This study will evaluate the effect of a brief alcohol counseling intervention on PrEP and PEP adherence among adults with heavy alcohol use at high risk for HIV, while gaining insights into the facilitators, barriers, and cost-effectiveness of this approach.
Adult (≥18 years)
HIV-uninfected (by rapid HIV antibody test)
AUDIT-C score of >=4 for men and >=3 for women
Attending a clinical visit for initiation of biomedical HIV prevention with oral or injectable PrEP or oral PEP (or the dapivirine vaginal ring, if available)
Ineligible for PrEP based on MoH guidelines
Intention to move away from the study community in the coming year
Gross inebriation or inability to provide informed consent
University of California, San Francisco
Lead sponsor
University of California, Berkeley
Collaborator
Makerere University
Collaborator
Infectious Diseases Research Collaboration, Uganda
Collaborator
Kenya Medical Research Institute
Collaborator
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Collaborator