Skip to main content
Top
Published in: Current HIV/AIDS Reports 4/2023

25-05-2023 | Human Immunodeficiency Virus

Interventions to Reduce Alcohol Use and HIV Risk among Sexual and Gender Minority Populations: a Systematic Review

Authors: Carolyn Lauckner, Kimberly Haney, Fidelis Sesenu, Trace Kershaw

Published in: Current HIV/AIDS Reports | Issue 4/2023

Login to get access

Abstract

Purpose of Review

Sexual and gender minority (SGM) individuals are diagnosed with HIV at disproportionate rates, and hazardous alcohol use can increase their HIV risk. This review assessed the state of the literature examining interventions for addressing alcohol use and sexual HIV risk behaviors among SGM individuals.

Recent Findings

Fourteen manuscripts from 2012 to 2022 tested interventions that address both alcohol use and HIV risk behaviors among SGM populations, with only 7 randomized controlled trials (RCTs). Virtually all the interventions targeted men who have sex with men, with none focused on transgender populations or cisgender women. While they demonstrated some evidence of effectiveness in reducing alcohol use and/or sexual risk, the outcomes varied widely between studies.

Summary

More research is needed that tests interventions in this area, particularly for transgender individuals. The use of larger-scale RCTs with diverse populations and standardized outcome measures are needed to strengthen the evidence base.
Literature
9.
go back to reference Kalb N, Roy Gillis J, Goldstein AL. Drinking to cope with sexual minority stressors: understanding alcohol use and consequences among LGBQ emerging adults. J Gay Lesbian Ment Health. 2018;22(4):310–26.CrossRef Kalb N, Roy Gillis J, Goldstein AL. Drinking to cope with sexual minority stressors: understanding alcohol use and consequences among LGBQ emerging adults. J Gay Lesbian Ment Health. 2018;22(4):310–26.CrossRef
19.
go back to reference Scott-Sheldon LA, Carey KB, Cunningham K, Johnson BT, Carey MP, Team MR. Alcohol use predicts sexual decision-making: a systematic review and meta-analysis of the experimental literature. AIDS Behav. 2016;20(1):19–39.CrossRefPubMedCentral Scott-Sheldon LA, Carey KB, Cunningham K, Johnson BT, Carey MP, Team MR. Alcohol use predicts sexual decision-making: a systematic review and meta-analysis of the experimental literature. AIDS Behav. 2016;20(1):19–39.CrossRefPubMedCentral
23.
go back to reference Shuper PA, Joharchi N, Bogoch II, Loutfy M, Crouzat F, El-Helou P, et al. Alcohol consumption, substance use, and depression in relation to HIV Pre-Exposure Prophylaxis (PrEP) nonadherence among gay, bisexual, and other men-who-have-sex-with-men. BMC Public Health. 2020;20(1):1782. https://doi.org/10.1186/s12889-020-09883-z. Shuper PA, Joharchi N, Bogoch II, Loutfy M, Crouzat F, El-Helou P, et al. Alcohol consumption, substance use, and depression in relation to HIV Pre-Exposure Prophylaxis (PrEP) nonadherence among gay, bisexual, and other men-who-have-sex-with-men. BMC Public Health. 2020;20(1):1782. https://​doi.​org/​10.​1186/​s12889-020-09883-z.
27.
go back to reference Kidd JD, Paschen-Wolff MM, Mericle AA, Caceres BA, Drabble LA, Hughes TL. A scoping review of alcohol, tobacco, and other drug use treatment interventions for sexual and gender minority populations. J Subst Abuse Treat. 2022;133:108539.CrossRefPubMed Kidd JD, Paschen-Wolff MM, Mericle AA, Caceres BA, Drabble LA, Hughes TL. A scoping review of alcohol, tobacco, and other drug use treatment interventions for sexual and gender minority populations. J Subst Abuse Treat. 2022;133:108539.CrossRefPubMed
28.
go back to reference Dimova ED, Elliott L, Frankis J, Drabble L, Wiencierz S, Emslie C. Alcohol interventions for LGBTQ+ adults: a systematic review. Drug Alcohol Rev. 2022;41(1):43–53.CrossRefPubMed Dimova ED, Elliott L, Frankis J, Drabble L, Wiencierz S, Emslie C. Alcohol interventions for LGBTQ+ adults: a systematic review. Drug Alcohol Rev. 2022;41(1):43–53.CrossRefPubMed
