Longitudinal Analysis of Depressive Symptoms, Perceived Social Support, and Alcohol Use among HIV-Infected Men Who Inject Drugs in Northern Vietnam

被引:9
作者
Hershow, Rebecca B. [1 ]
Gottfredson, Nisha C. [1 ]
Tran Viet Ha [2 ]
Viet Anh Chu [2 ]
Lancaster, Kathryn E. [3 ]
Quan, Vu M. [4 ]
Levintow, Sara N. [5 ]
Sripaipan, Teerada [1 ]
Gaynes, Bradley N. [6 ]
Pence, Brian W. [5 ]
Go, Vivian F. [1 ]
机构
[1] Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Hlth Behav, Chapel Hill, NC 27515 USA
[2] UNC Project Vietnam, Hanoi, Vietnam
[3] Ohio State Univ, Div Epidemiol, Coll Publ Hlth, Columbus, OH 43210 USA
[4] Ctr Dis Control & Prevent, Atlanta, GA USA
[5] Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Epidemiol, Chapel Hill, NC 27515 USA
[6] Univ N Carolina, Dept Psychiat, Sch Med, Chapel Hill, NC 27515 USA
关键词
Depression; alcohol use; social support; HIV; AIDS; people who inject drugs; Vietnam; ANTIRETROVIRAL ADHERENCE; RISK BEHAVIORS; DRINKING; STIGMA; INTERVENTION; CONSUMPTION; PREDICTORS; PATTERNS; SURVIVAL; PEOPLE;
D O I
10.1080/10826084.2020.1732422
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Background: Limited research examines depressive symptoms, alcohol use, and social support among HIV-infected people who inject drugs. Objectives: Using longitudinal data, we investigated whether perceived social support moderates the relationship between depressive symptoms and alcohol use among HIV-infected men who inject drugs in Vietnam. Methods: Data were collected from participants (N = 455; mean age 35 years) in a four-arm randomized controlled trial in Thai Nguyen, Vietnam. Data were collected at baseline, 6, 12, 18, and 24 months with 94% retention excluding dead (N = 103) or incarcerated (N = 37) participants. Multilevel growth models were used to assess whether: (1) depressive symptoms predict when risk of alcohol use is elevated (within-person effects); (2) depressive symptoms predict who is at risk for alcohol use (between-person effects); and (3) within- and between-person perceived social support moderates the depressive symptoms-alcohol relationship. Results: Participants reported high but declining levels of depressive symptoms and alcohol use. Participants with higher depressive symptoms drank less on average (B = -0.0819, 95% CI -0.133, -0.0307), but within-person, a given individual was more likely to drink when they were feeling more depressed than usual (B = 0.136, 95% CI 0.0880, 0.185). The positive relationship between within-person depressive symptoms and alcohol use grew stronger at higher levels of within-person perceived social support. Conclusions: HIV-infected men who inject drugs have increased alcohol use when they are experiencing higher depressive symptoms than usual, while those with higher average depressive symptoms over time report less alcohol use. Social support strengthens the positive relationship between within-person depressive symptoms and alcohol use.
引用
收藏
页码:1237 / 1245
页数:9
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