Multilevel and Multifactorial Interventions to Reduce Alcohol Consumption and Improve ART Adherence and Related Factors Among HIV Positive Men in Mumbai, India
| العنوان: | Multilevel and Multifactorial Interventions to Reduce Alcohol Consumption and Improve ART Adherence and Related Factors Among HIV Positive Men in Mumbai, India |
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| المؤلفون: | Kavita Joshi, Toan Ha, Joseph A. Burleson, Rupal Malye, Sushma S. Gaikwad, Avina Sarna, Jean J. Schensul, James J. Grady, Stephen L. Schensul |
| المصدر: | AIDS and Behavior. 25:290-301 |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Social Psychology, Transmission (medicine), business.industry, Public health, Social change, Public Health, Environmental and Occupational Health, Psychological intervention, Stigma (botany), Health psychology, Infectious Diseases, Environmental health, medicine, business, Psychosocial, Depression (differential diagnoses) |
| الوصف: | Alcohol use has a deleterious effect on the health status of persons living with HIV, negatively affecting antiretroviral adherence and increasing the risk of transmission. Alcohol use is not an isolated behavior but intimately linked to stigma and poor psychological status among other factors. This paper utilizes a crossover design to test the efficacy of three multilevel interventions, individual counselling (IC), group intervention (GI) and collective advocacy (CA) for change, among HIV positive males who consume alcohol, treated at five ART Centers in urban Maharashtra, India. While GI shows a significant effect on the largest number of outcome variables, IC through its psychosocial emphasis demonstrated a significant impact over time on stigma and depression, and CA with its emphasis on societal change showed positive impact on stigma and advocacy for self and others. Each of the interventions had variable effects on CD4 count and viral load.Clinical Registration Number: NCT03746457; Clinical Trial.Gov. |
| تدمد: | 1573-3254 1090-7165 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::1673e911f37cc49b1afc14f9a64afa4d https://doi.org/10.1007/s10461-021-03303-y |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........1673e911f37cc49b1afc14f9a64afa4d |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 15733254 10907165 |
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