Quality of Life among Predominately African Americans with HIV Who Use Drugs: The Role of Patient-Provider Engagement in Mediating the Impacts of Depression and Healthcare Discrimination.
Enhancing mental health-related quality of life (MHRQOL) is an important clinical objective for people with HIV (PWH), due to their elevated risk of psychological distress and mental health challenges. Depression, pain, stigma, and discrimination are among the main contributors to poor MHRQOL in thi...
| Published in: | AIDS & Behavior Vol. 29; no. 8; pp. 2564 - 2574 |
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| Main Authors: | , , , , , , , |
| Format: | research tables/charts Journal Article |
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Springer Nature
Aug2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187534088&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187534088 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Aug2025 vid: 29 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 187534088 184515602 187534088 187534088 10.1007/s10461-025-04717-8 187534088 ppf: 2564 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Quality of Life among Predominately African Americans with HIV Who Use Drugs: The Role of Patient-Provider Engagement in Mediating the Impacts of Depression and Healthcare Discrimination. aug: au: Tseng, Tuo-Yen Mitchell, Mary M. Chander, Geetanjali Latkin, Carl Kennedy, Caitlin Borison, S. Ian Son, Chaeyeon Knowlton, Amy R. affil: https://ror.org/00za53h95 Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA sug: subj: HIV Infections African Americans Psychosocial Factors Substance Use Disorders Quality of Life Physician-Patient Relations Depression Healthcare Disparities Funding Source Human Male Female Middle Age Mental Health Psychological Distress Pain Stigma Discrimination Structural Equation Modeling Primary Health Care Surveys Descriptive Statistics Confidence Intervals Patient Centered Care Interpersonal Relations Communication Questionnaires Middle Aged: 45-64 years Male Female ab: Enhancing mental health-related quality of life (MHRQOL) is an important clinical objective for people with HIV (PWH), due to their elevated risk of psychological distress and mental health challenges. Depression, pain, stigma, and discrimination are among the main contributors to poor MHRQOL in this population and can negatively impact PWH's interaction with their healthcare providers, and vice versa. We used structural equation modeling to examine whether the quality of patient-provider engagement in HIV primary care mediated the effects of depression and prior experiences of discrimination in healthcare settings on later MHRQOL, assessed using the SF- 12 Mental Component Summary (MCS- 12), among a sample of predominately African Americans with HIV and a history of drug use. A total of 331 participants, recruited from HIV clinics and community venues in Baltimore, Maryland, USA, completed three semi-annual surveys between 2014 and 2018. At baseline, the sample showed a high percentage of probable depression (35.6%) and a low MCS- 12 mean score (38.72, SD = 6.88) compared with the US general population norm of 50 (SD = 10). There were significant indirect paths from baseline depression (β = − 0.04, 95% CI = − 0.10, − 0.01) and healthcare discrimination (β = − 0.05, 95% CI = − 0.12, − 0.01) to lower MHRQOL at 12-months, mediated through reduced patient-centered patient-provider engagement with primary care providers at 6-months, after adjusting for baseline assessment of the mediator and the outcome, demographic covariates, substance use, pain level, and time since HIV diagnosis. Findings suggest a potential for mitigating the impacts of depression and healthcare discrimination on MHRQOL through intervening on the quality of patient-provider engagement. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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