TY - JOUR
T1 - The role of chronic pain and current substance use in predicting negative social support among disadvantaged persons living with HIV/AIDS
AU - Mitchell, Mary M.
AU - Maragh-Bass, Allysha C.
AU - Nguyen, Trang Q.
AU - Isenberg, Sarina
AU - Knowlton, Amy R.
N1 - Funding Information:
This study was supported by grants R01DA019413, R01NR014050, and (for TQN) T32DA007292 from the National Institutes of Health; and Grant 1P30AI094189 from the Centers for AIDS Research (CFAR).
Publisher Copyright:
© 2016 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2016/10/2
Y1 - 2016/10/2
N2 - Chronic pain and substance use can strain the supportive relationships of persons with serious chronic illness, which may increase the likelihood of receiving negative, rather than positive, social support from informal caregivers and social network members. To our knowledge, this is the first study to longitudinally examine the effects of chronic pain and substance use on negative social support. The sample (N = 383) comprised disadvantaged, primarily African-American, persons living with HIV/AIDS with a history of injection drug use, 32.4% of whom reported frequent or constant pain in the prior 6 months. Using factor analysis and structural equation modeling, current substance use and greater levels of chronic pain positively predicted negative social support 12 months later, after controlling for baseline negative support, viral load, age and sex. We also found a significant interaction effect such that among those not using substances, there was a significant positive association between pain and negative support, but no such association among those currently using substances. The findings emphasize the importance of treatment of chronic pain and substance use in the supportive functioning of social networks of a disadvantaged population with serious chronic conditions and persistent health disparities.
AB - Chronic pain and substance use can strain the supportive relationships of persons with serious chronic illness, which may increase the likelihood of receiving negative, rather than positive, social support from informal caregivers and social network members. To our knowledge, this is the first study to longitudinally examine the effects of chronic pain and substance use on negative social support. The sample (N = 383) comprised disadvantaged, primarily African-American, persons living with HIV/AIDS with a history of injection drug use, 32.4% of whom reported frequent or constant pain in the prior 6 months. Using factor analysis and structural equation modeling, current substance use and greater levels of chronic pain positively predicted negative social support 12 months later, after controlling for baseline negative support, viral load, age and sex. We also found a significant interaction effect such that among those not using substances, there was a significant positive association between pain and negative support, but no such association among those currently using substances. The findings emphasize the importance of treatment of chronic pain and substance use in the supportive functioning of social networks of a disadvantaged population with serious chronic conditions and persistent health disparities.
KW - Chronic pain
KW - HIV/AIDS
KW - black/African-American
KW - negative social support
KW - substance/drug use
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U2 - 10.1080/09540121.2016.1168916
DO - 10.1080/09540121.2016.1168916
M3 - Article
C2 - 27050708
AN - SCOPUS:84962339775
SN - 0954-0121
VL - 28
SP - 1280
EP - 1286
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
IS - 10
ER -