Association of Syndemic Unhealthy Alcohol Use, Smoking, and Depressive Symptoms on Incident Cardiovascular Disease among Veterans With and Without HIV-Infection

Chichetto, Natalie E.; Kundu, Suman; Freiberg, Matthew S.; Koethe, John R.; Butt, Adeel A.; Crystal, Stephen; So‐Armah, Kaku; Cook, Robert L.; Braithwaite, R. Scott; Justice, Amy C.; Fiellin, David A.; Khan, Maria R.; Bryant, Kendall; Gaither, Julie R.; Barve, Shirish; Crothers, Kristina; Bedimo, Roger; Warner, Alberta; Tindle, Hilary A.

doi:10.1007/s10461-021-03327-4

Cited by 11 publications

(2 citation statements)

References 86 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…vast majority of older adults did not smoke (88.4%), with only 2.4% of participants reporting increased smoking behaviors during the COVID-19 pandemic. Previous research supports our observation that non-smoking status is conducive to healthy behaviors, whereas smoking may significantly increase the risk of cardiovascular diseases, leading to unhealthy behaviors and complications from other conditions (39,40). Individuals who are currently smoking or have escalated their smoking habits may face a heightened risk of coronavirus infection and more severe clinical outcomes (41).…”

Section: Discussionsupporting

confidence: 83%

Determinants of the Health-Promoting Behaviors Among Community-Dwelling Older Adults with Non-communicable Diseases During the Post-Covid-19 Era

Suksatan,

Teravecharoenchai,

Sarayuthpitak

2024

J Nurs Midwifery Sci

View full text Add to dashboard Cite

Background: While research has explored the health-promoting behaviors (HPBs) of older adults on a global scale during the first and second waves of COVID-19, there is limited knowledge about the factors that influence HPBs among older adults with non-communicable diseases (NCDs) in the "new normal" following the COVID-19 era. Objectives: The aim of this study was to identify the factors that affect HPBs among community-dwelling older adults with NCDs. Methods: This cross-sectional study involved surveying 250 older adults with NCDs in both urban and rural communities within Ubon Ratchathani province, northeast Thailand, between September 10 and November 10, 2022, during the COVID-19 pandemic. Data collection was conducted using a self-administered questionnaire, which included the Self-rated Abilities Scale for Health Practice, Health Literacy Scale, Access to COVID-19 Preventive Material, Lubben Social Network Scale, and Health-Promoting Behaviors Scale. The analysis utilized descriptive statistics and hierarchical regression analysis, setting the significance level at P < 0.05 for all analyses. Results: Among the 250 older adults with NCDs surveyed, 65.60% had hypertension. These individuals demonstrated HPBs at a good level, along with a high level of perceived self-efficacy, good health literacy, adequate access to COVID-19 preventive materials, and greater social engagement. The analysis indicated that perceived self-efficacy (β = 0.343, P < 0.001), attitudes towards smoking (β = 0.226, P < 0.001), age (β = 0.204, P < 0.001), health literacy (β = 0.199, P = 0.016), and access to COVID-19 preventive materials (β = 0.123, P = 0.026) were significant predictors of HPBs in older adults with NCDs. Conclusions: The results suggest that improved access to COVID-19 preventive materials, enhanced health literacy, and increased self-efficacy contribute to better health-promoting behaviors among older adults with NCDs. Multidisciplinary healthcare teams should consider these factors in their intervention strategies to achieve a deeper understanding and better health outcomes. Future research should investigate the causal relationships among these variables and examine older adults’ perceptions of HPBs in long-term care settings, particularly in the "new normal" era.

show abstract

Section: Discussionsupporting

confidence: 83%

Determinants of the Health-Promoting Behaviors Among Community-Dwelling Older Adults with Non-communicable Diseases During the Post-Covid-19 Era

