for others. Themes specific to international settings and risk subgroups were also identified. Conclusion Our analysis identified how alcohol influences sexual transmission behavior in HIV patients in three international settings. These findings may provide direction for content development for future secondary prevention interventions to effectively implement TasP internationally.
Keywords
AlcoholInternational research
Qualitative research
Sexual HIV transmission
Substance abuse
Treatment as prevention (TasP)
Publisher
Springer
Citation
ROGERS, B. G. et al. "I Wasn't in My Right Mind": Qualitative Findings on the Impact of Alcohol on Condom Use in Patients Living with HIV/AIDS in Brazil, Thailand, and Zambia (HPTN 063). International Journal of Behavioral Medicine, p. 1-11, 2018.DOI
10.1007/s12529-018-9739-7ISSN
1070-5503Notes
HPTN (HIV Prevention Trials Network) 063 was a research study to conduct the preparatory research needed to design a behavioral intervention to decrease sexual transmission risk behaviors in HIV-infected individuals in care and to determine whether a similar intervention structure could be used across various sexual risk groups and cultural settings. A total of 751 HIV-infected participants (200 MSM in Brazil and Thailand, 300 heterosexual women, and 251 heterosexual men in Brazil, Thailand and Zambia, who had reported recent (within in the last three months) HIV sexual transmission risk behavior.HPTN 063 Study Team
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