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This MRI study included 41 individuals diagnosed with alcohol use disorders (AUD, 12 women), 17 individuals infected with HIV (eight women), and 49 healthy controls (24 women) aged 39 to 75\u2009years. A specialized, high\u2010resolution acquisition protocol enabled parcellation of five thalamic nuclei: anterior [<jats:italic>anterior ventral (AV)<\/jats:italic>], posterior [<jats:italic>pulvinar (Pul)<\/jats:italic>], medial [<jats:italic>mediodorsal (MD)<\/jats:italic>], and ventral [including<jats:italic>ventral lateral posterior (VLp)<\/jats:italic>and<jats:italic>ventral posterior lateral (VPl)<\/jats:italic>]. An omnibus mixed\u2010model approach solving for volume considered the \u201c<jats:italic>fixed effects\u201d<\/jats:italic>of nuclei, diagnosis, and their interaction while covarying for hemisphere, sex, age, and supratentorial volume (svol). The volume by diagnosis interaction term was significant; the effects of hemisphere and sex were negligible. Follow\u2010up mixed\u2010model tests thus evaluated the combined (left + right) volume of each nucleus separately for effects of diagnosis while controlling for age and svol. Only the VLp showed diagnoses effects and was smaller in the AUD (<jats:italic>p<\/jats:italic>=\u2009.04) and HIV (<jats:italic>p<\/jats:italic>=\u2009.0003) groups relative to the control group. In the AUD group, chronic back pain (<jats:italic>p<\/jats:italic>=\u2009.008) and impaired deep tendon ankle reflex (<jats:italic>p<\/jats:italic>=\u2009.0005) were associated with smaller VLp volume. In the HIV group, lower CD4 nadir (<jats:italic>p<\/jats:italic>=\u2009.008) was associated with smaller VLp volume. 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