TY - JOUR
T1 - Evaluating the effects of two alcohol reduction counseling interventions on intimate partner violence perpetration
T2 - secondary analysis of a three-arm randomized controlled trial among Vietnamese men with HIV
AU - Hershow, Rebecca B.
AU - Reyes, H. Luz Mc Naughton
AU - Ha, Tran Viet
AU - Chander, Geetanjali
AU - Mai, Nguyen Vu Tuyet
AU - Sripaipan, Teerada
AU - Dowdy, David W.
AU - Latkin, Carl
AU - Hutton, Heidi E.
AU - Pettifor, Audrey
AU - Maman, Suzanne
AU - Frangakis, Constantine
AU - Go, Vivian F.
N1 - Publisher Copyright:
© 2021 Society for the Study of Addiction
PY - 2021/10
Y1 - 2021/10
N2 - 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 anti-retroviral 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 to May 2017. Setting: Thai Nguyen, Vietnam. Participants, interventions and comparators: Male participants (n = 426). 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 delivered by psychosocial counselors over 3 months. Measurements: IPV perpetration was measured using the 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 anti-retroviral 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.
AB - 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 anti-retroviral 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 to May 2017. Setting: Thai Nguyen, Vietnam. Participants, interventions and comparators: Male participants (n = 426). 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 delivered by psychosocial counselors over 3 months. Measurements: IPV perpetration was measured using the 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 anti-retroviral 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.
KW - Alcohol
KW - HIV/AIDS
KW - Vietnam
KW - global health
KW - intervention evaluation
KW - intimate partner violence
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U2 - 10.1111/add.15496
DO - 10.1111/add.15496
M3 - Article
C2 - 33788329
AN - SCOPUS:85114249574
SN - 0965-2140
VL - 116
SP - 2712
EP - 2723
JO - Addiction
JF - Addiction
IS - 10
ER -