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, Benjamin W., Meanley, Steven, Brennan-Ing, Mark, Haberlen, Sabina A., Ware, Deanna, Detels, Roger, Friedman, M. Reuel, Plankey, Michael W. |
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| Předmět: |
SUBSTANCE abuse risk factors
EXERCISE & psychology PSYCHOLOGICAL aspects of aging POST-traumatic stress disorder VOLUNTEER service RISK assessment RESEARCH funding SMOKING HIV infections EVALUATION of medical care DESCRIPTIVE statistics MEN who have sex with men LONGITUDINAL method RESEARCH ALCOHOLISM FACTOR analysis DATA analysis software AIDS OLD age |
| Zdroj: | Journal of Aging & Health; Dec2024, Vol. 36 Issue 10, p700-718, 19p |
| 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. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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