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

被引:15
作者
Brion, John M. [17 ]
Dawson Rose, Carol [2 ]
Nicholas, Patrice K. [20 ]
Sloane, Rick [17 ]
Voss, Joachim G. [5 ]
Corless, Inge B. [20 ]
Lindgren, Teri G. [6 ]
Wantland, Dean J. [6 ]
Kemppainen, Jeanne K. [1 ]
Sefcik, Elizabeth F. [19 ]
Nokes, Kathleen M. [21 ]
Kirksey, Kenn M. [7 ]
Eller, Lucille Sanzero [6 ]
Hamilton, Mary Jane [19 ]
Holzemer, William L. [6 ]
Portillo, Carmen J. [2 ]
Mendez, Marta Rivero [14 ]
Robinson, Linda M. [3 ]
Moezzi, Shahnaz [9 ]
Rosa, Maria [14 ]
Human, Sarie [15 ]
Maryland, Mary [10 ]
Arudo, John [16 ]
Ros, Ana Viamonte [11 ]
Nicholas, Thomas P. [18 ]
Cuca, Yvette [2 ]
Huang, Emily [2 ]
Bain, Catherine [2 ]
Tyer-Viola, Lynda [20 ]
Zang, Sheryl M. [8 ]
Shannon, Maureen [12 ]
Peters-Lewis, Angelleen [4 ]
Willard, Suzanne [13 ]
机构
[1] Univ N Carolina, Sch Nursing, Wilmington, NC 28401 USA
[2] Univ Calif San Francisco, Sch Nursing, San Francisco, CA 94143 USA
[3] San Diego State Univ, Sch Nursing, San Diego, CA 92182 USA
[4] Brigham & Womens Hosp, Dept Nursing, Boston, MA 02115 USA
[5] Univ Washington, Sch Nursing, Seattle, WA 98195 USA
[6] Rutgers State Univ, Coll Nursing, Newark, NJ 07102 USA
[7] Seton Family Hosp, Ctr Nursing Res, Austin, TX USA
[8] Suny Downstate Med Ctr, New York, NY USA
[9] Univ Utah, Sch Nursing, Salt Lake City, UT USA
[10] City Coll Chicago, Dept Nursing, Chicago, IL USA
[11] Florida Dept Hlth, Tallahassee, FL USA
[12] Univ Hawaii, Sch Nursing, Honolulu, HI 96822 USA
[13] Elizabeth Glaser Pediat AIDS Fdn, Washington, DC USA
[14] Univ Puerto Rico, Sch Nursing, San Juan, PR 00936 USA
[15] Univ S Africa, Sch Nursing, ZA-0001 Pretoria, South Africa
[16] Aga Kahn Univ, Sch Nursing, Nairobi, Kenya
[17] Duke Univ, Sch Nursing, Durham, NC USA
[18] Brigham & Womens Hosp, Dept Patient Care Serv, Boston, MA 02115 USA
[19] Texas A&M Univ, Sch Nursing, Corpus Christi, TX USA
[20] MGH Inst Hlth Profess, Grad Program Nursing, Boston, MA 02129 USA
[21] CUNY Hunter Coll, Sch Nursing, New York, NY 10021 USA
基金
美国国家卫生研究院;
关键词
HIV; AIDS; self-care; substance use; symptom burden; ALCOHOL-USE; HIV; ADDICTION; ABUSE; CONSUMPTION; DEPRESSION; INFECTION; VALIDITY; DRUGS;
D O I
10.1111/j.1442-2018.2010.00572.x
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
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.
引用
收藏
页码:16 / 26
页数:11
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