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Evaluating the effects of two alcohol reduction counseling interventions on intimate partner violence perpetration: secondary analysis of a three‐arm randomized controlled trial among Vietnamese men with HIV
Author(s) -
Hershow Rebecca B.,
Reyes H. Luz Mc Naughton,
Ha Tran Viet,
Chander Geetanjali,
Mai Nguyen Vu Tuyet,
Sripaipan Teerada,
Dowdy David W.,
Latkin Carl,
Hutton Heidi E.,
Pettifor Audrey,
Maman Suzanne,
Frangakis Constantine,
Go Vivian F.
Publication year - 2021
Publication title -
addiction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.424
H-Index - 193
eISSN - 1360-0443
pISSN - 0965-2140
DOI - 10.1111/add.15496
Subject(s) - psychological intervention , medicine , randomized controlled trial , psychosocial , domestic violence , poison control , brief intervention , clinical psychology , injury prevention , confidence interval , intervention (counseling) , psychiatry , psychology , environmental health
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.