Institute for Mental Health Policy Research and Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health (CAMH), 33 Russell Street, Toronto, ON, M5S 2S1, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
AIDS Behav. 2021 Dec;25(Suppl 3):365-380. doi: 10.1007/s10461-021-03302-z. Epub 2021 May 13.
HIV secondary prevention focuses on averting onward HIV transmission, which can be realized when people living with HIV enact requisite HIV care continuum-related behaviors to achieve viral suppression, and engage in condom-protected sex when virally unsuppressed. Alcohol has been detrimentally linked to all aspects of HIV secondary prevention, and although a growing number of behavioral interventions account for and address alcohol use within this realm, further efforts are needed to fully realize the potential of such initiatives. The present article proposes a series of targeted priorities to inform the future design, implementation, and evaluation of alcohol-related behavioral intervention research within the scope of HIV secondary prevention. These priorities and corresponding approaches account for the challenges of resource-constrained clinic environments; capitalize on technology; and address key comorbidities. This framework provides the foundation for a range of alcohol-related behavioral interventions that could potentially enhance global HIV secondary prevention efforts in the years ahead.
艾滋病毒二级预防的重点在于避免艾滋病毒的进一步传播，当艾滋病毒感染者采取必要的艾滋病毒护理连续体相关行为以实现病毒抑制，并在病毒未受抑制时进行安全套保护的性行为时，就可以实现这一目标。酒精与艾滋病毒二级预防的各个方面都有不利联系，尽管越来越多的行为干预措施在这一领域中考虑并解决了酒精的使用问题，但仍需要进一步努力，以充分发挥这些举措的潜力。本文提出了一系列有针对性的优先事项，以告知在艾滋病毒二级预防范围内开展与酒精相关的行为干预研究的未来设计、实施和评估。这些优先事项和相应的方法考虑到了资源有限的诊所环境的挑战；利用技术；并解决了主要的合并症。该框架为一系列与酒精相关的行为干预措施提供了基础，这些措施有可能在未来几年加强全球艾滋病毒二级预防工作。
