Abstract

Abstract Older adults living with HIV (OALWH) may have health conditions that amplify the negative health effects of alcohol use. Traditional alcohol screening tools do not consider comorbidities or age. We adapted the Comorbidity Alcohol Risk Evaluation Tool screening tool for at-risk drinking to reflect HIV-related conditions and medications. We tested a brief intervention with Black OALWH and collected usability data. Participants, n=27, 53.2 average age in years, 21 average years living with HIV. Three themes: (1) Expectations of doctors (“Doctors better ask me questions about my alcohol use...”); (2) It’s how you say it (“[Doctors] talk down to me like I don’t know my freaking disease …”); and (3) Effects of surviving HIV (“I am fully aware of the effects of alcohol…. I’m probably better informed than most people…”). We identified strategies to address at-risk drinking with OALWH.

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