29.
go back to reference Wray TB, Grin B, Dorfman L, Glynn TR, Kahler CW, Marshall BD, et al. Systematic review of interventions to reduce problematic alcohol use in men who have sex with men. Drug Alcohol Rev. 2016;35(2):148–57.CrossRefPubMed Wray TB, Grin B, Dorfman L, Glynn TR, Kahler CW, Marshall BD, et al. Systematic review of interventions to reduce problematic alcohol use in men who have sex with men. Drug Alcohol Rev. 2016;35(2):148–57.CrossRefPubMed
30.
go back to reference Herbst JH, Beeker C, Mathew A, McNally T, Passin WF, Kay LS, et al. The effectiveness of individual-, group-, and community-level HIV behavioral risk-reduction interventions for adult men who have sex with men: a systematic review. Am J Prev Med. 2007;32(4):38–67.CrossRef Herbst JH, Beeker C, Mathew A, McNally T, Passin WF, Kay LS, et al. The effectiveness of individual-, group-, and community-level HIV behavioral risk-reduction interventions for adult men who have sex with men: a systematic review. Am J Prev Med. 2007;32(4):38–67.CrossRef
31.
go back to reference Herbst JH, Sherba RT, Crepaz N, DeLuca JB, Zohrabyan L, Stall RD, et al. A meta-analytic review of HIV behavioral interventions for reducing sexual risk behavior of men who have sex with men. J Acquir Immune Defic Syndr. 2005;39(2):228–41.PubMed Herbst JH, Sherba RT, Crepaz N, DeLuca JB, Zohrabyan L, Stall RD, et al. A meta-analytic review of HIV behavioral interventions for reducing sexual risk behavior of men who have sex with men. J Acquir Immune Defic Syndr. 2005;39(2):228–41.PubMed
32.
go back to reference Garofalo R, Kuhns LM, Reisner SL, Mimiaga MJ. Behavioral interventions to prevent HIV transmission and acquisition for transgender women: a critical review. J Acquir Immune Defic Syndr. 2016;72(Suppl 3):S220.CrossRefPubMedPubMedCentral Garofalo R, Kuhns LM, Reisner SL, Mimiaga MJ. Behavioral interventions to prevent HIV transmission and acquisition for transgender women: a critical review. J Acquir Immune Defic Syndr. 2016;72(Suppl 3):S220.CrossRefPubMedPubMedCentral
33.
go back to reference Maulsby C, Millett G, Lindsey K, Kelley R, Johnson K, Montoya D, et al. A systematic review of HIV interventions for black men who have sex with men (MSM). BMC Public Health. 2013;13:1–13.CrossRef Maulsby C, Millett G, Lindsey K, Kelley R, Johnson K, Montoya D, et al. A systematic review of HIV interventions for black men who have sex with men (MSM). BMC Public Health. 2013;13:1–13.CrossRef
34.••
go back to reference Kahler CW, Pantalone DW, Mastroleo NR, Liu T, Bove G, Ramratnam B, et al. Motivational interviewing with personalized feedback to reduce alcohol use in HIV-infected men who have sex with men: a randomized controlled trial. J Consult Clin Psychol. 2018;86(8):645. This randomized controlled trial addressing alcohol use among HIV-positive MSM had significant effects on both alcohol use and sexual risk behaviors.CrossRefPubMedPubMedCentral Kahler CW, Pantalone DW, Mastroleo NR, Liu T, Bove G, Ramratnam B, et al. Motivational interviewing with personalized feedback to reduce alcohol use in HIV-infected men who have sex with men: a randomized controlled trial. J Consult Clin Psychol. 2018;86(8):645. This randomized controlled trial addressing alcohol use among HIV-positive MSM had significant effects on both alcohol use and sexual risk behaviors.CrossRefPubMedPubMedCentral
35.
go back to reference Liu Y, Vermund SH, Ruan Y, Liu H, Rivet Amico K, Simoni JM, et al. Peer counselling versus standard-of-care on reducing high-risk behaviours among newly diagnosed HIV-positive men who have sex with men in Beijing, China: a randomized intervention study. J Int AIDS Soc. 2018;21(2):e25079.CrossRefPubMedPubMedCentral Liu Y, Vermund SH, Ruan Y, Liu H, Rivet Amico K, Simoni JM, et al. Peer counselling versus standard-of-care on reducing high-risk behaviours among newly diagnosed HIV-positive men who have sex with men in Beijing, China: a randomized intervention study. J Int AIDS Soc. 2018;21(2):e25079.CrossRefPubMedPubMedCentral
