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Although HIV care providers are strategically situated to support their patients’ alcohol reduction efforts, many
do not do so, sometimes failing to view this support as consistent with their roles. Using data collected from 112 HIV providers
in 7 hospital-based HIV Care Centers in the NYC metropolitan area, this paper examines the correlates of providers’
role legitimacy as patients’ alcohol reduction supporters. Results indicate that providers (1) responsible for a very
large number of patients and (2) with limited confidence in their own ability to give this assistance, but high confidence in
their program’s ability to do so, were less likely to have a high level of role legitimacy as patients’ alcohol reduction supporters.
Findings suggest the types of providers to target for alcohol reduction support training.