scholarly journals Syndemic factors associated with adherence to antiretroviral therapy among HIV-positive adult heterosexual men

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
James M. McMahon ◽  
Amy Braksmajer ◽  
Chen Zhang ◽  
Natalie Leblanc ◽  
Michael Chen ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Substance Use ◽  
Structural Equation ◽  
Equation Modeling ◽  
Hiv Positive ◽  
Heterosexual Men ◽  
Art Adherence ◽  
Structural Factors ◽  
Related Stigma

Abstract Background Suboptimal adherence to HIV antiretroviral therapy (ART) and concomitant lack of viral control can have severe consequences for health and onward transmission among persons living with HIV. Little is known about the barriers and facilitators of optimal ART adherence among heterosexual HIV-positive men. Methods Structural equation modeling (SEM) was performed to test a theory-derived model of ART adherence using data from a cross-sectional sample of 317 HIV-positive self-identified heterosexual men residing in New York City. We assessed a conceptual model in which mental health (depression, anxiety) and substance use dependence mediated the effects of socio-structural factors (HIV-related stigma, social support) on ART adherence, and subsequently, undetectable viral load. Results Structural equation modeling analyses indicated that men who reported higher levels of HIV-related stigma tended to experience higher levels of general anxiety, which in turn was associated with reduced probability of optimal ART adherence. Moreover, men who reported higher levels of social support tended to exhibit less dependence on illicit substance use, which in turn was associated with increased probability of optimal ART adherence. African-American men reported lower ART adherence compared to other racial/ethnic groups. Conclusions Our findings support the hypothesis that substance use dependence and mental health problems, particularly anxiety, may be primary drivers of suboptimal ART adherence among heterosexual men, and that socio-structural factors such as HIV-related stigma and social support are potential modifiable antecedents of these drivers.

scholarly journals Social Psychology of Mental Health: The Social Structure and Personality Perspective

2003 ◽  
Vol 6 (1) ◽  
pp. 3-11 ◽  
Author(s):  
Esteban Sánchez Moreno ◽  
Ana Barrón López de Roda
Keyword(s):  
Mental Health ◽  
Social Structure ◽  
Structural Equation ◽  
Theoretical Models ◽  
Equation Modeling ◽  
Structural Factors ◽  
Social Stressors ◽  
The Social ◽  
Structural Variables ◽  
Social Environmental

Previous research has revealed a persistent association between social structure and mental health. However, most researchers have focused only on the psychological and psychosocial aspects of that relationship. The present paper indicates the need to include the social and structural bases of distress in our theoretical models. Starting from a general social and psychological model, our research considered the role of several social, environmental, and structural variables (social position, social stressors, and social integration), psychological factors (self-esteem), and psychosocial variables (perceived social support). The theoretical model was tested working with a group of Spanish participants (N = 401) that covered a range of social positions. The results obtained using structural equation modeling support our model, showing the relevant role played by psychosocial, psychological and social, and structural factors. Implications for theory and intervention are discussed.

scholarly journals Adversity, Mental Health, and Substance Use Disorders as Predictors and Mediators of Rule Violations in U.S. Prisons

2019 ◽  
Vol 47 (3) ◽  
pp. 271-289 ◽  
Author(s):  
Brandy F. Henry
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Structural Equation ◽  
Equation Modeling ◽  
Correctional Facilities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Adverse Experiences ◽  
History Of

This study explores how typologies of adversity and mental health/substance use disorders impact rule violations during incarceration. Data come from the 2004 cross-sectional Survey of Inmates in State and Federal Correctional Facilities (SI-SFCF). Logistic regression and structural equation modeling were used for analysis. Results link history of adverse experiences to rule violations during incarceration and demonstrate how mental health and substance use disorders mediate this relationship. Incarcerated people with severe histories of adverse experiences had the highest odds of rule violations, relative to people with low adversity, for all typologies. More severe adversity typologies predicted mental health and substance use disorders. Alcohol and substance use disorders predicted drug violations, whereas substance use and mental health disorders predicted major violations. Serious mental illness did not predict rule violations when accounting for adversity. Findings suggest that addressing adverse experiences, mental health, and substance use disorders may prevent rule violations.

scholarly journals Examining associations between COVID-19 stressors, intimate partner violence, health, and health behaviors

2021 ◽  
pp. 026540752110120
Author(s):  
Abriana M. Gresham ◽  
Brett J. Peters ◽  
Gery Karantzas ◽  
Linda D. Cameron ◽  
Jeffry A. Simpson
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Substance Use ◽  
Health Behaviors ◽  
Partner Violence ◽  
Structural Equation ◽  
Online Survey ◽  
Intimate Partner ◽  
Equation Modeling ◽  
Physical And Mental Health

