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AIDS and Behavior
Published in: AIDS and Behavior 10/2014

01-10-2014 | Original Paper

Alcohol and Sexual Risk Reduction Interventions Among People Living in Russia: A Systematic Review and Meta-analysis

Authors: Chiao-Wen Lan, Lori A. J. Scott-Sheldon, Kate B. Carey, Blair T. Johnson, Michael P. Carey

Published in: AIDS and Behavior | Issue 10/2014

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Abstract

Russia has one of the highest rates of alcohol consumption and is experiencing one of the fastest-growing HIV epidemics in the world. Given these co-occurring health problems, we systematically reviewed combined alcohol and sexual risk interventions to reduce HIV among Russians. We completed comprehensive electronic searches to locate studies that (a) sampled people living in Russia, (b) used a behavioral intervention, and (c) assessed both alcohol and sexual risk behavior. These searches yielded 584 studies, of these, two were included. Compared with controls, intervention participants reported increasing their condom use (ds ranged from 0.12 to 0.85). Within-group improvements in sexual behaviors were found for both groups (ds ranged from 0.19 to 1.94); participants reported fewer sexual partners, more condom use, and reduced alcohol or drug use before sex. These findings support the need and potential benefits for alcohol and HIV interventions among Russians, and suggest directions for public policy.
Literature
1.
2.
3.
Amirkhanian YA, Tiunov DV, Kelly JA. Risk factors for HIV and other sexually transmitted diseases among adolescents in St. Petersburg, Russia. Fam Plann Perspect. 2001;33(3):106–12.PubMedCrossRef
4.
Rhodes T, Ball A, Stimson GV, Kobyshcha Y, Fitch C, Pokrovsky V, et al. HIV infection associated with drug injecting in the newly independent states, eastern Europe: the social and economic context of epidemics. Addiction. 1999;94(9):1323–36.PubMedCrossRef
5.
6.
Kon IS. Russia. In: West D, Green R, editors. Sociolegal control of homosexuality: a multi-nation comparison. New York: Plenum Press; 2002.
7.
Lowndes CM, Alary M. Injection drug use, commercial sex work, and the HIV/STI epidemic in the russian federation. Sex Transm Dis. 2003;30(1):46–8.PubMedCrossRef
8.
Federal AIDS Centre. HIV infection: Informational Bulletin No. 20. 2002.
9.
Dehne K, Khodakevich L, Hamers FF, Schwartlander B. The HIV/AIDS epidemic in eastern Europe: recent patterns and trends and their implication for policy-making. AIDS. 1999;13:741–9.PubMedCrossRef
10.
Dehne K, Pokrovsky V, Kobyshcha Y, Schwartlander B. Update on the epidemics of HIV and other sexually transmitted infections in the newly independent states of the Soviet Union. AIDS. 2000;14(suppl 3):S75–84.PubMed
11.
12.
World Health Organization. Russian Federation: summary country profile for HIV/AIDS treatment scale-up. 2010.
13.
14.
Wall M, Tkatchenko-Schmidt E, Renton A. Sexual behaviour in Russia: who exhibits a higher risk? Evidence from longitudinal data. Int J STD AIDS. 2006;17(11):759–63.PubMedCrossRef
15.
Zebzeeva G. HIV epidemiological situation in the Orenburg region as of 1 January 2007. Presentation to Regional Monitoring and Evaluation Workshop, 5–7 June 2007 Orenburg, Regional Centre for Preventing and Combating AIDS and Infectious Diseases Presentation to “Mapping the AIDS pandemic” meeting 30 June, Moscow; 2007.
16.
World Health Organization. Risk factors impacting on the spread of HIV among pregnant women in the Russian federation. Geneva: WHO Press; 2007.
17.
Burchell AN, Calzavara LM, Orekhovsky V, Ladnaya NN. Characterization of an emerging heterosexual HIV epidemic in Russia. Sex Trasm Dis. 2008;35(9):807–13.CrossRef
18.
Toussova O, Shcherbakova I, Volkova G, Niccolai L, Heimer R, Kozlov A. Potential bridges of heterosexual HIV transmission from drug users to the general population in St. Petersburg, Russia: is it easy to be a young female? J Urban Health. 2009;86(Suppl 1):121–30.PubMedCrossRefPubMedCentral
19.
Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2095–128.PubMedCrossRef
20.
Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet. 2009;373(9682):2223–33.PubMedCrossRef
21.
Pomerleau J, McKee M, Rose R, Haerpfer CW, Rotman D, Tumanov S. Hazardous alcohol drinking in the former Soviet Union: a cross-sectional study of eight countries. Alcohol Alcohol. 2008;43(3):351–9.PubMedCrossRef
22.
23.
24.
