Evidence map›Paper›PMID 30906222›Full record

ArticleJournal of substance use2018

Substance use, anxiety, and self-management efficacy in HIV-positive individuals: A mediation analysis.

Wei-Ti Chen, Chengshi Shiu, Joyce P Yang, Chiang-Shan Ray Li, Kerong Wang, Lin Zhang, Jing Zhang, Meijuan Bao, Myo Nyein Aung, Li-Chen Chen and 2 more

Open access · greenAbstract read
In one paragraph

Article in Journal of substance use, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.7field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 4 countries.

Wei-Ti ChenSchool of Nursing, University of California Los Angeles, Los Angeles, CA.
Chengshi ShiuSchool of Nursing, University of California Los Angeles, Los Angeles, CA.
Joyce P YangDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA.
Chiang-Shan Ray LiPsychiatry and of Neuroscience, School of Medicine, Yale University, New Haven, CT.
Kerong WangDitan Hospital, Capital Medical University, Beijing, China.
Lin ZhangShanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Jing ZhangShanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Meijuan BaoShanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Myo Nyein AungChulalongkorn University, Bangkok, Thailand.
Li-Chen ChenNational Cheng Kung University, School of Nursing, Tainan, Taiwan.
Hongxin ZhaoDitan Hospital, Capital Medical University, Beijing, China.
Hongzhou LuShanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Shanghai Public Health Clinical Center · CNUniversity of California, Los Angeles · USBeijing Ditan Hospital · CNCapital Medical University · CNChulalongkorn University · THNational Cheng Kung University · TWStanford University · USYale University · US

Funding

Self- and Family-Management Intervention in HIV+ Chinese WomenK23NR014107 · NINR · YALE UNIVERSITY · PI CHEN, WEI-TI · 2013 to 2015
$374k
Understanding Self- and Family-Management in HIV-positive Asian Americans in New YorkR03MD012210 · NIMHD · YALE UNIVERSITY · PI CHEN, WEI-TI · 2017 to 2018
$157k
NIMHD NIH HHS R03 MD012210NINR NIH HHS K23 NR014107
6 · The paper itself

Abstract

contextIn China, the social stigma of both substance use and HIV remains major barriers. HIV+ individuals have been demonstrated to have higher psychosocial distress in the literature. To ensure quality of life among HIV+ Chinese individuals, self-efficacy in HIV-related management including substance use and anxiety is the key to suppress viral load and maintain healthy lives.

objectivesWe examine the mediation relationship among substance use, anxiety, and self-management efficacy.

methodA cross-sectional study design was used. 137 HIV+ individuals were recruited from two premier Chinese hospitals: Beijing's Ditan Hospital and Shanghai's Public Health Clinic Center (SPHCC).

resultsHIV+ substance users had significantly lower HIV-management efficacy and higher anxiety scores. About a third of the relations between substance use and anxiety was mediated by HIV-management self-efficacy. Those who used substances in the previous week had higher anxiety levels suggesting the presence of a recent effect. Their higher levels of anxiety could be largely explained by their lower HIV-management efficacy.

conclusionIt is useful for healthcare providers to assess substance use behaviors in HIV+ 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.

Identifiers

PMID30906222
PMCPMC6425732
OpenAlexW2791797185

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.