Suksatan,

Teravecharoenchai,

Sarayuthpitak

2024

J Nurs Midwifery Sci

View full text Add to dashboard Cite

show abstract

“…Others extended a focus to noncommunicable disease (NCD) outcomes. For instance, alcohol use, smoking, and depressive symptoms were linked with increased cardiovascular disease (CVD) irrespective of HIV serostatus [34 ▪ ]. Others noted the interaction between psychosocial (e.g.…”

Section: Resultsmentioning

confidence: 99%

Context, COVID-19 and comorbidities: exploring emergent directions in syndemics and HIV research

Logie

Coelho

Kohrt

et al. 2022

Current Opinion in HIV and AIDS

View full text Add to dashboard Cite

Purpose of reviewThe purpose of this review is to identify themes across articles that aimed to explore HIV-related syndemics in 2020 and 2021 and to discuss their implications for research on syndemics. Recent findingsWe identified 189 articles on syndemics between 2020 and 2021. Key themes across studies included COVID-19; mental health and psychosocial challenges; substance use; socio-structural factors; protective factors; and methodological approaches. COVID-19's implications for HIV syndemic research were discussed. Mental health and substance use research largely examined linkages with sexual practices or reduced HIV care retention. Researchers examined associations between socio-structural variables (e.g. poverty) and elevated HIV exposure, reduced HIV testing and poorer health. Concepts of water insecurity and 'ecosyndemics' were also raised, as was the importance of attending to noncommunicable diseases and comorbidities. Most studies did not assess interactions between health conditions, signalling the need for methodological grounding in the foundational concepts of syndemic theory.

show abstract

Implications of vascular depression for successful cognitive aging in HIV Disease

Mustafa,

Beltran-Najera,

Evans

et al. 2024

J. Neurovirol.

View full text Add to dashboard Cite

Introduction:Although older adults with HIV are at high risk for mild neurocognitive disorders, a subset experience successful cognitive aging (SCA). HIV is associated with an increased risk of vascular depression (VasDep), which can affect cognitive and daily functioning. The current study examined whether VasDep impedes SCA among older adults with HIV.Methods: 136 persons with HIV aged 50 years and older were classi ed as either SCA+ (n=37) or SCA-(n=99) based on a battery of demographically adjusted neurocognitive tests and self-reported cognitive symptoms.Participants were also strati ed on the presence of vascular disease (e.g., hypertension) and current depression as determined by the Composite International Diagnostic Interview and the Depression/Dejection scale of the Pro le of Mood States.Results: A Cochran-Armitage test revealed a signi cant additive effect of vascular disease and depression on SCA in this sample of older adults with HIV (z=4.13, p<.0001). Individuals with VasDep had the lowest frequency of SCA+ (0%), which differed signi cantly from the group with only vascular disease (30%, OR=0.04, CI=0.002,0.68)) and the group with neither vascular disease nor depression (47% OR =0.02, CI=0.33,0.001).Findings were not confounded by demographics, HIV disease severity, or other psychiatric and medical factors (ps>.05). Discussion:These data suggest that presence of VasDep may be a barrier to SCA in older adults with HIV disease. Prospective, longitudinal studies with neuroimaging-based operationalizations of VasDep are needed to further clarify this risk factor's role in the maintenance of cognitive and brain health in persons with HIV disease.

show abstract

Association of Syndemic Unhealthy Alcohol Use, Smoking, and Depressive Symptoms on Incident Cardiovascular Disease among Veterans With and Without HIV-Infection

Cited by 11 publications

References 86 publications

Determinants of the Health-Promoting Behaviors Among Community-Dwelling Older Adults with Non-communicable Diseases During the Post-Covid-19 Era

Determinants of the Health-Promoting Behaviors Among Community-Dwelling Older Adults with Non-communicable Diseases During the Post-Covid-19 Era

Context, COVID-19 and comorbidities: exploring emergent directions in syndemics and HIV research

Implications of vascular depression for successful cognitive aging in HIV Disease

Contact Info

Product

Resources

About