Fisher JC, Bang H, Kapiga SH. The association between HIV infection and alcohol use: a systematic review and meta-analysis of African studies. Sex Transm Dis. 2007;34(11):856–63.PubMedCrossRef
25.
Fortenberry JD, Orr DP, Katz BP, Brizendine EJ, Blythe MJ. Sex under the influence. A diary self-report study of substance use and sexual behavior among adolescent women. Sex Transm Dis. 1997;24(6):313–9.PubMedCrossRef
26.
Irwin TW, Morgenstern J, Parsons JT, Wainberg M, Labouvie E. Alcohol and sexual HIV risk behavior among problem drinking men who have sex with men: an event level analysis of timeline followback data. AIDS Behav. 2006;10(3):299–307.PubMedCrossRef
27.
Kalichman SC, Simbayi LC, Kaufman M, Cain D, Jooste S. Alcohol use and sexual risks for HIV/AIDS in sub-Saharan Africa: systematic review of empirical findings. Prev Sci. 2007;8(2):141–51.PubMedCrossRef
28.
Kalichman SC, Weinhardt L, DiFonzo K, Austin J, Luke W. Sensation seeking and alcohol use as markers of sexual transmission risk behavior in HIV-positive men. Ann Behav Med. 2002;24(3):229–35.PubMedCrossRef
29.
Morojele NK, Kachieng’a MA, Mokoko E, Nkoko MA, Parry CD, Nkowane AM, et al. Alcohol use and sexual behaviour among risky drinkers and bar and shebeen patrons in Gauteng province, South Africa. Soc Sci Med. 2006;62(1):217–27.PubMedCrossRef
30.
Rhodes T, Cusick L. Accounting for unprotected sex: stories of agency and acceptability. Soc Sci Med. 2002;55(2):211–26.PubMedCrossRef
31.
Shuper PA, Neuman M, Kanteres F, Baliunas D, Joharchi N, Rehm J. Causal considerations on alcohol and HIV/AIDS—a systematic review. Alcohol Alcohol. 2010;45(2):159–66.PubMedCrossRef
32.
Baliunas D, Rehm J, Irving H, Shuper P. Alcohol consumption and risk of incident human immunodeficiency virus infection: a meta-analysis. Int J Public Health. 2010;55(3):159–66.PubMedCrossRef
33.
Abdala N, White E, Toussova OV, Krasnoselskikh TV, Verevochkin S, Kozlov AP, et al. Comparing sexual risks and patterns of alcohol and drug use between injection drug users (IDUs) and non-IDUs who report sexual partnerships with IDUs in St. Petersburg, Russia. BMC Public Health. 2010;10:676.PubMedCrossRefPubMedCentral
34.
Abdala N, Grau LE, Zhan W, Shaboltas AV, Skochilov RV, Kozlov AP, et al. Inebriation, drinking motivations and sexual risk taking among sexually transmitted disease clinic patients in St. Petersburg, Russia. AIDS Behav. 2013;17(3):1144–50.PubMedCrossRefPubMedCentral
35.
National Institute on Alcohol Abuse and Alcoholism. The physicians’ guide to helping patients with alcohol problems. US Department of Health and Human Services. 1995.
36.
Pace CA, Lioznov D, Cheng DM, Wakeman SE, Raj A, Walley AY, et al. Sexually transmitted infections among HIV-infected heavy drinkers in St Petersburg, Russia. Int J STD AIDS. 2012;23(12):853–8.PubMedCrossRefPubMedCentral
37.
38.
Rosenthal R. The “file-drawer” problem and tolerance for null results. Psychol Bull. 1979;86:638–41.CrossRef
39.
Samet J, Krupitsky E, Cheng D, Raj A, Egorova V, Levenson S, et al. Mitigating risky sexual behaviors among Russian narcology hospital patients: the PREVENT (Partnership to Reduce the Epidemic Via Engagement in Narcology Treatment) randomized controlled trial. Addiction. 2008;103(9):1474–83.PubMedCrossRefPubMedCentral
40.
Raj A, Cheng DM, Krupitsky EM, Coleman S, Bridden C, Samet JH. Correlates of any condom use among Russian narcology patients reporting recent unprotected sex. AIDS Behav. 2009;13(2):310–7.PubMedCrossRefPubMedCentral
41.
Walley A, Krupitsky E, Cheng D, Raj A, Edwards E, Bridden C, et al. Implications of cannabis use and heavy alcohol use on HIV drug risk behaviors in Russian heroin users. AIDS Behav. 2008;12(4):662–9.PubMedCrossRefPubMedCentral
42.
Abdala N, Zhan W, Shaboltas AV, Skochilov RV, Kozlov AP, Krasnoselskikh TV. Efficacy of a brief HIV prevention counseling intervention among STI clinic patients in Russia: a randomized controlled trial. AIDS Behav. 2013;17(3):1016–24.PubMedCrossRefPubMedCentral
43.
Zhan W, Shaboltas AV, Skochilov RV, Kozlov AP, Krasnoselskikh TV, Abdala N. Depressive symptoms and unprotected sex in St. Petersburg, Russia. J Psychosom Res. 2012;72(5):371–5.PubMedCrossRefPubMedCentral
44.
Zhan W, Shaboltas AV, Skochilov RV, Kozlov AP, Krasnoselskikh TV, Abdala N. Gender differences in the relationship between alcohol use and depressive symptoms in St. Petersburg, Russia. J Addict Res Ther. 2012;3(2).
45.
