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

AIDS Behav. 2020 Jan;24(1):55-64. doi: 10.1007/s10461-019-02719-x.

Abstract

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.

Keywords: Anxiety; Intention to use illicit drugs; Men who have sex with men; Social support; Stigma.

MeSH terms

  • Adult
  • Anxiety / psychology*
  • China
  • Cross-Sectional Studies
  • HIV Infections / diagnosis
  • HIV Infections / psychology*
  • Homosexuality, Male / psychology*
  • Humans
  • Illicit Drugs*
  • Intention*
  • Male
  • Social Stigma*
  • Social Support*

Substances

  • Illicit Drugs