The Relationship Between Posttraumatic Stress Disorder and Alcohol Misuse and Smoking Among Aging Men Who Have Sex With Men: No Evidence of Exercise or Volunteering Impact.

Autor:	Barrett BW; Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA., Meanley S; Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA., Brennan-Ing M; Brookdale Center for Healthy Aging, The City University of New York, Hunter College, NY, New York, USA., Haberlen SA; Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA., Ware D; Department of Medicine, Georgetown University Medical Center, Washington, DC, USA., Detels R; Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA., Friedman MR; Department of Urban-Global Public Health, School of Public Health, Rutgers University, Newark, NJ, USA., Plankey MW; Department of Medicine, Georgetown University Medical Center, Washington, DC, USA.
Jazyk:	angličtina
Zdroj:	Journal of aging and health [J Aging Health] 2024 Dec; Vol. 36 (10), pp. 700-718. Date of Electronic Publication: 2023 Nov 17.
DOI:	10.1177/08982643231215475
Abstrakt:	Objectives: To determine if the association between posttraumatic stress disorder (PTSD) and substance use (alcohol misuse or smoking tobacco) is mediated/moderated by exercise or volunteering among aging (≥40 years) men who have sex with men (MSM), and if this mediation/moderation differs by HIV serostatus. Methods: Multicenter AIDS Cohort Study data were used. Three datasets with PTSD measured during different time periods (10/1/2017-3/31/2018, 898 men; 4/1/2018-9/30/2018, 890 men; 10/1/2018-3/31/2019, 895 men) were analyzed. Longitudinal mediation analyses estimated the mediation effect of exercise and volunteering on the outcomes. Results: Nine percent of MSM had evidence of PTSD. There was no statistically significant mediation effect of exercise or volunteering regardless of substance use outcome. The odds of smoking at a future visit among MSM with PTSD were approximately double those of MSM without PTSD. Results did not differ by HIV serostatus. Discussion: There is a particular need for effective smoking cessation interventions for aging MSM with PTSD. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu