Substance Use Stigma, Avoidance Coping, and Missed HIV Appointments Among MSM Who Use Substances.
Substance Use Stigma, Avoidance Coping, and Missed HIV Appointments Among MSM Who Use Substances.
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DOI：
10.1007/s10461-020-02982-3
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发表时间：
2021-05
影响因子：
4.4
通讯作者：
O'Cleirigh C
中科院分区：
文献类型：
--
作者：
Batchelder AW;Foley JD;Wirtz MR;Mayer K;O'Cleirigh C
使用药物的感染艾滋病毒的男男性行为者具有多重污名化身份。理论表明，内化的耻辱可能会引发与这些耻辱相关的回避行为，可能导致在艾滋病毒护理的次优参与。我们调查了与艾滋病毒，性取向和物质使用相关的内化的耻辱之间的相互关系;避免应对;和错过了202 MSM艾滋病毒感染者使用物质之间的艾滋病预约。HIV和性取向相关的内化污名与失约无关，但内化物质使用污名（SUS）与失约相关（OR= 1.47，95%CI：1.15，1.87）。内化SUS和失约之间的关系部分被回避应对所解释（B=0.12; bootstrap 95%CI 0.02，0.25）。为了更好地理解SUS的作用，我们评估了实施和预期SUS与错过预约之间的关系（OR= 2.08，95%CI：1.52，2.84和OR= 1.44，95%CI：1.10，1.88）。回避应对完全解释了预期SUS和错过预约之间的关系（B=0.12; 95%CI：0.02，0.25）。结果表明，避免策略，以管理预期的SUS可能会导致物质使用MSM放弃艾滋病毒护理预约。
Men who have sex with men (MSM) living with HIV who use substances have multiple stigmatized identities. Theory suggests that internalization of stigma may elicit avoidance behaviors associated with these stigmas, potentially resulting in suboptimal engagement in HIV care. We investigated interrelationships between internalized stigmas related to HIV, sexual orientation, and substance use; avoidance coping; and missed HIV appointments among 202 MSM living with HIV who use substances. Neither HIV nor sexual orientation-related internalized stigmas were associated with missed appointments, however, internalized substance use stigma (SUS) was associated (OR=1.47,95% CI:1.15,1.87). The relationship between internalized SUS and missed appointments was partially accounted for by avoidance coping (b=0.12; bootstrap 95%CI 0.02, 0.25). To better understand the role of SUS, we assessed relationships between enacted and anticipated SUS and missed appointments (OR=2.08,95%CI: 1.52,2.84 and OR=1.44,95%CI: 1.10,1.88, respectively). Avoidance coping fully accounted for the relationship between anticipated SUS and missed appointments (b=0.12; 95%CI: 0.02,0.25). Results suggest that avoidance strategies to manage anticipated SUS may result in substance using MSM forgoing HIV care appointments.
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DOI：
10.1097/qai.0b013e3182a99c19
发表时间：
2013-11-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Bauman LJ;Braunstein S;Calderon Y;Chhabra R;Cutler B;Leider J;Rivera A;Sclafane J;Tsoi B;Watnick D
通讯作者：
Watnick D
影响因子：
4.4
作者：
Blake Helms C;Turan JM;Atkins G;Kempf MC;Clay OJ;Raper JL;Mugavero MJ;Turan B
通讯作者：
Turan B
影响因子：
4.6
作者：
Cochran, Susan D.;Mays, Vickie M.
通讯作者：
Mays, Vickie M.
影响因子：
4.4
作者：
Amirkhanian YA;Kelly JA;DiFranceisco WJ;Kuznetsova AV;Tarima SS;Yakovlev AA;Musatov VB
通讯作者：
Musatov VB
影响因子：
2.2
作者：
Kay ES;Batey DS;Mugavero MJ
通讯作者：
Mugavero MJ