Raj A, Cheng DM, Krupitsky EM, Levenson S, Egorova VY, Meli S, et al. Binge drinking and unsafe sex: a study of narcology hospital patients from St. Petersburg, Russia. Subst Abus. 2009;30(3):213–22.PubMedCrossRefPubMedCentral
46.
Cohen J. Statistical power analysis of the behavioral sciences. 2nd ed. Hillsdale: Lawrence Erlbaum; 1998.
47.
Morris SB, DeShon RP. Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs. Psychol Methods. 2002;7(1):105–25.PubMedCrossRef
48.
Sanchez-Meca J, Marin-Martinez F, Chacon-Moscoso S. Effect-size indices for dichotomized outcomes in meta-analysis. Psychol Methods. 2003;8(4):448–67.PubMedCrossRef
49.
Borenstein M, Hedges LV, Higgins JPT, Rothstein HR. Introduction to meta-analysis. Hoboken: Wiley; 2009.CrossRef
50.
Lipsey MW, Wilson DB. Practical meta-analysis. Thousand Oaks: Sage; 2001.
51.
StataCorp. Stata Statistical Software: Release 12. College Station, TX: StataCorp2011.
52.
Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996;17(1):1–12.PubMedCrossRef
53.
Downs SH, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health. 1998;52(6):377–84.PubMedCrossRefPubMedCentral
54.
55.
Kamb ML, Fishbein M, Douglas JM Jr, Rhodes F, Rogers J, Bolan G, et al. Efficacy of risk-reduction counseling to prevent human immunodeficiency virus and sexually transmitted diseases. JAMA. 1998;280(13):1161–7.PubMedCrossRef
56.
Ajzen I, Fishbein M. Understanding attitudes and predicting social behaviour. Englewood Cliffs: Prentice-Hall; 1980.
57.
58.
Albarracin D, Gillette JC, Earl AN, Glasman LR, Durantini MR, Ho MH. A test of major assumptions about behavior change: a comprehensive look at the effects of passive and active HIV-prevention interventions since the beginning of the epidemic. Psychol Bull. 2005;131:856–97.PubMedCrossRefPubMedCentral
59.
Crepaz N, Lyles CM, Wolitski RJ, Passin WF, Rama SM, Herbst JH, et al. Do prevention interventions reduce HIV risk behaviours among people living with HIV? A meta-analytic review of controlled trials. AIDS. 2006;20(2):143–57.PubMedCrossRef
60.
61.
Jones BT. Changing alcohol expectancies: techniques for altering motivations for drinking. In: Cox WM, Klinger E, editors. Handbook of motivational counseling: concepts, approaches, and assessment. Hoboken: Wiley; 2004.
62.
Johnson BT, Redding CA, DiClemente RJ, Mustanski BS, Dodge B, Sheeran P, et al. A network-individual-resource model for HIV prevention. AIDS Behav. 2010;14(Suppl 2):204–21.PubMedCrossRef
63.
Noar SM. Behavioral interventions to reduce HIV-related sexual risk behavior: review and synthesis of meta-analytic evidence. AIDS Behav. 2008;12(3):335–53.PubMedCrossRef
64.
Sorensen JL, Copeland AL. Drug abuse treatment as an HIV prevention strategy: a review. Drug Alcohol Depend. 2000;59(1):17–31.PubMedCrossRef
65.
Kalichman SC, Simbayi LC, Vermaak R, Cain D, Smith G, Mthebu J, et al. Randomized trial of a community-based alcohol-related HIV risk-reduction intervention for men and women in Cape Town South Africa. Ann Behav Med. 2008;36(3):270–9.PubMedCrossRef
66.
Kalichman SC, Simbayi LC, Vermaak R, Cain D, Jooste S, Peltzer K. HIV/AIDS risk reduction counseling for alcohol using sexually transmitted infections clinic patients in Cape Town, South Africa. J Acquir Immune Defic Syndr. 2007;44(5):594–600.PubMedCrossRef
67.
Schroder KE, Carey MP, Vanable PA. Methodological challenges in research on sexual risk behavior: II. Accuracy of self-reports. Ann Behav Med. 2003;26(2):104–23.PubMedCrossRefPubMedCentral
68.
Valentine JC, Pigott TD, Rothstein HR. How many studies do you need? A primer on statistical power for meta-analysis. J Educ Behav Stat. 2010;35(2):215–47.CrossRef
69.
Cooper HM, Rosenthal R. Statistical versus traditional procedures for summarizing research findings. Psychol Bull. 1980;87(3):442–9.PubMedCrossRef
70.
71.
72.
73.
World Health Organization. AUIDT: The Alcohol Use Disorders Identification Test, guidelines for use in primary care. 2nd ed. Geneva, Switzerland: World Health Organization; 2001.
Metadata
Title
Alcohol and Sexual Risk Reduction Interventions Among People Living in Russia: A Systematic Review and Meta-analysis
Authors
Chiao-Wen Lan
Lori A. J. Scott-Sheldon
Kate B. Carey
Blair T. Johnson
Michael P. Carey
Publication date
01-10-2014
Publisher
Springer US
Published in
AIDS and Behavior / Issue 10/2014
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-013-0615-9

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