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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.

Titel:	Psychological Distress Mediates the Relationship Between HIV-Related Stigma and Prescription Opioid Misuse Among Chinese People Living with HIV.
Autor/in / Beteiligte Person:	Tam, CC ; Harrison, SE ; Benotsch, EG ; Litwin, AH ; Zhou, Y ; Shen, Z ; Li, X
Link:	Full Text Finder (Volltext)
Zeitschrift:	AIDS and behavior, Jg. 28 (2024-05-01), Heft 5, S. 1673-1683
Veröffentlichung:	2005- : New York, NY : Springer Science + Business Media ; <i>Original Publication</i>: New York, NY : Plenum Press, 1997-, 2024
Medientyp:	academicJournal
ISSN:	1573-3254 (electronic)
DOI:	10.1007/s10461-024-04288-0
Schlagwort:	Humans Male Female Adult China epidemiology Middle Aged Longitudinal Studies Prescription Drug Misuse psychology Prescription Drug Misuse statistics & numerical data Analgesics, Opioid therapeutic use Stress, Psychological psychology Stress, Psychological epidemiology Social Stigma HIV Infections psychology Opioid-Related Disorders psychology Opioid-Related Disorders epidemiology Psychological Distress East Asian People
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, N.I.H., Extramural Language: English [AIDS Behav] 2024 May; Vol. 28 (5), pp. 1673-1683. <i>Date of Electronic Publication: </i>2024 Feb 09. MeSH Terms: Social Stigma* ; HIV Infections* / psychology ; Opioid-Related Disorders* / psychology ; Opioid-Related Disorders* / epidemiology ; Psychological Distress* ; East Asian People* ; Humans ; Male ; Female ; Adult ; China / epidemiology ; Middle Aged ; Longitudinal Studies ; Prescription Drug Misuse / psychology ; Prescription Drug Misuse / statistics & numerical data ; Analgesics, Opioid / therapeutic use ; Stress, Psychological / psychology ; Stress, Psychological / epidemiology References: United Nations Office on Drugs and Crime. World Drug Report 2022. United Nations publication; 2022. ; Tam CC, Benotsch EG, Wang X, Lin D, Du H, Chi P. Non-medical use of prescription drugs and cultural orientation among college students in China. 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Psychological Distress Mediates the Relationship Between HIV-Related Stigma and Prescription Opioid Misuse Among Chinese People Living with HIV.