Evidence map›Paper›PMID 38334862›Full record

ArticleAIDS and behavior2024

Psychological Distress Mediates the Relationship Between HIV-Related Stigma and Prescription Opioid Misuse Among Chinese People Living with HIV.

Cheuk Chi Tam, Sayward E Harrison, Eric G Benotsch, Alain H Litwin, Yuejiao Zhou, Zhiyong Shen, Xiaoming Li

Abstract read
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In one paragraph

Article in AIDS and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.6field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
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

7 authors at 4 institutions in 2 countries.

Cheuk Chi TamArnold School of Public Health, South Carolina SmartState Center for Healthcare Quality, University of South Carolina, Discovery I, 915 Greene Street, Columbia, SC, 29208, USA. ctam@mailbox.sc.edu.ORCID http://orcid.org/0000-0003-2612-0564
Sayward E HarrisonArnold School of Public Health, South Carolina SmartState Center for Healthcare Quality, University of South Carolina, Discovery I, 915 Greene Street, Columbia, SC, 29208, USA.
Eric G BenotschDepartment of Psychology, Virginia Commonwealth University, PO Box 842018, Richmond, VA, 23284, USA.
Alain H LitwinSchool of Health Research, Clemson University, 605 Grove Road, Greenville, SC, 29605, USA.
Yuejiao ZhouGuangxi Zhuang Autonomous Region Center for Disease Prevention and Control, Nanning, China.
Zhiyong ShenGuangxi Zhuang Autonomous Region Center for Disease Prevention and Control, Nanning, China.
Xiaoming LiArnold School of Public Health, South Carolina SmartState Center for Healthcare Quality, University of South Carolina, Discovery I, 915 Greene Street, Columbia, SC, 29208, USA.
University of South Carolina · USGuangxi Center for Disease Prevention and Control · CNPrisma Health · USVirginia Commonwealth University · US

Funding

Utilizing All of Us data to examine the impact of COVID-19 on mental health among people living with HIVR01MH127961 · NIMH · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI Xiaoming Li · 2022 to 2026
$2.5M
HIV-related Stigma and HIV Clinical Outcomes: Linkage and MechanismsR01MH112376 · NIMH · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI LI, XIAOMING · 2017 to 2021
$1.1M
NIMH NIH HHS R01MH0112376NIMH NIH HHS R01MH127961
6 · The paper itself

Abstract

Prescription opioid misuse (POM) among people living with HIV (PLWH) is a serious concern due to risks related to dependence and overdose, and PLWH may be at higher risk for POM due to psychosocial stressors including psychological distress. However, scant POM research has examined the role of HIV-related stigma (e.g., internalized stigma, enacted stigma) in POM among PLWH. Guided by minority stress theory, this study examined a hypothesized serial mediation among enacted stigma, internalized stigma, psychological distress, and POM within a sample of Chinese PLWH with pain symptoms enrolled in a wave (between November 2017 and February 2018) of a longitudinal cohort study in Guangxi (n = 116). Models were tested individually for six enacted stigma experiences, controlling for key demographic and health-related variables (e.g., CD4 + count). Results showed HIV-related workplace discrimination was the most common stigma experience (12%,) and 10.3% of PLWH reported POM. Indirect effect analyses showed that internalized stigma was indirectly associated with POM through psychological distress. Internalized stigma and psychological distress mediated the association between workplace discrimination and POM. Family discrimination, gossip, and healthcare discrimination were directly associated with POM. This study suggests that Chinese PLWH may engage in POM to cope with psychological distress that is rooted in HIV-related stigma and highlights the important context of workplace discrimination for PLWH. Implications for interventions to reduce POM among PLWH are discussed.

Indexed as

East Asian PeopleHIV InfectionsOpioid-Related DisordersPsychological DistressSocial StigmaAdultAnalgesics, OpioidChinaFemaleHumansLongitudinal StudiesMaleMiddle AgedPrescription Drug MisuseStress, PsychologicalAnalgesics, OpioidChinaHIV-related stigmaMediationPeople living with HIVPrescription opioidsPsychological distressWorkplace discrimination

Identifiers

PMID38334862
OpenAlexW4391691499

What OpenQuestion holds

Textmetadata
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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.