AIDS and Behavior

, Volume 14, Supplement 1, pp 158–167 | Cite as

Community-Level HIV/STI Interventions and Their Impact on Alcohol Use in Urban Poor Populations in India

  • Stephen L. Schensul
  • Niranjan Saggurti
  • Joseph A. Burleson
  • Rajendra Singh
Original Paper


This paper describes an Indo-US, research and intervention project for HIV/STI prevention and sexual risk reduction in urban poor communities in Mumbai, India in which formative research established the importance of reduction in alcohol use as one of the central features of the intervention. As a part of formative research, in-depth interviews with married women and men indicated that alcohol had a direct negative effect on marital relationships, violence, household economics and men’s involvement in extramarital sex. The project utilized diverse community intervention mechanisms over the course of a three year intervention effort. Comparison of pre-post intervention, cross-sectional samples showed a significant drop in overall use of alcohol in the study communities. Analysis of a longitudinal panel sample identified sub-groups of married men based on their demographic, behavioral and attitudinal characteristics at baseline who stopped drinking during the intervention period. Results also demonstrated that a reduction in men’s alcohol use during the intervention period was associated with a reduction in sexual risk behavior and related variables.


India HIV/STI Sexual risk Alcohol Community-based intervention 


  1. 1.
    Babor T, McRee B, Kassebaum P, Grimaldi P, Ahmed K. Screening, brief intervention, and referral to treatment (SBIRT), toward a public health approach to the management of substance abuse: a review of the literature. J Subst Abuse. 2007;28:7–30.CrossRefGoogle Scholar
  2. 2.
    Dent CW, Grube JW, Biglan A. Community level alcohol availability and enforcement of possession laws as predictors of youth drinking. Prev Med. 2005;40(3):355–62.CrossRefPubMedGoogle Scholar
  3. 3.
    Wagenaar AC, Murray DM, Toomey TL. Communities mobilizing for change on alcohol (CMCA): effects of a randomized trial on arrests. Addiction. 2000;95(2):209–17.CrossRefPubMedGoogle Scholar
  4. 4.
    Holder HD, Gruenewald PJ, Ponicki WR, et al. Effect of community-based interventions on high-risk drinking and alcohol-related injuries. JAMA. 2000;284(18):2341–7.CrossRefPubMedGoogle Scholar
  5. 5.
    Holder HD, Saltz RF. A community prevention trial to reduce alcohol-involved accidental injury and death: overview. Addiction. 1997;92:S155–71.CrossRefPubMedGoogle Scholar
  6. 6.
    Komro KA, Perry CL, Williams CL, Stigler MH, Farbakhsh K, Veblen-Mortenson S. How did Project Northland reduce alcohol use among young adolescents? Analysis of mediating variables. Health Educ Res. 2001;16(1):59–70.CrossRefPubMedGoogle Scholar
  7. 7.
    Sivaram S, Srikrishnan AK, Latkin CA, et al. Development of an opinion leader-led HIV prevention intervention among alcohol users in Chennai, India. AIDS Educ Prev. 2004;16(2):137–49.CrossRefPubMedGoogle Scholar
  8. 8.
    Saltz RF, Welker LR, Paschall MJ, Feeney MA, Fabiano PM. Evaluating a comprehensive campus-community prevention intervention to reduce alcohol-related problems in a college population. J Stud Alcohol Drugs Suppl. 2009;(16):21–7.Google Scholar
  9. 9.
    Schensul S, Verma R, Nastasi B. Responding to men’s sexual concerns: research and intervention in slum communities in Mumbai, India. Int J Mens Health. 2004;3(3):197–220.CrossRefGoogle Scholar
  10. 10.
    Schensul S, Saggurti N, Singh R, Verma R, Nastasi B, Mazumder P. Multilevel perspectives on community intervention: an example from an Indo-US HIV prevention project in Mumbai, India. Am J Community Psychol. 2009;43(3):277–91.CrossRefPubMedGoogle Scholar
  11. 11.
    Sharma KS, Tripathi BM, Pelto PJ. The evolution of alcohol use in India. AIDS Behav. 2010. doi:10.1007/s10461-010-9730-z.
  12. 12.
    Benegal V. India: alcohol and public health. Addiction. 2005;100(8):1051–6.CrossRefPubMedGoogle Scholar
  13. 13.
    Saggurti N, Verma RK, Jain A, et al. HIV risk behaviours among contracted and non-contracted male migrant workers in India: potential role of labour contractors and contractual systems in HIV prevention. AIDS. 2008;22.Google Scholar
  14. 14.
    Saggurti N, Schensul SL, Singh R. Alcohol use, sexual risk behavior and STIs among married men in Mumbai, India. AIDS Behav. 2010. doi:10.1007/s10461-010-9728-6.
  15. 15.
    International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-3), 2005–2006: India, vol 1. Mumbai: IIPS; 2007.Google Scholar
  16. 16.
    Berg MJ, Kremelbery D, Dwivedi P, Verma S, Schensul JJ, Gupta K, Chandran D, Singh SK. The effects of husband’s alcohol consumption on married women in three low-income areas of greater Mumbai. AIDS Behav. 2010. doi:10.1007/s10461-010-9728-6.
  17. 17.
    Singh Singh SK, Schensul JJ, Gupta K, Maharan BR, Kremelbery D, Berg M. Determinants of alcohol use, risky sexual behavior and sexual health problems among men in low income communities in Mumbai, India. AIDS Behav. 2010. doi:10.1007/s10461-010-9732-x.
  18. 18.
    Schensul S, Nastasi B, Verma R. Community-based research in India: a case example of international and transdisciplinary collaboration. Am J Community Psychol. 2006;38(1):95–111.CrossRefPubMedGoogle Scholar
  19. 19.
    Pelto PJ, Singh R. Community street theatre as a tool for interventions on alcohol use and other behaviors related to HIV risks. AIDS Behav. 2010. doi:10.1007/s10461-010-9726-8.
  20. 20.
    Campbell DT, Stanley JC. Experimental and quasi-experimental designs for research. Chicago, Illinois: Rand McNally; 1966.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Stephen L. Schensul
    • 1
  • Niranjan Saggurti
    • 2
  • Joseph A. Burleson
    • 1
  • Rajendra Singh
    • 3
  1. 1.Department of Community Medicine and Health CareCenter for International Community Health Studies, University of Connecticut School of MedicineFarmingtonUSA
  2. 2.Population CouncilDelhiIndia
  3. 3.International Center for Research on Women, Asia Regional OfficeDelhiIndia

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