Combining rapid HIV testing and a brief alcohol intervention in young unhealthy drinkers in the emergency department: a pilot study.
BACKGROUND
We sought to determine the feasibility and impact of brief alcohol/ sexual risk reduction counseling with rapid HIV testing in the emergency department (ED).


METHODS
We recruited 18-40 year olds with unhealthy alcohol use, sexual risk behaviors, and negative/unknown HIV status and assessed for differences in their alcohol consumption and sexual risk behaviors at baseline versus 2 months.


RESULTS
Participants (n = 85) were 61% male, mean age 26 years old, 59% white, 92% unmarried, 57% college educated, 45% without a regular doctor, and 80% with an Alcohol Use Disorders Identification Test (AUDIT) score ≥8. All rapid HIV tests were negative. Among the 70 (82%) with follow-up, alcohol consumption decreased with fewer average weekly drinks (23.6 vs. 9.8, p = .003) and binge drinking episodes (2.0 vs. .9, p = .012). Post-intervention, sexual risk decreased, including increased condom use (23% vs. 46%, p = .007). Women had a greater decrease in alcohol use prior to sex compared with men (p = .021 for interaction).


CONCLUSIONS
Alcohol/sexual risk reduction counseling with HIV testing in the ED is feasible and potentially effective for reducing alcohol use and sexual risk behaviors among young unhealthy drinkers.


CONCLUSIONS
Future randomized controlled trials are warranted to assess efficacy of this intervention, which would provide young at-risk populations with important preventive services, which they may not have access to otherwise.
Robert Wood Johnson Foundation Clinical Scholars Program, New Haven, CT 06520, USA. ejennifer.edelman@yale.edu
E Jennifer
EJ
Edelman
An
A
Dinh
Radu
R
Radulescu
Bonnie
B
Lurie
Gail
G
D'Onofrio
Jeanette M
JM
Tetrault
David A
DA
Fiellin
Lynn E
LE
Fiellin
D015492:AIDS Serodiagnosis / Q000379:methods*; D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology / Q000517:prevention & control*; D019973:Alcohol-Related Disorders / Q000453:epidemiology / Q000534:rehabilitation*; D037001:Directive Counseling / Q000379:methods*; D004636:Emergency Service, Hospital / Q000458:organization & administration; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000175:diagnosis; D006801:Humans; D008297:Male; D010865:Pilot Projects; D011614:Psychotherapy, Brief / Q000379:methods; D012309:Risk-Taking; D012737:Sex Factors; D012725:Sexual Behavior; D047568:Unsafe Sex / Q000517:prevention & control; D055815:Young Adult