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Psychosocial factors and substance use in high-risk youth living with HIV: a multi-site study
- Source :
- AIDS care. 22(4)
- Publication Year :
- 2010
-
Abstract
- The purpose of the study was to test relationships between psychosocial factors and alcohol and illicit drug use among high-risk youth living with HIV (YLH). One hundred eighty-six high-risk youth with HIV (defined as those with a substance use problem, sexual risk problem, or medication adherence problem) were enrolled across five cities (ages 16-24). Alcohol and illicit drug use were measured with the alcohol, smoking, and substance involvement screening test and a timeline follow-back interview. Questionnaires assessed constructs from the adapted Transtheoretical Model (TTM) including a continuous measure of motivational readiness in response to criticisms of the stage component. Path analysis was utilized to fit cross-sectional data collected via computer assisted personal interviewing (baseline data from intervention study). Separate models were fit for each commonly used substance. In the previous month, 47% used alcohol, 37% used cannabis, and 9% used other illicit drugs. Path models fit the data well and accounted for 30% of the variance in alcohol use and 47% in cannabis use. Higher self-efficacy predicted lower alcohol and cannabis use, but motivational readiness was only directly related to cannabis use. A reduction in pros of substance use was indirectly related to use. Social support and psychological distress were associated with TTM constructs. Interventions focusing on improving motivation and self-efficacy for healthy behaviors may reduce substance use in YLH.
- Subjects :
- Adult
Male
medicine.medical_specialty
Health (social science)
Social Psychology
Adolescent
Alcohol Drinking
Substance-Related Disorders
Health Behavior
Psychological intervention
Article
Social support
Young Adult
Computer-assisted personal interviewing
Surveys and Questionnaires
HIV Seropositivity
Medicine
Humans
Psychiatry
Self-efficacy
Motivation
biology
business.industry
Public Health, Environmental and Occupational Health
Transtheoretical model
Social Support
Models, Theoretical
biology.organism_classification
medicine.disease
Self Efficacy
Substance abuse
Female
Cannabis
business
Psychosocial
Stress, Psychological
Clinical psychology
Subjects
Details
- ISSN :
- 13600451
- Volume :
- 22
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- AIDS care
- Accession number :
- edsair.doi.dedup.....94fe1ca8b5e698a803cbb592729d9846