The economic, social, and health impacts of the COVID-19 pandemic are expected to increase the occurrence of intimate partner violence (IPV) victimization. IPV victimization may, in turn, contribute to physical and mental health, substance use, and social distancing behaviors during the COVID-19 pandemic. The primary objective of the current study was to understand the extent to which 1) COVID-19 stressors are associated with IPV victimization and 2) IPV victimization is associated with health and health behaviors. Participants ( N = 1,813) completed an online survey between May 15 and 28, 2020 that assessed COVID-19 stressors (financial anxiety, social disconnection, health anxiety, COVID-19-specific stress), IPV victimization, physical and mental health, substance use, and movement outside of the home. Structural equation modeling indicated that greater COVID-19-related stressors were associated with greater IPV victimization during the pandemic, even after controlling for enduring vulnerabilities associated with IPV victimization. Additionally, greater IPV victimization during the COVID-19 pandemic was associated with higher levels of substance use and movement outside of the home, but not poorer physical and mental health. COVID-19 stressors may have detrimental relationship effects and health implications, underscoring the need for increased IPV intervention and support services during the pandemic. Findings from the current work provide preliminary correlational evidence for a theoretical model centered on IPV victimization, rather than perpetration.

scholarly journals Impact of SARS-CoV-2 Outbreak on Physical and Mental Health, Psychological Distress, and Suicidal Ideation, and the Mediating Role of Stressors

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Keita Kiuchi ◽  
◽  
Katsumasa Kishi ◽  
Kanto Araki
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Psychological Distress ◽  
Suicidal Ideation ◽  
Structural Equation ◽  
Online Survey ◽  
Demographic Data ◽  
Equation Modeling ◽  
Physical And Mental Health ◽  
Mediating Role

This study investigated the physical and psychological impacts of elements related to coronavirus disease (COVID-19) and demographic data in Japan both directly and as mediated by stressors, immediately following the rescinding of the state of emergency declaration accompanying the severe acute respiratory syndrome coronavirus 2 outbreak. An online survey was administered to 1,500 Japanese registered with an online outsourcing service. Data were analyzed with structural equation modeling using Mplus. Relatively large total effects were observed for “insufficient exercise” on physical health (β = –0.24, SE = 0.03), “mental health issues related to COVID-19” on mental health (β= –0.25, SE = 0.03) and psychological distress (β= 0.24, SE = 0.03), neuroticism on mental health (β= –0.30, SE = 0.02) and psychological distress (β= 0.36, SE = 0.02), and social support on suicidal ideation (β= –0.32, SE = 0.03). Thus, mitigating the harm resulting from the ongoing impact of the COVID-19 infection outbreak by raising awareness of risk factors and promoting social support is feasible.

scholarly journals The Mediating Role of Fatigue Between Mental Health and Its Associated Factors: Evidence From Chinese Healthcare Workers During the COVID-19 Pandemic

2021 ◽  
Vol 12 ◽  
Author(s):  
Rong Peng ◽  
Wensu Zhou ◽  
Dexin Zhou ◽  
Muyang Chu ◽  
Li Ling
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Structural Equation ◽  
Healthcare Workers ◽  
Associated Factors ◽  
Mental Health Problems ◽  
Mediating Effect ◽  
Equation Modeling ◽  
Mediating Role

The aim of this study was to explore the mediating role of fatigue between mental health and its associated factors, including workload, social support, and occupational protection, among healthcare workers during the COVID-19 pandemic in China. A national cross-sectional survey was performed to collect data from healthcare workers who have attended to patients with COVID-19. Structural equation modeling (SEM) was conducted to test the mediating effect of fatigue. The results indicated that fatigue was a significant mediator of mental health. The proportion of indirect effect with regards to the total effect of workload on mental health was 54.2%, significantly greater than other factors such as social support (19.7%) and occupational protection (23.4%). The findings confirmed that workload, social support, and occupational protection both had indirect and direct effects on mental health status through fatigue. To some extent, potential interventions designed to alleviate fatigue would reduce mental health problems among healthcare workers during the COVID-19 pandemic.

An Examination of the Associations Among Victimization, Mental Health, and Offending in Women

2017 ◽  
Vol 44 (6) ◽  
pp. 796-814 ◽  
Author(s):  
Shannon M. Lynch ◽  
Dana D. DeHart ◽  
Joanne Belknap ◽  
Bonnie L. Green ◽  
Priscilla Dass-Brailsford ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Interpersonal Violence ◽  
Structural Equation ◽  
The United States ◽  
Equation Modeling ◽  
Treatment Utilization ◽  
Childhood Experiences ◽  
Diagnostic Interviews

