Poverty and substance use in South African tuberculosis patients.

Autor:	Louwagie GM; School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa. goedele.louwagie@up.ac.za., Wouters E; Department of Sociology and Research Centre for Longitudinal and Life Course Studies, University of Antwerp, Antwerp, Belgium; and Centre for Health Systems Research and Development, University of the Free State, Bloemfontein, South Africa., Ayo-Yusuf OA; School of Oral Health Sciences, University of Limpopo MEDUNSA campus, South Africa; School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa.
Jazyk:	angličtina
Zdroj:	American journal of health behavior [Am J Health Behav] 2014 Jul; Vol. 38 (4), pp. 501-9.
DOI:	10.5993/AJHB.38.4.3
Abstrakt:	Objectives: To determine whether social support and depressive symptoms mediate the relationship between poverty and substance use in tuberculosis (TB) patients in South Africa. Methods: We performed structural equation modeling with the latent constructs socioeconomic status (SES), social support and "substance use" (tobacco smoking, alcohol problem, illicit drug use) in 1005 male TB patients. Results: Higher SES directly (standardized coefficient= -0.27) and indirectly reduced substance use. Indirectly SES provided increased social support (coefficient=0.37), which was associated with reduced substance use (coefficient=-0.15). Higher SES diminished depressive symptoms. Model fit was acceptable. Separate models for tobacco smoking, illicit drug use or alcohol problem produced similar findings. Conclusions: Poverty alleviation and social support-based interventions may benefit male TB patients with substance use.
Databáze:	MEDLINE
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