The Relationship of Alcohol to ART Adherence Among Black MSM in the U.S. Is it Any Different Among Black MSM in the South?

Shantrel S. Canidate, Eric W. Schrimshaw, Nancy Schaefer, Nioud Mulugeta Gebru, Noelani Powers, Stephen Maisto, Christina Parisi, Robert F. Leeman, Sheldon Fields, Robert L. Cook

Research output: Contribution to journalArticlepeer-review

Abstract

Alcohol-using Black MSM (Men who have sex with men) are disproportionately impacted by HIV in the U.S.—particularly in the southern U.S.—despite the availability of antiretroviral therapy (ART). The purpose of this study was to summarize the current evidence on alcohol use and ART adherence among Black MSM in the U.S. and in the South and to identify future research needs. A systematic review was conducted using eight databases to identify relevant peer-reviewed articles published between January 2010 and April 2021. The authors also snowballed remaining studies and hand-searched for additional studies. Including both quantitative and qualitative studies, five published studies examined alcohol and ART adherence among Black MSM in the U.S. The search identified 240 articles, the study team reviewed 114 in full-text and determined that only five met the inclusion criteria. Three of the five included studies identified alcohol use as a barrier to ART adherence. In conclusions, the general lack of literature on HIV disparities among alcohol-using Black MSM in the U.S. (specifically in the South) indicates a critical need for research on this population’s unique risks and needs to inform the development of tailored interventions.

Original languageEnglish (US)
JournalAIDS and Behavior
DOIs
StateAccepted/In press - 2021

Keywords

  • Alcohol
  • ART adherence
  • Black men who have sex with men
  • Southern US
  • United States

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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