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The role of chronic pain and current substance use in predicting negative social support among disadvantaged persons living with HIV/Aids

Bibliographic Data

ID19441900
AuthorsMiaisha M Mitchell (0000-0001-6984-5085, Johns Hopkins University, corresponding author), Mary M Mitchell, Allysha C Maragh-Bass, Allysha C Maragh‐Bass (Brigham and Women's Hospital), Trang Quynh Nguyen (0000-0003-1653-5491, Johns Hopkins University), Sarina Isenberg, Sarina R Isenberg (0000-0001-6059-5366, Johns Hopkins University), Amy R Knowlton (0000-0001-9124-4315, Johns Hopkins University)
Year2016
Volume28
Issue10
Pages1280-1286
Publication date2016-10-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2016.1168916
PMID27050708
OpenAlexW2334316380
LanguageEN
Citations received10
References cited46

Chronic pain and substance use can strain the supportive relationships of persons with serious chronic illness, which may increase the likelihood of receiving negative, rather than positive, social support from informal caregivers and social network members. To our knowledge, this is the first study to longitudinally examine the effects of chronic pain and substance use on negative social support. The sample (N = 383) comprised disadvantaged, primarily African-American, persons living with HIV/AIDS with a history of injection drug use, 32.4% of whom reported frequent or constant pain in the prior 6 months. Using factor analysis and structural equation modeling, current substance use and greater levels of chronic pain positively predicted negative social support 12 months later, after controlling for baseline negative support, viral load, age and sex. We also found a significant interaction effect such that among those not using substances, there was a significant positive association between pain and negative support, but no such association among those currently using substances. The findings emphasize the importance of treatment of chronic pain and substance use in the supportive functioning of social networks of a disadvantaged population with serious chronic conditions and persistent health disparities

Chronic pain · Disadvantaged · Environmental health · Population · Psychiatry · Social support · Substance abuse · Substance use · Clinical Psychology · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Mental Health Treatment and Access · Psychology · Social Psychology

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Unique citing works10
Citations per year1
Citation span2016 - 2026 (11)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 9

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