Associations Between Multiple Forms of Discrimination and Tobacco Use Among People Living With HIV: The Mediating Role of Avoidance Coping.

摘要: BACKGROUND People living with HIV (PLWH) have higher levels of tobacco use compared the general population, increasing their risk morbidity and mortality. PLWH also face potential chronic stressors related to stigma discrimination associated other characteristics (eg, race sexual orientation). These experiences may be harmful health behaviors, such as use. The purpose current study is explore psychosocial context in PLWH, examining avoidance coping a mediator relationship between multiple forms SETTING Participants included 202 recruited from an primary care clinic Birmingham, AL, 2013 2015. METHODS responded parallel items assessing status, race, orientation, well coping. Data on were obtained participants' records. Mediation models for each form (HIV, orientation) adjusting demographic variables evaluated. RESULTS indirect effect HIV-related likelihood through was significant, suggesting that mediates association However, effects not significant. CONCLUSIONS Given disparity behavioral scientists interventionists should consider including content specific prevention cessation programs PLWH.