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• W2791797185 abstract "Context: In China, the social stigma of both substance use and HIV remains major barrier. HIV-positive individuals have been demonstrated to have higher psychosocial distress in the literature. To ensure quality of life among HIV-positive 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. In total, 137 HIV-positive individuals were recruited from two premier Chinese hospitals: Beijing’s Ditan Hospital and Shanghai’s Public Health Clinic Center (SPHCC). Results: HIV-positive substance users had significantly lower HIV-management efficacy and higher anxiety scores. About a third of the relations between substance use and anxiety were mediated by HIV-management self-efficacy. Those who used substances in the previous week had higher anxiety levels suggesting the presence of a recency 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-positive 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." @default.
• W2791797185 created "2018-03-29" @default.
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• W2791797185 date "2018-02-22" @default.
• W2791797185 modified "2023-10-15" @default.
• W2791797185 title "Substance use, anxiety, and self-management efficacy in HIV-positive individuals: A mediation analysis" @default.
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• W2791797185 doi "https://doi.org/10.1080/14659891.2018.1436603" @default.
• W2791797185 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6425732" @default.
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