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Symptoms of generalized anxiety disorder as a risk factor for substance use among adults living with HIV.

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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]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Symptoms of generalized anxiety disorder as a risk factor for substance use among adults living with HIV.
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  Data: <searchLink fieldCode="AR" term="%22Mannes%2C+Zachary+L%2E%22">Mannes, Zachary L.</searchLink><br /><searchLink fieldCode="AR" term="%22Dunne%2C+Eugene+M%2E%22">Dunne, Eugene M.</searchLink><br /><searchLink fieldCode="AR" term="%22Ferguson%2C+Erin+G%2E%22">Ferguson, Erin G.</searchLink><br /><searchLink fieldCode="AR" term="%22Cook%2C+Robert+L%2E%22">Cook, Robert L.</searchLink><br /><searchLink fieldCode="AR" term="%22Ennis%2C+Nicole%22">Ennis, Nicole</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. May2021, Vol. 33 Issue 5, p623-632. 10p. 4 Charts.
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  Data: 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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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=150006033
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2020.1808163
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 623
    Subjects:
      – SubjectFull: Substance abuse risk factors
        Type: general
      – SubjectFull: HIV-positive persons
        Type: general
      – SubjectFull: Alcoholism
        Type: general
      – SubjectFull: Cannabis (Genus)
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Cocaine
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Generalized anxiety disorder
        Type: general
      – SubjectFull: Smoking
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
        Type: general
      – SubjectFull: Adults
        Type: general
      – SubjectFull: Florida
        Type: general
    Titles:
      – TitleFull: Symptoms of generalized anxiety disorder as a risk factor for substance use among adults living with HIV.
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            NameFull: Mannes, Zachary L.
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            NameFull: Dunne, Eugene M.
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            NameFull: Ferguson, Erin G.
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            NameFull: Cook, Robert L.
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            – D: 01
              M: 05
              Text: May2021
              Type: published
              Y: 2021
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              Value: 33
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