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

Interventions to Reduce Alcohol Use and HIV Risk among Sexual and Gender Minority Populations: a Systematic Review.
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DOI:
10.1007/s11904-023-00660-2
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发表时间:
2023-08
影响因子:
4.6
通讯作者:
--
中科院分区:
医学2区
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--
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性少数群体和性别少数群体(SGM)被诊断感染艾滋病毒的比例过高,危险饮酒会增加他们感染艾滋病毒的风险。本综述评估了研究在SGM个体中解决酒精使用和性艾滋病毒风险行为的干预措施的文献状况。2012年至2022年的14篇论文测试了针对SGM人群酒精使用和艾滋病毒风险行为的干预措施,其中只有7项随机对照试验(rct)。几乎所有的干预措施都针对男男性行为者,没有针对跨性别人群或无性别女性。虽然他们证明了一些证据在减少酒精使用和/或性风险方面的有效性,但不同研究的结果差异很大。需要更多的研究来测试这一领域的干预措施,特别是针对跨性别者。需要使用不同人群的大规模随机对照试验和标准化的结果测量来加强证据基础。
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. 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. 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.
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