Wei-Ti Chen1, Chengshi Shiu1, Joyce P Yang2, Chiang-Shan Ray Li3, Kerong Wang4, Lin Zhang5, Jing Zhang5, Meijuan Bao5, Myo Nyein Aung6, Li-Chen Chen7, Hongxin Zhao4, Hongzhou Lu5. 1. School of Nursing, University of California Los Angeles, Los Angeles, CA. 2. Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA. 3. Psychiatry and of Neuroscience, School of Medicine, Yale University, New Haven, CT. 4. Ditan Hospital, Capital Medical University, Beijing, China. 5. Shanghai Public Health Clinical Center, Fudan University, Shanghai, China. 6. Chulalongkorn University, Bangkok, Thailand. 7. National Cheng Kung University, School of Nursing, Tainan, Taiwan.
Abstract
CONTEXT: In China, the social stigma of both substance use and HIV remains major barriers. HIV+ individuals have been demonstrated to have higher psychosocial distress in the literature. To ensure quality of life among HIV+ 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. 137 HIV+ individuals were recruited from two premier Chinese hospitals: Beijing's Ditan Hospital and Shanghai's Public Health Clinic Center (SPHCC). RESULTS: HIV+ substance users had significantly lower HIV-management efficacy and higher anxiety scores. About a third of the relations between substance use and anxiety was mediated by HIV-management self-efficacy. Those who used substances in the previous week had higher anxiety levels suggesting the presence of a recent 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+ 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.
CONTEXT: In China, the social stigma of both substance use and HIV remains major barriers. HIV+ individuals have been demonstrated to have higher psychosocial distress in the literature. To ensure quality of life among HIV+ 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. 137 HIV+ individuals were recruited from two premier Chinese hospitals: Beijing's Ditan Hospital and Shanghai's Public Health Clinic Center (SPHCC). RESULTS: HIV+ substance users had significantly lower HIV-management efficacy and higher anxiety scores. About a third of the relations between substance use and anxiety was mediated by HIV-management self-efficacy. Those who used substances in the previous week had higher anxiety levels suggesting the presence of a recent 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+ 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.
Authors: W L Holzemer; S B Henry; K M Nokes; I B Corless; M A Brown; G M Powell-Cope; J G Turner; J Inouye Journal: J Adv Nurs Date: 1999-11 Impact factor: 3.187
Authors: Kathleen Nokes; Mallory O Johnson; Allison Webel; Carol Dawson Rose; J Craig Phillips; Kathleen Sullivan; Lynda Tyer-Viola; Marta Rivero-Méndez; Patrice Nicholas; Jeanne Kemppainen; Elizabeth Sefcik; Wei-Ti Chen; John Brion; Lucille Eller; Kenn Kirksey; Dean Wantland; Carmen Portillo; Inge B Corless; Joachim Voss; Scholastika Iipinge; Mark Spellmann; William L Holzemer Journal: J Nurs Scholarsh Date: 2012-11-01 Impact factor: 3.176
Authors: Victoria H Davis; Stephanie A Nixon; Kathleen Murphy; Cathy Cameron; Virginia A Bond; Jill Hanass-Hancock; Lauren Kimura; Margaret C Maimbolwa; J Anitha Menon; Erica Nekolaichuk; Patricia Solomon Journal: AIDS Behav Date: 2022-04-16