36.
go back to reference Santos G-M, Coffin PO, Vittinghoff E, DeMicco E, Das M, Matheson T, et al. Substance use and drinking outcomes in Personalized Cognitive Counseling randomized trial for episodic substance-using men who have sex with men. Drug Alcohol Depend. 2014;138:234–9.CrossRefPubMedPubMedCentral Santos G-M, Coffin PO, Vittinghoff E, DeMicco E, Das M, Matheson T, et al. Substance use and drinking outcomes in Personalized Cognitive Counseling randomized trial for episodic substance-using men who have sex with men. Drug Alcohol Depend. 2014;138:234–9.CrossRefPubMedPubMedCentral
37.••
go back to reference Wray TB, Kahler CW, Simpanen EM, Operario D. A preliminary randomized controlled trial of game plan, a web application to help men who have sex with men reduce their HIV risk and alcohol use. AIDS Behav. 2019;23:1668–79. This innovative trial specifically targeted alcohol and HIV risk behaviors and led to significant improvements in both areas.CrossRefPubMedPubMedCentral Wray TB, Kahler CW, Simpanen EM, Operario D. A preliminary randomized controlled trial of game plan, a web application to help men who have sex with men reduce their HIV risk and alcohol use. AIDS Behav. 2019;23:1668–79. This innovative trial specifically targeted alcohol and HIV risk behaviors and led to significant improvements in both areas.CrossRefPubMedPubMedCentral
38.
go back to reference Kurtz SP, Stall RD, Buttram ME, Surratt HL, Chen M. A randomized trial of a behavioral intervention for high risk substance-using MSM. AIDS Behav. 2013;17:2914–26.CrossRefPubMed Kurtz SP, Stall RD, Buttram ME, Surratt HL, Chen M. A randomized trial of a behavioral intervention for high risk substance-using MSM. AIDS Behav. 2013;17:2914–26.CrossRefPubMed
39.••
go back to reference Pachankis JE, Hatzenbuehler ML, Rendina HJ, Safren SA, Parsons JT. LGB-affirmative cognitive-behavioral therapy for young adult gay and bisexual men: a randomized controlled trial of a transdiagnostic minority stress approach. J Consult Clin Psychol. 2015;83(5):875. This randomized controlled trial with young adult sexual minority cisgender men had significant effects on both alcohol use and sexual risk behaviors.CrossRefPubMedPubMedCentral Pachankis JE, Hatzenbuehler ML, Rendina HJ, Safren SA, Parsons JT. LGB-affirmative cognitive-behavioral therapy for young adult gay and bisexual men: a randomized controlled trial of a transdiagnostic minority stress approach. J Consult Clin Psychol. 2015;83(5):875. This randomized controlled trial with young adult sexual minority cisgender men had significant effects on both alcohol use and sexual risk behaviors.CrossRefPubMedPubMedCentral
40.••
go back to reference Santos G-M, Coffin P, Santos D, Huffaker S, Matheson T, Euren J, et al. Feasibility, acceptability and tolerability of targeted naltrexone for non-dependent methamphetamine-using and binge-drinking men who have sex with men. J Acquir Immune Defic Syndr. 2016;72(1):21. This randomized controlled trial represents the only reviewed study that utilized medications for substance use disorder and found significant effects on both alcohol use and sexual risk behaviors.CrossRefPubMedPubMedCentral Santos G-M, Coffin P, Santos D, Huffaker S, Matheson T, Euren J, et al. Feasibility, acceptability and tolerability of targeted naltrexone for non-dependent methamphetamine-using and binge-drinking men who have sex with men. J Acquir Immune Defic Syndr. 2016;72(1):21. This randomized controlled trial represents the only reviewed study that utilized medications for substance use disorder and found significant effects on both alcohol use and sexual risk behaviors.CrossRefPubMedPubMedCentral
41.
