The Moderating Role of Social Support on the Relationship Between Anxiety, Stigma, and Intention to Use Illicit Drugs Among HIV-Positive Men Who Have Sex with Men
The present study examined the association between anxiety, stigma, social support and intention to use illicit drugs, and the moderating role of social support on the association between anxiety/stigma and intention to use illicit drugs among 450 Chinese HIV-positive MSM. Findings show that controlling for significant background variables, self-stigma and anxiety were positively associated with intention to use illicit drugs, while social support was negatively associated with intention to use illicit drugs. A significant moderation effect of social support was also observed, that the negative association between self-stigma/anxiety and intention to use illicit drugs was only significant among participants with lower levels of social support. Findings highlight the importance of reducing self-stigma and anxiety, and promoting social support in drug use prevention for HIV-positive MSM.
KeywordsSocial support Intention to use illicit drugs Anxiety Stigma Men who have sex with men
We would like to express our heartfelt thanks to Mr. Xiaodong Wang, director of the local NGO, for his support in data collection and coordination.
The study was funded by the Providence/Boston Center for AIDS Research International Developmental Grant [P30AI042853] and the National Natural Science Foundation of China Young Scientists’ Grant .
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
- 1.National Health and Family Planning Commission of the People’s Republic of China. 2015 China AIDS response progress report 2015. [Available from: http://www.unaids.org/sites/default/files/country/documents/CHN_narrative_report_2015.pdf.]
- 2.NCAIDS C. Update on the AIDS/STD epidemic in China. Chin J Aids STD. 2016;22(10):767.Google Scholar
- 23.Kennedy CE, Baral SD, Fielding-Miller R, Adams D, Dludlu P, Sithole B, et al. ”They are human beings, they are Swazi”: intersecting stigmas and the positive health, dignity and prevention needs of HIV-positive men who have sex with men in Swaziland. J Int AIDS Soc. 2013;16:18749.PubMedPubMedCentralCrossRefGoogle Scholar
- 32.Uchino BN, Bowen K, de Grey RK, Mikel J, Fisher EB. Social support and physical health: models, mechanisms, and opportunities. In: Fisher EB, Cameron LD, Christensen AJ, Ehlert U, Guo Y, Oldenburg B, et al., editors. Principles and concepts of behavioral medicine: a global handbook. New York: Springer; 2018. p. 341–72.CrossRefGoogle Scholar
- 35.Brashers DE, Neidig JL, Haas SM, Dobbs LK, Cardillo LW, Russell JA. Communication in the management of uncertainty: the case of persons living with HIV or AIDS. ComM. 2000;67(1):63–84.Google Scholar