Social and structural HIV prevention in alcohol-serving establishments: review of international interventions across populations.

摘要: Alcohol use is associated with risks for sexually transmitted infections (STIs), including HIV/AIDS. People meet new sex partners at bars and other places where alcohol served, drinking venues facilitate STI transmission through sexual relationships within closely knit networks. This paper reviews HIV prevention interventions conducted in bars, taverns, informal venues. Interventions designed to reduce risk by altering the social interactions environments have demonstrated mixed results. Specifically, venue-based influence models reduced community-level U.S. gay but these effects not generalized elsewhere or populations. Few sought alter structural physical of prevention. Uncontrolled program evaluations reported promising approaches bar-based men female workers. Finally, a small number studies examined multilevel that simultaneously intervene both levels encouraging Multilevel take environmental factors into account are needed guide future efforts delivered alcohol-serving establishments.