“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)

© 2018, International Society of Behavioral Medicine. Purpose: There have been significant biomedical improvements in the treatment and prevention of HIV over the past few decades. However, new transmissions continue to occur. Alcohol use is a known barrier to medication adherence and consistent con...

Full description

Saved in:
Bibliographic Details
Main Authors: Brooke G. Rogers, Noelle A. Mendez, Matthew J. Mimiaga, Susan G. Sherman, Elizabeth F. Closson, Arunrat Tangmunkongvorakul, Ruth K. Friedman, Mohammed Limbada, Ayana T. Moore, Kriengkrai Srithanaviboonchai, Kenneth H. Mayer, Steven A. Safren
Format: Journal
Published: 2018
Subjects:
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85051854198&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/59154
Tags: Add Tag
No Tags, Be the first to tag this record!
Institution: Chiang Mai University
id th-cmuir.6653943832-59154
record_format dspace
spelling th-cmuir.6653943832-591542018-09-05T04:40:08Z “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) Brooke G. Rogers Noelle A. Mendez Matthew J. Mimiaga Susan G. Sherman Elizabeth F. Closson Arunrat Tangmunkongvorakul Ruth K. Friedman Mohammed Limbada Ayana T. Moore Kriengkrai Srithanaviboonchai Kenneth H. Mayer Steven A. Safren Psychology © 2018, International Society of Behavioral Medicine. Purpose: There have been significant biomedical improvements in the treatment and prevention of HIV over 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. 2018-09-05T04:40:08Z 2018-09-05T04:40:08Z 2018-01-01 Journal 10705503 2-s2.0-85051854198 10.1007/s12529-018-9739-7 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85051854198&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/59154
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Psychology
spellingShingle Psychology
Brooke G. Rogers
Noelle A. Mendez
Matthew J. Mimiaga
Susan G. Sherman
Elizabeth F. Closson
Arunrat Tangmunkongvorakul
Ruth K. Friedman
Mohammed Limbada
Ayana T. Moore
Kriengkrai Srithanaviboonchai
Kenneth H. Mayer
Steven A. Safren
“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)
description © 2018, International Society of Behavioral Medicine. Purpose: There have been significant biomedical improvements in the treatment and prevention of HIV over 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.
format Journal
author Brooke G. Rogers
Noelle A. Mendez
Matthew J. Mimiaga
Susan G. Sherman
Elizabeth F. Closson
Arunrat Tangmunkongvorakul
Ruth K. Friedman
Mohammed Limbada
Ayana T. Moore
Kriengkrai Srithanaviboonchai
Kenneth H. Mayer
Steven A. Safren
author_facet Brooke G. Rogers
Noelle A. Mendez
Matthew J. Mimiaga
Susan G. Sherman
Elizabeth F. Closson
Arunrat Tangmunkongvorakul
Ruth K. Friedman
Mohammed Limbada
Ayana T. Moore
Kriengkrai Srithanaviboonchai
Kenneth H. Mayer
Steven A. Safren
author_sort Brooke G. Rogers
title “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)
title_short “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)
title_full “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)
title_fullStr “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)
title_full_unstemmed “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)
title_sort “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)
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85051854198&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/59154
_version_ 1681425198739357696