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Drinking and HIV: knowledge and context.


 The unique role of alcohol consumption on the AIDS epidemic is examined, as are the gaps in knowledge that exist among patients, practitioners, and researchers. Research on how alcohol abuse enhances unsafe sex practices and nonadherence to AIDS medication regimens is discussed. In addition, the effects of drinking, with respect to HIV infection and the need for interventions, which may be particularly important to women, particularly to women of color, reasons why male-oriented intervention models may not be appropriate for alcohol-abusing women, and the need for effective interventions to include issues such as child care, family and partner roles, and other potential barriers are discussed. Other topics include treatment problems among seropositive alcohol abusers, and the needs of populations at high risk for alcohol abuse and HIV infection such as prison inmates, homeless youth, and women with histories of victimization to be addressed.
