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There is substantial variability in response to interventions that aim to reduce drinking. Neighborhood drinking norms may explain some of this variability among <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected patients. Therefore, we investigated whether neighborhood\u2010level drinking norms modified response to alcohol intervention among <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected heavy drinkers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Heavily\u2010drinking <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> comprehensive care patients (<jats:italic>n<\/jats:italic>\u00a0=\u00a0230) completed 1 of 3 brief alcohol interventions (an educational intervention, a motivational interviewing [<jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>] intervention, or an <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content> intervention with a technological enhancement called HealthCall). Drinking was reported at baseline and end of treatment (60\u00a0days). Neighborhood\u2010level drinking norms were obtained from a separate general population study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients\u2019 reductions in drinks per drinking day in response to <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content> (as compared with the educational control) were more pronounced in neighborhoods with more permissive drinking norms. In contrast, patients\u2019 reductions in drinks per drinking day in response to <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content> plus HealthCall did not significantly vary between neighborhoods with different drinking norms. Norms did not evidence significant interactions with intervention condition for 3 other exploratory drinking outcomes (drinking frequency, binge frequency, and maximum quantity).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Neighborhood\u2010level drinking norms help explain differential response to an alcohol <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content> intervention among <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected patients. This study suggests the utility of considering neighborhood context as an effect modifier of alcohol interventions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acer.13198","type":"journal-article","created":{"date-parts":[[2016,8,20]],"date-time":"2016-08-20T07:26:38Z","timestamp":1471677998000},"page":"2240-2246","source":"Crossref","is-referenced-by-count":6,"title":["Neighborhood\u2010Level Drinking Norms and Alcohol Intervention Outcomes in <scp>HIV<\/scp> Patients Who Are Heavy Drinkers"],"prefix":"10.1111","volume":"40","author":[{"given":"Jennifer C.","family":"Elliott","sequence":"first","affiliation":[{"name":"New York State Psychiatric Institute  New York City New York"},{"name":"Department of Psychiatry  Columbia University Medical Center New York City New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Delker","sequence":"additional","affiliation":[{"name":"New York State Psychiatric Institute  New York City New York"},{"name":"San Diego State University\/University of California, San Diego Joint Doctoral Program in Public Health (Epidemiology)  San Diego California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie M.","family":"Wall","sequence":"additional","affiliation":[{"name":"New York State Psychiatric Institute  New York City New York"},{"name":"Department of Psychiatry  Columbia University Medical Center New York City New York"},{"name":"Department of Biostatistics  Mailman School of Public Health Columbia University New York City New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tianshu","family":"Feng","sequence":"additional","affiliation":[{"name":"New York State Psychiatric Institute  New York City New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Efrat","family":"Aharonovich","sequence":"additional","affiliation":[{"name":"New York State Psychiatric Institute  New York City New York"},{"name":"Department of Psychiatry  Columbia University Medical Center New York City New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Tracy","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics  School of Public Health University at Albany State University of New York Rensselaer New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandro","family":"Galea","sequence":"additional","affiliation":[{"name":"School of Public Health  Boston University Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Ahern","sequence":"additional","affiliation":[{"name":"Division of Epidemiology  School of Public Health University of California Berkeley California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron L.","family":"Sarvet","sequence":"additional","affiliation":[{"name":"New York State Psychiatric Institute  New York City New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah S.","family":"Hasin","sequence":"additional","affiliation":[{"name":"New York State Psychiatric Institute  New York City New York"},{"name":"Department of Psychiatry  Columbia University Medical Center New York City New York"},{"name":"Department of Epidemiology  Mailman School of Public Health Columbia University New York City New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,8,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwn022"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.301203"},{"key":"e_1_2_6_4_1","unstructured":"1994 American Psychiatric Association Washington DC American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1027\/1614-2241\/a000062"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.165.9.986"},{"key":"e_1_2_6_7_1","first-page":"167","article-title":"Integrating HIV\/AIDS and alcohol research","volume":"33","author":"Bryant KJ","year":"2010","journal-title":"Alcohol Res Health"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.1999.60.790"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.11.1.26"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2007.060798"},{"key":"e_1_2_6_11_1","unstructured":"Department of City Planning (DCP)(2015)Census Demographics at the NYC Community District (CD) level. 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