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Alcohol and AIDS: A N ew Decade Grantsmanship Workshop XIX International AIDS Conference Rome, Italy. Kendall J. Bryant, Ph.D. , NIAAA Alcohol and AIDS Research National Institutes of Health . NIAAA Vision Statement for prevention and treatment of HIV/AIDS.
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Alcohol and AIDS: A New Decade Grantsmanship Workshop XIX International AIDS Conference Rome, Italy Kendall J. Bryant, Ph.D. , NIAAAAlcohol and AIDS Research National Institutes of Health
NIAAA Vision Statement for prevention and treatment of HIV/AIDS To support and promote the best science on alcohol and health: • Improving the diagnosis, prevention, and treatment of alcohol use disorders to reduce new HIV infections and improve treatment outcomes • Increasing the understanding of normal and abnormal biological functions and behavior relating to alcohol use and HIV infection • Enhancing the quality of health and health care delivery in domestic and international settings to reduce morbidity and mortality
Prevention of New Infections • Multilevel Ecological Research • Behavioral Risk Reduction: High-risk groups, Social Networks, and Concurrency, Event-Level Factors • Alcohol Interventions include Brief Motivational, Cognitive Behavioral, and Pharmacotherapy in At-Risk Populations • NIAAA FY2010 P01 Integrative Behavioral Prevention Research • International HIV Prevention in Venue Based Settings (R01)
Alcohol Use: One of many issues in HIV+ patients life Neuropathogenesis and Pain Management HCV coinfection, HBV and chronic viral load Other drugs Quality of Life Access to treatment
NIAAA Portfolio : Funded 2010/11 Funded Initiatives • Alcohol Pharmacotherapy for HIV+ • Centers for Integrative Research (P60, Consortiums) • Multilevel Preventive Interventions – Design and Testing • High-Risk Populations for Infection and Transmission: Migrant Workers, Cross-Border Settings, Youth • Interagency Agreements for Collaborative Women and Pediatric Cohorts • Developing International Networkers Alcohol HIV Researchers • Targeted Initiatives: District of Columbia, Baltimore
Implementation and Operations Research • Develop Models of Interaction of Alcohol and HIV Prevention and Treatment Access and Uptake (and Comparative Effectiveness) • Develop Models for Clinical Decision Making in Specific Settings for Patients, Providers, and Policy Makers • Develop Identification, Screening, and Intervention Models (Seek, Test, and Treat) for Spectrum of Alcohol Use Disorders
Algorithm for integrating alcohol screening and treatment into clinical care of HIV patients