Substance use, anxiety, and self-management efficacy in HIV-positive individuals: A mediation analysis.
Context: In China, the social stigma of both substance use and HIV remains major barrier. HIV-positive individuals have been demonstrated to have higher psychosocial distress in the literature. To ensure quality of life among HIV-positive Chinese individuals, self-efficacy in HIV-related management...
| Publicado en: | Journal of Substance Use Vol. 23; no. 4; pp. 408 - 415 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129527905&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 129527905 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14659891 ILV jtl: Journal of Substance Use issn: 14659891 maglogo: Y pubinfo: dt: 2018 vid: 23 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 129527905 129527905 129527905 10.1080/14659891.2018.1436603 129527905 ppf: 408 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Substance use, anxiety, and self-management efficacy in HIV-positive individuals: A mediation analysis. aug: au: Chen, Wei-Ti Shiu, Chengshi Yang, Joyce P. Li, Chiang-Shan R. Wang, Kerong Zhang, Lin Zhang, Jing Bao, Meijuan Aung, Myo Nyein Chen, Li-Chen Zhao, Hongxin Lu, Hongzhou affil: School of Nursing, University of California Los Angeles, Los Angeles, CA, USA sug: subj: HIV-Positive Persons Psychosocial Factors Substance Abuse Anxiety Self Care Self-Efficacy China Human Female Male Adult Middle Age Descriptive Statistics Data Analysis Software P-Value Symptom Checklist-90-Revised Checklists Inpatients Multicenter Studies Hospitals China Multiple Linear Regression Interviews Questionnaires Audiorecording Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Context: In China, the social stigma of both substance use and HIV remains major barrier. HIV-positive individuals have been demonstrated to have higher psychosocial distress in the literature. To ensure quality of life among HIV-positive Chinese individuals, self-efficacy in HIV-related management including substance use and anxiety is the key to suppress viral load and maintain healthy lives. Objectives: We examine the mediation relationship among substance use, anxiety, and self-management efficacy. Method: A cross-sectional study design was used. In total, 137 HIV-positive individuals were recruited from two premier Chinese hospitals: Beijing’s Ditan Hospital and Shanghai’s Public Health Clinic Center (SPHCC). Results: HIV-positive substance users had significantly lower HIV-management efficacy and higher anxiety scores. About a third of the relations between substance use and anxiety were mediated by HIV-management self-efficacy. Those who used substances in the previous week had higher anxiety levels suggesting the presence of a recency effect. Their higher levels of anxiety could be largely explained by their lower HIV-management efficacy. Conclusion: It is useful for healthcare providers to assess substance use behaviors in HIV-positive individuals as well as provide support in managing anxiety in this population. Meanwhile, enhancing self-management efficacy to ensure healthy lifestyles may support achieving optimal lives with HIV. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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