"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).

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dc.contributor.affiliationDepartment of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Coral Gables, FL, 33146, USA.
dc.contributor.affiliationDepartment of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Coral Gables, FL, 33146, USA. brooke.rogers@miami.edu.
dc.contributor.affiliationThe Fenway Institute, Fenway Health, Boston, MA, 02215, USA.
dc.contributor.affiliationJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.
dc.contributor.affiliationFHI 360, Durham, NC, 27701, USA.
dc.contributor.affiliationLondon School of Hygiene & Tropical Medicine, London, UK.
dc.contributor.affiliationDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02215, USA.
dc.contributor.affiliationInstituto de Pesquisa Clínica Evandro Chagas-Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.
dc.contributor.affiliationSchool of Public Health, Brown University, Providence, RI, 02903, USA.
dc.contributor.affiliationDepartment of Psychology, University of Miami, 5665 Ponce de Leon Blvd, Coral Gables, FL, 33146, USA. ssafren@miami.edu.
dc.contributor.affiliationThe Fenway Institute, Fenway Health, Boston, MA, 02215, USA. ssafren@miami.edu.
dc.contributor.affiliationChiang Mai University, Chiang Mai, Thailand.
dc.contributor.affiliationCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
dc.contributor.affiliationCIDRZ
dc.contributor.affiliationCentre for Infectious Disease Research in Zambia (CIDRZ)
dc.contributor.authorRogers BG
dc.contributor.authorMendez NA
dc.contributor.authorMimiaga MJ
dc.contributor.authorSherman SG
dc.contributor.authorClosson EF
dc.contributor.authorTangmunkongvorakul A
dc.contributor.authorFriedman RK
dc.contributor.authorLimbada M
dc.contributor.authorMoore AT
dc.contributor.authorSrithanaviboonchai K
dc.contributor.authorMayer KH
dc.contributor.authorSafren SA
dc.date.accessioned2025-05-23T11:41:30Z
dc.date.issued2019-Feb
dc.description.abstractPURPOSE: 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.
dc.identifier.doi10.1007/s12529-018-9739-7
dc.identifier.urihttps://pubs.cidrz.org/handle/123456789/10495
dc.sourceInternational journal of behavioral medicine
dc.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).

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