Situational HIV stigma and stimulant use: A day-level autoregressive cross-lagged path model among HIV-positive gay and bisexual men

Rendina, H. Jonathon; Millar, Brett M.; Parsons, Jeffrey T.

doi:10.1016/j.addbeh.2018.01.003

Cited by 17 publications

(30 citation statements)

References 66 publications

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“…Consequences of HIV stigma and discrimination include higher levels of depression (Chaudoir et al, 2012;C. Logie and Gadalla, 2009;Vanable, Carey, Blair, & Littlewood, 2006), and problematic alcohol use (Rendina, Millar, & Parsons, 2018;Wardell, Shuper, Rourke, & Hendershot, 2018) that can negatively impact health outcomes and quality of life among PLWH.…”

Section: Introductionmentioning

confidence: 99%

Experiences of HIV-related discrimination and consequences for internalised stigma, depression and alcohol use

Crockett

Kalichman

et al. 2019

Psychology & Health

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Objective: HIV stigma undermines health and well-being of people living with HIV (PLWH). Conceptual work on stigma mechanisms suggests that experiences of stigma or discrimination increase internalised stigma. However, not all PLWH may internalise the HIV discrimination they experience. We aimed to investigate the role of stress associated with events of HIV-related discrimination on internalised HIV stigma, as well as the downstream effects on depressive symptoms and alcohol use severity. Design: 199 participants were recruited from an HIV clinic in the southeastern United States. Main Study Measures: HIV-related discrimination was assessed using items adapted from measures of enacted HIV stigma and discrimination. Participants rated perceived stress associated with each discrimination item. Internalised HIV stigma was assessed using the internalised stigma subscale of the HIV Stigma Mechanisms Scale. Depressive symptoms were assessed with the Centre for Epidemiological Studies-Depression Index. Alcohol use severity was assessed with the Alcohol Use Disorders Identification Test. Results: In serial mediation models, HIV-related discrimination was indirectly associated with both depressive symptoms and alcohol use severity through its associations with stress and internalised HIV stigma. Conclusions: Understanding the mechanisms through which PLWH internalise HIV stigma and lead to poor health outcomes can yield clinical foci for intervention.

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Section: Introductionmentioning

confidence: 99%

Experiences of HIV-related discrimination and consequences for internalised stigma, depression and alcohol use

Crockett

Kalichman

et al. 2019

Psychology & Health

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“…The second-most researched area was the West Coast (4/15, 27%) [ 11 , 26 , 27 , 31 ], with a focus on San Francisco (3/15, 20%) [ 26 , 27 , 31 ]. Of the 15 studies, 1 (7%) was conducted in the Northwest [ 24 ] and 1 (7%), in the upper Midwest [ 29 ].…”

Section: Resultsmentioning

confidence: 99%

“…Modeling after the Centers for Disease Control and Prevention (CDC) Compendium of Evidence-Based Interventions (EBIs) [22], we primarily used 8 distinct criteria to review the final set of eligible publications [9,11,13,[23][24][25][26][27][28][29][30][31][32][33][34]. The EBI criteria and best practices in the compendium, developed and defined by the CDC's Prevention Research Synthesis project, posit a series of systematic review components for interventions.…”

Section: Discussionmentioning

confidence: 99%

Ecological Momentary Assessment and mHealth Interventions Among Men Who Have Sex With Men: Scoping Review

Clark¹,

Kim²

2021

J Med Internet Res

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Background Ecological momentary assessment (EMA) is a research design that allows for the measurement of nearly instantaneous experiences within the participant’s natural environment. Using EMA can help improve recall bias, ecological validity, and patient engagement while enhancing personalization and the ubiquity of interventions. People that can benefit from the use of EMA are men who have sex with men (MSM). Previous EMA studies have been successful in capturing patterns of depression, anxiety, substance use, and risky sexual behavior. These findings are directly relevant to MSM, who have high rates of each of these psychological and behavioral outcomes. Although there is a driving force behind the growing literature surrounding EMAs among MSM, no synthesizing reviews yet exist. Objective The aims of this study were to (1) synthesize the literature across fields on how EMA methods have been used among MSM, (2) better understand the feasibility and acceptability of EMA interventions among MSM, and (3) inform designs for future research studies on best evidence-based practices for EMA interventions. Methods Based on 4 library databases, we conducted a scoping review of EMAs used within interventions among MSM. The eligibility criteria included peer-reviewed studies conducted in the United States and the use of EMA methodology in an intervention for MSM. Modeling after the Centers for Disease Control and Prevention’s Compendium of Evidence-Based Interventions as the framework, we applied a typology that used 8 distinct review criteria, for example, sample size, design of the intervention, random assignment, design of the follow-up investigation, rate of retention, and rate of engagement. Results Our results (k=15, N=952) indicated a range of sample sizes; the smallest sample size was 12, while the largest sample size was 120. Of the 15 studies, 7 (47%) focused on outcomes related to substance use or outcomes related to psychological experiences. Of the 15 studies, 5 (33%) implemented an EMA intervention across 30 days. Of the 15 studies, 2 studies (13%) used random assignment, and 2 studies (13%) had quasi-experimental designs. Of the 15 studies, 10 studies (67%) reported acceptable retention rates greater than 70%. The outcomes that had event-contingent prompts (ie, prompts after engaging in substance use) were not as effective in engaging participants, with overall engagement rates as low as 37%. Conclusions Our systematic scoping review indicates strong evidence that the EMA methodology is both feasible and acceptable at high rates among MSM, especially, when examining psychological and behavioral outcomes such as negative or positive affect, risky sexual behavior, or substance use. Further research on optimal designs of EMA interventions for MSM is warranted.

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“…Another potential limitation is the exclusion of participants who were using other substances, as tobacco use may occur in the context of other drug use. Previous research has explored associations between HIV stigma and substance use (alcohol and stimulant use), 42–44 and the present study offered the opportunity to examine associations between experiences of discrimination and tobacco use independent from other substance use. Future research should examine the roles of stigma and discrimination in polysubstance use, perhaps while also accounting for the potential stigma associated with tobacco and drug use.…”

Section: Discussionmentioning

confidence: 99%

Associations Between Multiple Forms of Discrimination and Tobacco Use Among People Living With HIV: The Mediating Role of Avoidance Coping

Crockett

Rice²,

Turan³

2018

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Situational HIV stigma and stimulant use: A day-level autoregressive cross-lagged path model among HIV-positive gay and bisexual men

Cited by 17 publications

References 66 publications

Experiences of HIV-related discrimination and consequences for internalised stigma, depression and alcohol use

Experiences of HIV-related discrimination and consequences for internalised stigma, depression and alcohol use

Ecological Momentary Assessment and mHealth Interventions Among Men Who Have Sex With Men: Scoping Review

Associations Between Multiple Forms of Discrimination and Tobacco Use Among People Living With HIV: The Mediating Role of Avoidance Coping

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