Evaluating the effects of two alcohol reduction counseling interventions on intimate partner violence perpetration: secondary analysis of a three‐arm randomized controlled trial among Vietnamese men with HIV
| Autor: | Tran Viet Ha, Suzanne Maman, Heidi E. Hutton, Geetanjali Chander, Rebecca B. Hershow, H Luz McNaughton Reyes, Nguyen Vu Tuyet Mai, Vivian F. Go, David W. Dowdy, Carl A. Latkin, Audrey Pettifor, Constantine Frangakis, Teerada Sripaipan |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Psychological intervention Intimate Partner Violence 030508 substance abuse Medicine (miscellaneous) HIV Infections Motivational Interviewing law.invention 03 medical and health sciences 0302 clinical medicine Asian People Acquired immunodeficiency syndrome (AIDS) Randomized controlled trial Behavior Therapy law medicine Humans 030212 general & internal medicine Psychiatry Conflict tactics scale business.industry Motivational enhancement therapy medicine.disease Cognitive behavioral therapy Psychiatry and Mental health Brief intervention 0305 other medical science business Psychosocial |
| Zdroj: | Addiction. 116:2712-2723 |
| ISSN: | 1360-0443 0965-2140 |
| DOI: | 10.1111/add.15496 |
| Popis: | Background and aims Evidence suggests that alcohol reduction interventions decrease intimate partner violence (IPV) perpetration, although this remains untested in low- and middle-income countries and among men with human immunodeficiency virus (HIV). This study evaluates the effectiveness of alcohol reduction counseling interventions on IPV perpetration among men on antiretroviral therapy (ART) and tests whether alcohol use explains the intervention effects. Design Secondary analysis of data from a three-arm randomized controlled trial among ART patients with hazardous alcohol use. Participants were recruited from March 2016 through May 2017. Setting Thai Nguyen, Vietnam. Participants Male participants (n=426). Interventions and comparators Participants received a two-session Brief Intervention (BI), a six-session Combined Intervention (CoI), or the standard of care (SOC) comprising alcohol treatment referrals. Alcohol reduction counseling interventions were guided by Cognitive Behavioral Therapy and Motivational Enhancement Therapy. They were delivered by psychosocial counselors over 3 months. Measurements IPV perpetration was measured using shortened Conflict Tactics Scale 2 and alcohol use was measured using Timeline Followback. Findings BI and CoI participants reported reduced IPV perpetration at 3 months compared with SOC participants (BI: adjusted odds ratio [aOR]=0.27, 95% Confidence Interval [CI] 0.11, 0.65; CoI: aOR=0.50, 95% CI 0.22, 1.13); the association was only significant for the BI group. Intervention effects were not sustained at 6 and 12 months. There was little evidence that alcohol use acted as a mediator (Indirect effect, BI: aOR=0.84, 95% CI 0.63, 1.04; Indirect effect, CoI: aOR=0.86, 95% CI 0.66, 1.03). Conclusions Among Vietnamese men receiving antiretroviral therapy, alcohol reduction counseling interventions appeared to reduce intimate partner violence perpetration immediately post-intervention but reductions were not sustained at 6 and 12 months and were not explained by alcohol reduction. |
| Databáze: | OpenAIRE |
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