Literature DB >> 21352430

Unhealthy substance-use behaviors as symptom-related self-care in persons with HIV/AIDS.

John M Brion1, Carol Dawson Rose, Patrice K Nicholas, Rick Sloane, Inge B Corless, Teri G Lindgren, Dean J Wantland, Jeanne K Kemppainen, Elizabeth F Sefcik, Kathleen M Nokes, Kenn M Kirksey, Lucille Eller, Mary Jane Hamilton, William L Holzemer, Carmen J Portillo, Marta Rivero Mendez, Linda M Robinson, Shahnaz Moezzi, Maria Rosa, Sarie Human, Mary Maryland, John Arudo, Ana Viamonte Ros, Thomas P Nicholas, Yvette Cuca, Emily Huang, Catherine Bain, Lynda Tyer-Viola, Sheryl M Zang, Maureen Shannon, Angelleen Peters-Lewis, Suzanne Willard.   

Abstract

Unhealthy substance-use behaviors, including a heavy alcohol intake, illicit drug use, and cigarette smoking, are engaged in by many HIV-positive individuals, often as a way to manage their disease-related symptoms. This study, based on data from a larger randomized controlled trial of an HIV/AIDS symptom management manual, examines the prevalence and characteristics of unhealthy behaviors in relation to HIV/AIDS symptoms. The mean age of the sample (n = 775) was 42.8 years and 38.5% of the sample was female. The mean number of years living with HIV was 9.1 years. The specific self-reported unhealthy substance-use behaviors were the use of marijuana, cigarettes, a large amount of alcohol, and illicit drugs. A subset of individuals who identified high levels of specific symptoms also reported significantly higher substance-use behaviors, including amphetamine and injection drug use, heavy alcohol use, cigarette smoking, and marijuana use. The implications for clinical practice include the assessment of self-care behaviors, screening for substance abuse, and education of persons regarding the self-management of HIV.

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Year:  2011        PMID: 21352430      PMCID: PMC4179294          DOI: 10.1111/j.1442-2018.2010.00572.x

Source DB:  PubMed          Journal:  Nurs Health Sci        ISSN: 1441-0745            Impact factor:   1.857


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