Alcohol misuse is a major driver of the HIV epidemic, impacting the spread and treatment of the virus both in the United States and globally. By increasing sexual risk behaviors, reducing adherence to antiretroviral therapy and increasing HIV-associated illnesses and mortality, alcohol misuse both increases the prevalence of the virus and diminishes the health of those living with HIV. The ARCH, launched with funding from the NIAAA in 2010, studies the impact of alcohol misuse on HIV prevention and on the HIV care continuum.
Through its ongoing collaborations with the Providence/Boston Center for AIDS Research (CFAR), Fenway Health, the University of Cape Town, and other partners, ARCH researchers have investigated the combined effects of alcohol and HIV on brain structure and function, on the effects of behavioral alcohol interventions among men with HIV who have sex with men, and on the effects of alcohol use on sexual decision making and behavior among men who have sex with men.