Men Who Have Sex With Men in Peru: Acceptability of Medication-Assisted Therapy for Treating Alcohol Use Disorders

被引：15

作者：

Brown, Shan-Estelle ^{[1
]}

Vagenas, Panagiotis ^{[1
]}

Konda, Kelika A. ^{[2
]}

Clark, Jesse L. ^{[2
]}

Lama, Javier R. ^{[3
]}

Gonzales, Pedro ^{[3
]}

Sanchez, Jorge ^{[3
]}

Duerr, Ann C. ^{[4
]}

Altice, Frederick L. ^{[1
,5
]}

机构：

[1] Yale Sch Med, New Haven, CT USA

[2] Univ Calif Los Angeles, David Geffen Sch Med, Los Angeles, CA 90095 USA

[3] Asociac Civil Impacta Salud & Educ, Lima, Peru

[4] Fred Hutchinson Canc Res Ctr, 1124 Columbia St, Seattle, WA 98104 USA

[5] Yale Sch Publ Hlth, New Haven, CT USA

来源：

AMERICAN JOURNAL OF MENS HEALTH | 2017年 / 11卷 / 04期

关键词：

men who have sex with men; alcohol use disorders; HIV; substance abuse treatment; medication-assisted therapy; Peru; treatment acceptability; RANDOMIZED CONTROLLED-TRIAL; SEXUALLY-TRANSMITTED INFECTIONS; EXTENDED-RELEASE NALTREXONE; HIV TREATMENT OUTCOMES; ANTIRETROVIRAL THERAPY; DEPENDENT PATIENTS; BRIEF INTERVENTIONS; SUBSTANCE-USE; DRINKING; PHARMACOTHERAPIES;

D O I：

10.1177/1557988315576775

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

100235 [预防医学];

摘要：

In Peru, the HIV epidemic is concentrated in men who have sex with men (MSM) and transgender women (TGW). Multiple studies correlate alcohol use disorders (AUDs) with risky sexual behaviors among Peruvian MSM. Qualitative research was used to inform a clinical trial on the acceptability of medication-assisted therapies to assist management of AUDs and improve antiretroviral therapy (ART) adherence among MSM/TGW in Peru. Three focus groups involving HIV-infected or HIV-uninfected MSM/TGW (n = 26) with AUDs (AUDIT 8) were transcribed, translated from Spanish into English, and analyzed using thematic content analysis. Despite having an AUD, participants considered themselves social drinkers, minimized their drinking behaviors, and differed about whether or not alcohol problems could be treated. Participants expressed skepticism about medication for treating AUDs. Three concepts emerged as necessary components of a treatment program for alcohol problems: cost, family support, and the potential to drink less alcohol without attaining total abstinence. This study reveals important areas of education to increase potential acceptability of a medication for treating AUDs among MSM/TGW. Given the social conditions and knowledge base of the participants, medication-assisted therapies using naltrexone may be a beneficial strategy for MSM with AUDs.

引用

页码：1269 / 1278

页数：10

共 63 条

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