Bibliographic Details
| Title: |
Symptoms of generalized anxiety disorder as a risk factor for substance use among adults living with HIV. |
| Authors: |
Mannes, Zachary L., Dunne, Eugene M., Ferguson, Erin G., Cook, Robert L., Ennis, Nicole |
| Source: |
AIDS Care. May2021, Vol. 33 Issue 5, p623-632. 10p. 4 Charts. |
| Subjects: |
Substance abuse risk factors, HIV-positive persons, Alcoholism, Cannabis (Genus), Confidence intervals, Questionnaires, Mental depression, Cocaine, Descriptive statistics, Generalized anxiety disorder, Smoking, Logistic regression analysis, Psychology of HIV-positive persons, Adults |
| Geographic Terms: |
Florida |
| Abstract: |
This study examined the association between symptoms of generalized anxiety disorder (GAD) and substance use among 932 people living with HIV (PLWH) in Florida. PLWH completed a 45-minute questionnaire assessing demographics, symptoms of GAD and depression, and use of substances including alcohol, cigarettes, marijuana, crack/cocaine, and injection drugs. The GAD-7 measured symptoms of anxiety and participants were categorized as experiencing none/mild anxiety (score 0–9) or moderate/severe symptoms (score ≥10). Adjusted binary logistic regressions assessed the association between moderate-severe GAD symptoms and substance use while controlling for covariates, including depressive symptoms. Approximately one-third (31.4%) of the sample reported experiencing moderate/severe symptoms of GAD. After controlling for covariates, PLWH with moderate/severe symptoms of GAD had greater odds of reporting current cigarette use (AOR = 1.70, 95% CI = 1.18–2.45 p = 0.004), past 30-day hazardous alcohol consumption (AOR = 1.50, 95% CI = 1.04–2.16, p = 0.028), and past 12-month non-injection crack/cocaine use (AOR = 1.75, 95% CI = 1.13–2.69, p = 0.011) compared to PLWH reporting none/mild symptoms. Findings demonstrate that moderate/severe GAD symptoms were common among this sample of PLWH in Florida and were associated with use of cigarettes, crack/cocaine, and hazardous alcohol consumption. Future studies should explore interventions to reduce comorbid anxiety and substance use. [ABSTRACT FROM AUTHOR] |
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| Database: |
Psychology and Behavioral Sciences Collection |