go back to reference Chavez K, Palfai TP. Feasibility of a mobile messaging-enhanced brief intervention for high risk heavy drinking MSM: a pre-pilot study. Alcohol Treat Q. 2020;38(1):87–105.CrossRefPubMed Chavez K, Palfai TP. Feasibility of a mobile messaging-enhanced brief intervention for high risk heavy drinking MSM: a pre-pilot study. Alcohol Treat Q. 2020;38(1):87–105.CrossRefPubMed
42.
go back to reference Carrico AW, Flentje A, Gruber VA, Woods WJ, Discepola MV, Dilworth SE, et al. Community-based harm reduction substance abuse treatment with methamphetamine—using men who have sex with men. J Urban Health. 2014;91:555–67.CrossRefPubMedPubMedCentral Carrico AW, Flentje A, Gruber VA, Woods WJ, Discepola MV, Dilworth SE, et al. Community-based harm reduction substance abuse treatment with methamphetamine—using men who have sex with men. J Urban Health. 2014;91:555–67.CrossRefPubMedPubMedCentral
43.
go back to reference Williams PP, Carney T, Parry CD. Reducing substance use and sexual risk behaviour among men who have sex with men in South Africa. S Afr J Sci. 2016;112(9–10):1–5. Williams PP, Carney T, Parry CD. Reducing substance use and sexual risk behaviour among men who have sex with men in South Africa. S Afr J Sci. 2016;112(9–10):1–5.
44.
go back to reference Reback CJ, Fletcher JB. Outcomes from a homegrown HIV prevention program for extremely high-risk, substance-using men who have sex with men with multiple health disparities. J Gay Lesbian Soc Serv. 2017;29(2):167–81.CrossRefPubMedPubMedCentral Reback CJ, Fletcher JB. Outcomes from a homegrown HIV prevention program for extremely high-risk, substance-using men who have sex with men with multiple health disparities. J Gay Lesbian Soc Serv. 2017;29(2):167–81.CrossRefPubMedPubMedCentral
45.
go back to reference Smith NG, Hart TA, Kidwai A, Vernon JR, Blais M, Adam B. Results of a pilot study to ameliorate psychological and behavioral outcomes of minority stress among young gay and bisexual men. Behav Ther. 2017;48(5):664–77.CrossRefPubMed Smith NG, Hart TA, Kidwai A, Vernon JR, Blais M, Adam B. Results of a pilot study to ameliorate psychological and behavioral outcomes of minority stress among young gay and bisexual men. Behav Ther. 2017;48(5):664–77.CrossRefPubMed
46.
go back to reference Hart TA, Noor SW, Vernon JR, Antony MM, Gardner S, O’Cleirigh C. Integrated cognitive-behavioral therapy for social anxiety and HIV/STI prevention for gay and bisexual men: a pilot intervention trial. Behav Ther. 2020;51(3):503–17.CrossRefPubMed Hart TA, Noor SW, Vernon JR, Antony MM, Gardner S, O’Cleirigh C. Integrated cognitive-behavioral therapy for social anxiety and HIV/STI prevention for gay and bisexual men: a pilot intervention trial. Behav Ther. 2020;51(3):503–17.CrossRefPubMed
47.
go back to reference Lelutiu-Weinberger C, Pachankis JE, Gamarel KE, Surace A, Golub SA, Parsons JT. Feasibility, acceptability, and preliminary efficacy of a live-chat social media intervention to reduce HIV risk among young men who have sex with men. AIDS Behav. 2015;19:1214–27.CrossRefPubMedPubMedCentral Lelutiu-Weinberger C, Pachankis JE, Gamarel KE, Surace A, Golub SA, Parsons JT. Feasibility, acceptability, and preliminary efficacy of a live-chat social media intervention to reduce HIV risk among young men who have sex with men. AIDS Behav. 2015;19:1214–27.CrossRefPubMedPubMedCentral
Metadata
Title
Interventions to Reduce Alcohol Use and HIV Risk among Sexual and Gender Minority Populations: a Systematic Review
Authors
Carolyn Lauckner
Kimberly Haney
Fidelis Sesenu
Trace Kershaw
Publication date
25-05-2023
Publisher
Springer US
Published in
Current HIV/AIDS Reports / Issue 4/2023
Print ISSN: 1548-3568
Electronic ISSN: 1548-3576
DOI
https://doi.org/10.1007/s11904-023-00660-2

Other articles of this Issue 4/2023

Current HIV/AIDS Reports 4/2023 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.