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How Alcohol Influences Mechanisms of Sexual Risk Behavior Change: Contributions of Alcohol Challenge Research to the Development of HIV Prevention Interventions

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Abstract

This paper examines the contributions of laboratory-based alcohol challenge research (ACR) to the development of HIV prevention interventions. Following a brief overview of HIV prevention interventions and related health behavior change models, we discuss how alcohol may influence mechanisms of behavior change. The paper highlights the value of ACR for: (1) elucidating mechanisms of action through which alcohol affects sexual risk behavior, (2) testing how alcohol may influence mechanisms thought to underlie HIV prevention interventions, (3) clarifying moderators of the causal influences of alcohol, (4) identifying novel intervention targets, and (5) develo** strategies to reduce sexual risk among those who consume alcohol. We conclude with a discussion of the importance of using experimental research to identify mechanisms of behavior change that are specific to populations at high risk for HIV and outline some key implications for develo** HIV prevention interventions that integrate the role of alcohol.

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Funding

Preparation of this paper was funded in part by Grants 5R01AA022301 (MPI: Maisto, Palfai, Simons) and UH3AA026192 (PI: Palfai) from the National Institute on Alcohol Abuse and Alcoholism.

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    Tibor P. Palfai & Peter Luehring-Jones

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TPP and PLJ each contributed to the conceptual organization, review of the literature, and discussion for this paper.

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Palfai, T.P., Luehring-Jones, P. How Alcohol Influences Mechanisms of Sexual Risk Behavior Change: Contributions of Alcohol Challenge Research to the Development of HIV Prevention Interventions. AIDS Behav 25 (Suppl 3), 314–332 (2021). https://doi.org/10.1007/s10461-021-03346-1

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