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AIDS and Behavior
Published in: AIDS and Behavior 9/2017

01-09-2017 | Original Paper

HIV Stigma and Substance Use Among HIV-Positive Russians with Risky Drinking

Authors: E. Jennifer Edelman, Karsten Lunze, Debbie M. Cheng, Dmitry A. Lioznov, Emily Quinn, Natalia Gnatienko, Carly Bridden, Christine E. Chaisson, Alexander Y. Walley, Evgeny M. Krupitsky, Anita Raj, Jeffrey H. Samet

Published in: AIDS and Behavior | Issue 9/2017

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Abstract

The link between HIV stigma with substance use is understudied. We characterized individuals with high HIV stigma and examined whether HIV stigma contributes to substance use among HIV-positive Russians reporting risky alcohol use. We analyzed data from HERMITAGE, a randomized controlled trial of 700 people living with HIV/AIDS (PLWHA) with past 6-month risky sex and risky alcohol use in St. Petersburg, Russia (2007–2011). Participants who were female and reported depressive symptoms and lower social support were more likely to endorse high HIV stigma (all p’s < 0.001). In adjusted models, high HIV stigma was not significantly associated with the primary outcome unhealthy substance use and was not consistently associated with secondary substance use outcomes. Interventions to enhance social and mental health support for PLWHA, particularly women, may reduce stigma, though such reductions may not correspond to substantial decreases in substance use among this population.
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Metadata
Title
HIV Stigma and Substance Use Among HIV-Positive Russians with Risky Drinking
Authors
E. Jennifer Edelman
Karsten Lunze
Debbie M. Cheng
Dmitry A. Lioznov
Emily Quinn
Natalia Gnatienko
Carly Bridden
Christine E. Chaisson
Alexander Y. Walley
Evgeny M. Krupitsky
Anita Raj
Jeffrey H. Samet
Publication date
01-09-2017
Publisher
Springer US
Published in
AIDS and Behavior / Issue 9/2017
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-017-1832-4

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