This study examines mental health as a mediator of the victimization and offending link in women. We administered structured diagnostic interviews to 491 women in urban and rural jails in four geographic regions of the United States to obtain detailed lifetime mental health, substance use, victimization, and conviction history. Structural equation modeling (SEM) was used to examine associations among adult and childhood experiences of interpersonal violence, lifetime mental health and substance use disorders, treatment utilization, and total number of convictions. Lifetime mental health and substance use disorders mediated the relationship between childhood victimization and adversity and number of convictions, and between adult victimization and number of convictions. In addition, greater treatment utilization was significantly associated with number of convictions. The findings offer support for including mental health and treatment utilization in models of women’s offending and conducting comprehensive mental health assessments of women entering jail.

scholarly journals Structural Equation Modeling of Parkinson’s Caregiver Social Support, Resilience, and Mental Health: A Strength-Based Perspective

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Carmen M. Tyler ◽  
Richard S. Henry ◽  
Paul B. Perrin ◽  
Jack Watson ◽  
Teresita Villaseñor ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Structural Equation Model ◽  
Structural Equation ◽  
The United States ◽  
Equation Model ◽  
Self Report ◽  
Equation Modeling ◽  
Mental Health Symptoms ◽  
Health Symptoms

Only scant literature has focused on social support in Parkinson’s disease (PD) caregivers, and no studies to date have examined resilience in this population, despite both variables having been shown to be important in other caregiving populations. As a result, the purpose of the current study was to construct and validate a theoretical structural equation model whereby social support is associated with higher levels of resilience in PD caregivers and increased resilience is related to decreased mental health symptoms. Two hundred fifty three PD caregivers from two clinics in the United States and Mexico completed self-report measures of these constructs. Results suggested that the hypothesized pattern was robustly supported with the structural equation model showing generally good fit indices. Higher levels of social support were associated with increased resilience, which in turn was associated with reduced mental health symptoms. Resilience partially mediated social support’s effect on mitigating mental health symptoms. The model explained 11% of the variance in resilience and 35% in mental health symptoms. These findings have implications for future research on the development and tailoring of interventions to improve social support, resilience, and mental health in PD caregivers.

scholarly journals Internalized Stigmatization, Social Support, and Individual Mental Health Problems in the Public Health Crisis

2020 ◽  
Vol 17 (12) ◽  
pp. 4507 ◽  
Author(s):  
Jiannan Li ◽  
Wenqi Liang ◽  
Bocong Yuan ◽  
Guojun Zeng
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Structural Equation ◽  
Mental Health Problems ◽  
Time Lag ◽  
Health Problems ◽  
Equation Modeling ◽  
Positive Relationships ◽  
Health Crisis ◽  
Anxiety Depression

This study investigates the relationship between internalized stigmatization brought on by epicenter travel experiences and mental health problems (including anxiety, depression, and shame) during the period of the novel coronavirus disease emergency in China. The cross-sectional data were collected using the time-lag design to avoid the common method bias as much as possible. Regression results using structural equation modeling show that the internalized stigmatization of epicenter travel experiences may have positive relationships with mental health problems (i.e., anxiety, depression, and shame), and such relationships can be moderated by social support. Specifically, the positive relationships between internalized stigmatization and mental health problems are buffered/strengthened when social support is at a high/low level. The findings of this study suggest that, in this epidemic, people who have epicenter travel experience could be affected by internalized stigmatization, no matter whether they have ever got infected.

scholarly journals Relationships of Social Support, Stress, and Health among Immigrant Chinese Women in Japan: A Cross-Sectional Study Using Structural Equation Modeling

Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 258
Author(s):  
Yunjie Luo ◽  
Yoko Sato
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Physical Health ◽  
Parenting Stress ◽  
Acculturative Stress ◽  
Structural Equation ◽  
Chinese Women ◽  
Path Model ◽  
Child Rearing ◽  
Equation Modeling

Social support could help immigrant Chinese women in Japan to improve health. However, these women suffer from numerous stresses associated with acculturation and child-rearing, which could impact the effect of social support on mental and physical health. This study aims to identify the relationships among social support, acculturative stress, parenting stress, mental health, and physical health to propose a structural path model of these relationships and to evaluate the mediating role of stress between social support and health. A questionnaire was used to collect data for the main variables and demographic factors. A total of 109 women participated (mean age 33.9 ± 5.6 years). The results show that immigrant Chinese women in Japan experienced a low level of mental health (44.7 ± 9.8). Additionally, social support directly influenced parenting stress (β = −0.21, p < 0.05), acculturative stress (β = −0.19, p < 0.05), and mental health (β = 0.31, p < 0.001) and indirectly influenced physical health (β = 0.09, p < 0.05). Parenting stress partially mediated the association between social support and mental health (β = 0.09, p < 0.05). To protect the effectiveness of social support on mental health, it is essential to reduce the parenting stress of immigrant Chinese women.

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