Stress Among a Sample of Returning Citizens Living with HIV and Substance Use Disorder: A Mixed Methods Analysis

Alexandra S. Wimberly, Orrin D. Ware, Alicia Bazell, Erica M.S. Sibinga

Research output: Contribution to journalArticlepeer-review

Abstract

This mixed-methods study asks: among a sample of returning citizens living with HIV and substance use disorder, how is stress experienced; and what are the leading stressors and stress-coping strategies? Data is from a parent study that randomized 36 people to a yoga intervention and 36 people to treatment as usual. Qualitative analysis found that securing basic life needs was more acute in early reentry, and challenges with HIV acceptance were greater among those with a more recent HIV diagnosis. Social support was the most widely employed coping strategy but many lacked social networks. Post-program, multiple regression found older age(β = − 0.38, p <.05), greater income(β = − 0.002, p <.01), shorter incarceration(β =.03, p <.01) and randomization to yoga(β = 6.92, p <.01) predicted lower levels of stress. Results indicate that reentry needs for people living with HIV and substance use disorder include basic life needs, social supports, and stress-coping interventions that address physical and mental stress symptoms (such as yoga).

Original languageEnglish (US)
Pages (from-to)884-897
Number of pages14
JournalCommunity Mental Health Journal
Volume57
Issue number5
DOIs
StatePublished - Jul 2021

Keywords

  • Criminal justice
  • HIV/AIDS health promotion
  • Reentry
  • Stress
  • Substance use disorder

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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