Alcohol Use, HIV Stigma and Quality of Life Among Alcohol Consuming Men Living with HIV in India: A Mediation Analysis

This study examined the hypothesis that HIV-related stigma mediates the effect of alcohol use on health-related quality of life (HRQoL) among alcohol consuming Indian men living with HIV (PLWH). The study used baseline data from a randomized controlled clinical trial entitled ‘Alcohol and ART adhere...

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Published in:AIDS and behavior 2023-10, Vol.27 (10), p.3272-3284
Main Authors: Ha, Toan, Shi, Hui, Singh, Roopal J., Gaikwad, Sushma S., Joshi, Kavita, Padiyar, Rupal, Schensul, Jean J., Schensul, Stephen L.
Format: Article
Language:English
Subjects:
Alcohol use
Alcohols
Antiretroviral therapy
Clinical trials
Health Psychology
HIV
Human immunodeficiency virus
Infectious Diseases
Mediation
Medicine
Medicine & Public Health
Original Paper
Public Health
Public opinion
Quality of life
Stigma
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container_issue 10
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container_title AIDS and behavior
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creator Ha, Toan
Shi, Hui
Singh, Roopal J.
Gaikwad, Sushma S.
Joshi, Kavita
Padiyar, Rupal
Schensul, Jean J.
Schensul, Stephen L.
description This study examined the hypothesis that HIV-related stigma mediates the effect of alcohol use on health-related quality of life (HRQoL) among alcohol consuming Indian men living with HIV (PLWH). The study used baseline data from a randomized controlled clinical trial entitled ‘Alcohol and ART adherence: Assessment, Intervention, and Modeling in India. Participants completed surveys assessing demographic characteristics, alcohol use, HIV-related stigma, HRQoL. Mediation analysis was conducted to establish the mediation effect of HIV-related stigma on the relationship between alcohol use and HRQoL. The final mediation model showed that the effect of alcohol use on HRQoL were partially mediated by overall HIV-related stigma. Specially, 27.1% of the effects of alcohol use on HRQoL was mediated through overall HIV stigma. In the HIV stigma subdomain analyses, negative self-image mediated 14% and concerns with public attitudes (anticipated stigma) mediated 17.3% of the effect of alcohol use on HRQoL respectively. The findings suggest that efforts to reduce the negative impact of alcohol use on HRQoL and improve HRQoL among PLWH should include interventions addressing both alcohol use and specific forms of HIV-related stigma.
doi_str_mv 10.1007/s10461-023-04047-7
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subjects Alcohol use
Alcohols
Antiretroviral therapy
Clinical trials
Health Psychology
HIV
Human immunodeficiency virus
Infectious Diseases
Mediation
Medicine
Medicine & Public Health
Original Paper
Public Health
Public opinion
Quality of life
Stigma
title Alcohol Use, HIV Stigma and Quality of Life Among Alcohol Consuming Men Living with HIV in India: A Mediation Analysis
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