title: Men Who Have Sex With Men in Peru: Acceptability of Medication-Assisted Therapy for Treating Alcohol Use Disorders.
abstract: In Peru, the HIV epidemic is concentrated in men who have sex with men (MSM) and transgender women (TGW). Multiple studies correlate alcohol use disorders (AUDs) with risky sexual behaviors among Peruvian MSM. Qualitative research was used to inform a clinical trial on the acceptability of medication-assisted therapies to assist management of AUDs and improve antiretroviral therapy (ART) adherence among MSM/TGW in Peru. Three focus groups involving HIV-infected or HIV-uninfected MSM/TGW ( n = 26) with AUDs (AUDIT ≥ 8) were transcribed, translated from Spanish into English, and analyzed using thematic content analysis. Despite having an AUD, participants considered themselves "social" drinkers, minimized their drinking behaviors, and differed about whether or not alcohol problems could be treated. Participants expressed skepticism about medication for treating AUDs. Three concepts emerged as necessary components of a treatment program for alcohol problems: cost, family support, and the potential to drink less alcohol without attaining total abstinence. This study reveals important areas of education to increase potential acceptability of a medication for treating AUDs among MSM/TGW. Given the social conditions and knowledge base of the participants, medication-assisted therapies using naltrexone may be a beneficial strategy for MSM with AUDs.
authors: 1 Yale School of Medicine, New Haven, CT, USA.
authors: Shan-Estelle
authors: SE
authors: Brown
authors: 1 Yale School of Medicine, New Haven, CT, USA.
authors: Panagiotis
authors: P
authors: Vagenas
authors: 2 David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
authors: Kelika A
authors: KA
authors: Konda
authors: 2 David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
authors: Jesse L
authors: JL
authors: Clark
authors: 3 Asociación Civil Impacta Salud y Educación, Lima, Perú.
authors: Javier R
authors: JR
authors: Lama
authors: 3 Asociación Civil Impacta Salud y Educación, Lima, Perú.
authors: Pedro
authors: P
authors: Gonzales
authors: 3 Asociación Civil Impacta Salud y Educación, Lima, Perú.
authors: Jorge
authors: J
authors: Sanchez
authors: 4 Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
authors: Ann C
authors: AC
authors: Duerr
authors: 1 Yale School of Medicine, New Haven, CT, USA.|5 Yale School of Public Health, New Haven, CT, USA.
authors: Frederick L
authors: FL
authors: Altice
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000188:drug therapy*; D017144:Focus Groups; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D009271:Naltrexone / Q000627:therapeutic use*; D009292:Narcotic Antagonists / Q000627:therapeutic use*; D010342:Patient Acceptance of Health Care; D010568:Peru
chemical_list: D009292:Narcotic Antagonists; D009271:Naltrexone
keywords: HIV; Peru; alcohol use disorders; medication-assisted therapy; men who have sex with men; substance abuse treatment; treatment acceptability